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What Are GLP-1 Agonists? How They Affect Metabolism, Appetite, and Blood Sugar

Curious about GLP-1 agonists like Ozempic? Learn how they work, their benefits, and potential nutrient deficiencies to watch for.

09 May 2025 • 6 MIN Amanda Herlocker MS RDN, LDN
What Are GLP-1 Agonists? How They Affect Metabolism, Appetite, and Blood Sugar
Table of contents

Introduction

GLP-1 agonists such as Ozempic, Wegovy, and Mounjaro have gained popularity for their roles in weight management and blood sugar regulation. These medications mimic the natural hormone GLP-1, which plays a crucial role in metabolism. This blog will explore their mechanisms of action, their effects, and their implications for health.


Although GLP-1 agonists can be effective, they should be complemented with healthy lifestyle choices, including a balanced diet and regular physical activity. This article aims to provide a detailed explanation of how GLP-1 agonists function and how they influence appetite, metabolism, and blood glucose levels. Additionally, we will examine considerations regarding nutrition and supplements to ensure safe and informed use of these medications.

How GLP-1 Agonists Work in the Body

GLP-1 agonists function by mimicking the natural hormone GLP-1, which has several important effects on digestion and blood sugar regulation. One significant action of GLP-1 agonists is to slow down how quickly food exits the stomach. This results in two main effects:

 

First, it helps prevent rapid increases in blood sugar levels after meals. When food digests quickly, sugar enters the bloodstream rapidly, causing a significant rise in blood sugar. This can be particularly problematic for individuals with insulin resistance or type 2 diabetes. By slowing down digestion, GLP-1 agonists help maintain more stable blood sugar levels.

 

Second, the slower transit of food contributes to prolonged feelings of fullness. This is one of the primary reasons why GLP-1 agonists aid in weight management. Feeling full tends to reduce overall food intake.

GLP-1 agonists also affect insulin and glucagon, two key hormones for blood sugar.

Insulin, from the pancreas, helps sugar enter cells for energy. In type 2 diabetes, the body may not make enough insulin, or cells may not respond to it. GLP-1 agonists help the pancreas release more insulin, but only when blood sugar is high. This lowers the risk of low blood sugar.

 

At the same time, GLP-1 agonists lower glucagon. Glucagon, also from the pancreas, does the opposite of insulin: it raises blood sugar. Lowering glucagon further helps keep blood sugar steady. This combination is very helpful for people with insulin resistance or type 2 diabetes. 


GLP-1 agonists also affect the brain's appetite control center. They can cross into the brain and work on specific receptors that control hunger and fullness.


These medications reduce hunger and increase feelings of fullness, so you feel satisfied with less food. This leads to a decrease in calorie intake, which is how these medications help with gradual and sustained weight loss.


It's important to note that the effects on appetite can vary. Some people may feel less hungry than others. However, the impact on appetite and food intake is key to how well GLP-1 agonists work for weight management and blood sugar control.

Benefits of GLP-1 Agonists for Metabolic Health

Weight Management and Fat Loss

GLP-1 agonists are known for helping with weight loss. They reduce appetite, which means you eat fewer calories. This makes your body use its stored energy, leading to gradual weight loss.

 

While GLP-1 agonists are effective, they work best with healthy habits. A good diet, exercise, and lifestyle changes are important for successful weight loss and keeping the weight off. GLP-1 agonists can make these changes easier.


Blood Sugar Stabilization

For people with insulin resistance or type 2 diabetes, GLP-1 agonists can be helpful for managing blood sugar. They help the body release more insulin when blood sugar is high and reduce the release of glucagon. 

 

Cardiovascular and Longevity Benefits

Besides helping with weight loss and blood sugar, GLP-1 agonists may offer other health benefits.

 

Research suggests they may lower the risk of major heart problems, like heart attacks and strokes, especially for people with type 2 diabetes and heart disease risk factors. This may be due to improvements in blood pressure, cholesterol, and inflammation.


While these findings are promising, GLP-1 agonists aren't a cure-all. A healthy lifestyle with a good diet, exercise, and stress management is still important for overall health.   

Considerations and Side Effects of GLP-1 Agonists

Common Side Effects

While generally considered well-tolerated, GLP-1 agonists, like any medication, can cause side effects. It's crucial to be aware of these potential side effects before starting treatment.

 

The most common side effects are gastrointestinal in nature. These include:

 

  • Nausea: This is often the most common side effect, especially when starting the medication or increasing the dose. It usually subsides over time as the body adjusts.

  • Vomiting: Nausea can sometimes lead to vomiting, but this is also generally temporary.

  • Diarrhea: Some individuals may experience loose stools or diarrhea.

  • Constipation: Paradoxically, some people may experience constipation, which can be related to the slowing of gastric emptying.

Appetite suppression is another common effect of GLP-1 agonists. While this is the primary mechanism by which they promote weight loss, it can sometimes lead to a reduced overall nutrient intake if you're not mindful of your diet. It's important to focus on consuming nutrient-dense foods, even if you're eating less overall.


Nutritional Considerations

Because GLP-1 agonists can significantly reduce appetite and food intake, it's absolutely crucial to pay close attention to your nutritional intake to ensure you're still meeting your body's needs for essential nutrients. This is not just about calories; it's about the quality of the food you consume.

 

Pay particular attention to protein intake. Adequate protein is essential for maintaining muscle mass, especially during weight loss. When you lose weight, you can lose both fat and muscle. Adequate protein helps preserve muscle tissue, which is important for maintaining strength, mobility, and overall metabolic health.

 

Consider incorporating high-quality protein sources into your diet at every meal and snack. Excellent sources include:

 

  • Lean meats: Such as chicken breast, turkey breast, and lean cuts of beef.

  • Poultry: Chicken and turkey are excellent sources of lean protein.

  • Fish: Fatty fish like salmon, tuna, and mackerel are not only rich in protein but also in omega-3 fatty acids, which are beneficial for heart health.

  • Eggs: A versatile and complete protein source.

  • Greek yogurt: A high-protein dairy option.

  • Beans and lentils: Excellent plant-based protein sources, also rich in fiber.

  • Tofu and other soy products: Good sources of protein for vegetarians and vegans.

In addition to protein, be mindful of potential vitamin and mineral deficiencies. When you eat less, you may not be getting enough of all the nutrients your body needs. It's important to focus on a balanced diet rich in fruits, vegetables, and whole grains.

 

A well-balanced multivitamin or mineral supplement may be beneficial to ensure you're meeting your nutrient needs, especially if you're struggling to eat a varied diet due to appetite suppression. Consider HealthyCell's Bioactive Multi supplement, which provides a comprehensive blend of essential vitamins and minerals in a convenient and absorbable form. This can serve as a helpful nutritional safety net.

 

However, it's crucial to remember that a multivitamin is a supplement, not a replacement for a healthy diet. Focus on whole, unprocessed foods as the foundation of your nutrition.

Conclusion

GLP-1 agonists can offer benefits for weight loss and blood sugar control, and they can be a valuable tool for improving metabolic health. However, it's essential to have a comprehensive understanding of how they work, their potential benefits, and the associated considerations and side effects.


By focusing on a balanced diet that prioritizes nutrient-dense foods, particularly protein and essential vitamins and minerals, you can maximize the benefits of these medications while minimizing potential risks. Remember that GLP-1 agonists are most effective when combined with healthy lifestyle habits, including a balanced diet and regular physical activity.


It is absolutely crucial to consult with your healthcare provider before starting any new medication or supplement regimen. They can provide personalized advice based on your individual health status, medical history, and medications.

References

  1. Drucker DJ. Mechanisms of action and therapeutic potential of glucagon-like peptide-1. Cell Metab. 2018.
  2. Blundell J, et al. Effects of GLP-1 receptor agonists on appetite and weight loss. Lancet Diabetes Endocrinol. 2015.
  3. Husain M, et al. Oral Semaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes. N Engl J Med. 2019.