Eating Disorder Expert and Nutritional Therapist Jenny Tomei, has written us this blog, examining the dangerous trend of individuals using the drug Ozempic as a weight loss tool. 

How does Ozempic work?

Ozempic is medication used alongside diet and exercise to improve blood sugar control in adults with type 2 diabetes.

Ozempic works by affecting expression of GLP1 – a pancreatic hormone that boosts the effects of insulin, slows gastric emptying, and affects some of the appetite increasing chemicals in the brain. It reduces the amount of sugar released by your liver and slows down food leaving your stomach to help prevent blood sugar spikes.

Weight loss and Ozempic?

It is NOT recommended for children and adolescents under the age of 18. Ozempic is not approved by the FDA for weight loss. Ozempic is only approved for individuals living with type 2 diabetes to help manage their blood sugar levels. Under new regulations the use of this drug for weight loss alone is no longer allowed in the UK.

Who qualifies for an NHS Ozempic prescription?

You must meet the following criteria to receive a prescription from your GP:

  • Have poorly controlled type 2 diabetes
  • Treatment with metformin is considered inappropriate
  • Have a BMI of 30 or over
  • Have no diagnosis or family history of thyroid cancer
  • Have no diagnosis or family history of pancreatic cancer or pancreatitis

Side effects

There are many different short and long term effects of incorrect use of Ozempic.

Short term effects could include:

  • Nausea, constipation , diarrhoea, fatigue, stomach pain, vomiting headaches  dizziness, and fatigue
  • Indigestion (upset stomach) or acid reflux 

Possible long-term side effects of Ozempic include

  • Diabetic retinopathy (damaged blood vessels in the eye)
  • Gallbladder disease, including gall stones (gallbladder pain and inflammation)  
  • Pancreatitis (inflammation of the pancreas)
  • Thyroid cancer (Ozempic has a boxed warning about the risk of thyroid cancer)

Signs someone is using Ozempic

You may notice someone who is taking the drug start to develop thinner arms and legs and an overall less curvy physique.  Rapid weight loss can cause a hollowed-out appearance in the face, with changes to the size of the lips, cheeks, and chin. This hollowed-out appearance is known on social media at the “Ozempic face”. 

As a result, people taking Ozempic may report the following facial symptoms:

  • Increased signs of aging, such as more lines and wrinkles
  • Loss of fat, which can lead the skin to become loose 
  • A hollowed-out appearance

What happens when you stop using it?

If you stop using Ozempic injection for type 2 diabetes or weight loss, much of the weight you have lost will most likely return within a few months to one year after you stop treatment, your blood sugar levels will rise and you may lose any positive benefit for heart health.

When you stop Ozempic, your full appetite may return within a week, increasing your calorie intake and leading to weight regain.

Could using Ozempic cause disordered eating? 

Ozempic has been widely covered in the media for its benefits as a weight loss drug. The drug has gained significant media attention as many celebrities including Chelsea Handler, Elon Musk, and Sharon Osbourne reported using the drug to lose weight. It has been featured over the news and over social media. Hashtags including #ozempic and #ozempicweightloss have upwards of 300 million views on TikTok.

There are many concerns that this drug has strengthened the societal focus on weight loss, ideal body weights, and the associated weight stigma. Research has also suggested the potential for regaining weight after stopping Ozempic may lead to disordered eating. The weight regain also increases user’s health risks, as it may have a negative impact on metabolism, cardiovascular health, and self-image. This may put people at an increased risk for disordered eating.

How to approach a student and create a safe environment for students who may be using Ozempic?

Approaching a student in school who is using a weight loss drug requires sensitivity, care, and a focus on their well-being. Here are some key pointers:

Choose the Right Setting

Private and Comfortable Environment: Find a quiet, private space where the student feels safe and comfortable. This could be a counsellor’s office or a quiet room within the school where you won’t be interrupted.

Express Concern, Not Judgment

Start with Empathy: Begin the conversation by expressing your concern in a non-judgmental way. For example:

“I’ve noticed that you might be struggling with something, and I want to make sure you’re okay. Is there anything you’d like to talk about?”

Avoid Accusations: Instead of accusing them of using weight loss drugs, frame it as a concern for their overall well-being.

Provide Information and Support

Educate Gently: If the student admits to using weight loss drugs, calmly explain the potential dangers of these drugs, especially at their age, and how it can impact their health both short- and long-term.

Offer Alternatives: Suggest healthier ways to achieve their goals, such as balanced nutrition, regular physical activity, and speaking with a health professional.

Highlight Resources: Let them know about resources available to them, such as school counsellors, nutritionists, or health services.

Involve the Right People

Consult with Professionals: If you believe the situation requires more specialized help, consult with the school counsellor or psychologist. They can provide additional support and guidance on the best way to proceed.

Jenny Tomei is an Eating Disorder Therapist, Nutritional Therapist and Personal Trainer. She is the founder and director of JenUp Community LTD.

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