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Debunking Myths About Saxenda: What a Registered Dietitian Wants You to Know

Saxenda (liraglutide) is one such medication that's gained popularity for its role in weight loss. Here's an in-depth guide to help you understand how Saxenda works, what to expect, whether it is right for you and some alternatives and if you decide to take it how to maximize its benefits with the support of a registered dietitian.

How Saxenda Works

Saxenda, a GLP-1 receptor agonist, mimics the action of a hormone called glucagon-like peptide-1 (GLP-1). It works in three key ways:

  1. Appetite Regulation:

  • It targets appetite control centers in the brain to reduce hunger and increase feelings of fullness.

  1. Gastric Emptying:

  • Saxenda slows the rate at which food leaves your stomach, leading to prolonged satiety after meals.

  1. Blood Sugar Management:

  • Helps control blood sugar levels by enhancing insulin secretion, reducing the risk of insulin resistance.

What to Expect During Saxenda Treatment

  1. Initial Consultations:

  • Your healthcare provider will assess your eligibility based on your BMI, health history, and weight loss goals.

  1. Gradual Dosage Increase:

  • Saxenda dosage starts low and gradually increases to minimize side effects and allow your body to adapt.

  1. Potential Side Effects:

  • Common side effects include nausea, diarrhea, and constipation. A registered dietitian can help manage these with specific dietary changes.

  1. Appetite Changes:

  • You may notice reduced hunger and a preference for smaller portions. A dietitian can guide you in adjusting meal plans accordingly.

  1. Weight Loss Progress:

  • Weight loss varies, but many see notable results within a few months. Continuous support from a dietitian can help keep you on track.

Dietitian Strategies for Optimizing Saxenda Success

  1. Personalized Nutrition Plan:

  • Tailor meals to ensure nutrient density and balance while keeping portions manageable and satisfying.

  1. Mindful Eating Practices:

  • Encourage slow, attentive eating to help recognize fullness cues and reduce overeating.

  1. Exercise Guidance:

  • Incorporate regular physical activity suited to your fitness level to complement Saxenda's effects.

  1. Support Emotional Eating:

  • Address triggers that may lead to stress or emotional eating, and offer healthier coping strategies.

  1. Monitor Progress:

  • Regularly track weight changes, non-scale victories, and behavioral improvements with your dietitian.




Debunking Myths About Saxenda: What a Registered Dietitian Wants You to Know


To set the record straight, let's debunk some common myths about Saxenda with insights from a registered dietitian.

Myth 1: Saxenda Alone Guarantees Weight Loss

Reality: Saxenda isn't a miracle cure. While it can significantly reduce appetite and support weight loss, the best results come when it's used in combination with lifestyle changes like a balanced diet and regular exercise. A registered dietitian can help create a tailored nutrition plan to enhance the medication's effects.

Myth 2: Saxenda Is completely safe and Has little Side Effects

Reality: Like any medication, Saxenda can have side effects, but most are mild and temporary, such as nausea or diarrhea. Starting with a low dose and gradually increasing it helps reduce discomfort. Consult your healthcare provider for a comprehensive understanding of potential risks and benefits.

Myth 3: You Can Use Saxenda Indefinitely

Reality: Saxenda isn't intended for indefinite use. Once you've reached your weight loss goal, work with your healthcare provider to maintain it with sustainable lifestyle changes. A registered dietitian can guide you in transitioning to a long-term nutrition plan that helps sustain your progress.

Myth 4: Saxenda Replaces the Need for Healthy Eating

Reality: Saxenda may suppress appetite, but a healthy diet remains crucial. Balanced meals and portion control provide essential nutrients and energy, supporting overall well-being while helping you avoid weight regain.

Myth 5: Anyone Can Use Saxenda for Weight Loss

Reality: Saxenda is specifically prescribed for those with a BMI of 30 or higher (or 27+ with weight-related health issues). Eligibility is determined by a healthcare provider after a thorough assessment.

Myth 6: Saxenda Works Instantly

Reality: Results vary and can take time. Patience and consistency are key as you adjust to the medication and integrate new eating habits and physical activities. Your weight loss journey is unique, and it's crucial to track your progress over weeks and months rather than days.


Why You May Not Need Saxenda for Weight Loss 

Here are reasons why you might not need Saxenda and alternative strategies you can adopt for effective weight management.

1. Lifestyle Changes Could Be Enough

  • Balanced Diet: A diet rich in whole foods, lean proteins, healthy fats, and complex carbohydrates can help regulate metabolism and reduce cravings, creating a natural calorie deficit for weight loss.

  • Exercise: Consistent physical activity, like brisk walking or strength training, can burn calories and improve metabolism.

  • Hydration: Drinking plenty of water aids digestion, supports metabolism, and reduces unnecessary snacking.

2. Behavioral Adjustments Can Help

  • Mindful Eating: Pay attention to hunger cues, eat slowly, and savor your meals to prevent overeating.

  • Meal Planning: Having a structured eating plan ensures healthier choices and minimizes impulsive, calorie-heavy snacks.

3. Addressing Underlying Issues

  • Emotional Eating: Understanding triggers for emotional eating and finding healthier coping mechanisms can prevent weight gain.

  • Sleep and Stress Management: Poor sleep and high stress contribute to weight gain. Improving sleep hygiene and using stress-relief techniques can aid weight loss.

4. Medical Conditions Should Be Ruled Out

  • Thyroid Imbalance: Hypothyroidism can make weight loss challenging. Treating underlying conditions with a healthcare provider's assistance may yield better results.

  • Hormonal Factors: Hormonal changes, like those from polycystic ovary syndrome (PCOS), may require specialized dietary plans.

5. Alternative Medical Treatments

  • Medications: Other FDA-approved medications might be more suitable based on your medical history and goals.

  • Weight Loss Programs: Structured programs, guided by a registered dietitian or healthcare provider, offer tailored strategies for steady, manageable weight loss.

6. Long-Term Sustainability

Weight loss achieved through sustainable habits is more likely to last than weight loss reliant on medication alone. By building a balanced lifestyle and tackling unhealthy behaviors, you can maintain your progress over time.

Final Thoughts

Saxenda offers promising support for those struggling with weight management. However, success is amplified when combined with the expertise of a registered dietitian. A dietitian will help you develop a personalized approach, tackle challenges, and maintain sustainable habits beyond medication use.

If you're considering Saxenda as a weight loss aid, fill out our patient history form, and we'll craft a tailored nutrition plan that aligns with your goals and ensures a healthier, more balanced lifestyle.






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©2023 by Dr Sumaiya Petiwala

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