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And so, I would say if you lose four to six pounds a month, that is much better than this sudden, drastic weight loss, because that will then create this kind of yo-yo dieting, which we know already we're in a toxic diet culture to begin with, but that is what feeds into that yo-yo dieting mechanism where we know more often than not patients will gain back even more weight than they lost initially
Foods to prioritise include: Lean proteins (chicken, turkey, white fish, eggs, Greek yoghurt, cottage cheese, tofu, legumes) to preserve muscle mass during weight loss and promote satiety Non-starchy vegetables (leafy greens, broccoli, cauliflower, peppers, courgettes, tomatoes) which provide essential vitamins, minerals, and fibre with minimal calories Whole grains in moderate portions (wholegrain pasta, brown rice, quinoa, oats) for sustained energy and digestive health Healthy fats in controlled amounts (avocado, nuts, seeds, olive oil) which support nutrient absorption and satiety, though portions should be modest due to high calorie density Adequate hydration (water, herbal teas) to support digestion and help manage potential constipation Fruits in appropriate portions for vitamins, fibre, and natural sweetness, though be mindful of portion sizes due to natural sugar content Foods to limit or approach cautiously include: High-fat, fried, or greasy foods (fried items, fatty cuts of meat, heavy cream sauces) which may worsen nausea and sit heavily in the stomach Highly processed, refined carbohydrates (white bread, pastries, sugary cereals, sweets) which provide minimal nutrition and may trigger blood glucose fluctuations Carbonated beverages which can increase bloating and gastric discomfort Alcohol , which adds empty calories, may increase nausea, and can impair judgement around food choices Very large meals or eating to excessive fullness , regardless of food type, as this commonly triggers discomfort According to NICE guidance (TA875) , individuals using Wegovy should receive support from healthcare professionals within specialist weight management services, including dietetic input where appropriate, to ensure nutritionally adequate dietary changes
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