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Foods to consider reducing or avoiding during symptomatic periods: High-sulphur foods: eggs, red meat, poultry skin, garlic, onions, leeks, and cruciferous vegetables High-fat or fried foods, which may further delay gastric emptying Highly processed foods and those containing artificial sweeteners, which may worsen loose stools in some people Caffeine and alcohol, both of which can irritate the gastrointestinal tract Foods that may be better tolerated: Plain, low-fat carbohydrates such as rice, plain pasta, and toast Cooked vegetables rather than raw, which are generally easier to digest Lean proteins such as fish or tofu Probiotic-containing foods such as live yoghurt, which some people find helpful for gut comfort

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Key points: The lower doses of semaglutide can wear off after 4-5 days It can take up to 4-5 weeks for the medication to reach a steady state where its levels are consistent in the blood Weight loss may be steady at the beginning but become more consistent as you increase your dose Practical strategies to enhance semaglutide results in the UK Nutrition tips Prioritise protein at every meal (aim for 1.6-2g per kg of body weight daily) Stay well-hydrated (2-3 litres daily) to manage common side effects Consider splitting meals into smaller, more frequent portions if you feel full quickly Limit ultra-processed foods which may trigger cravings despite medication Physical activity guidance Include resistance training 2-3 times weekly to preserve muscle mass Aim to move a little bit each day, even a 5 minute walk as developing the habit of movement is more important than rigid targets when first starting Try exercise snacking, like calf raises when the kettle is boiling, or push-ups when youve been to the toilet Planning for the future Develop strategies for maintaining weight loss after treatment Learn how to safely transition off semaglutide when the time comes Frequently asked questions How do I access semaglutide on the NHS in the UK