As a health coach, staying informed about health trends is essential—especially when it comes to high-profile medications like GLP-1s.
Drugs like Ozempic and Wegovy have gained widespread attention for their weight loss effects, but they weren’t originally created for that purpose. Understanding their intended use and current applications can help coaches better support informed conversations with clients.

While health coaches don’t prescribe or manage medications, they do play a vital role in helping clients navigate these conversations with clarity and confidence. By understanding what medications like Ozempic are—and what they aren’t—coaches can support clients in making informed, empowered decisions in collaboration with their healthcare providers.
What is Ozempic?
Ozempic (semaglutide) is an injectable prescription medication originally developed to help adults with type 2 diabetes manage their blood sugar. It belongs to a class of drugs known as GLP-1 receptor agonists (glucagon-like peptide-1). This class mimics a natural hormone that increases insulin release, lowers blood sugar, and slows gastric emptying.
As a result of its effects on appetite and digestion, weight loss is a secondary benefit for many people who take it.
Is Ozempic a Weight Loss Drug?
Not exactly. Although many people do lose weight while taking Ozempic, it is not FDA-approved specifically for weight loss. That approval belongs to Wegovy, a higher-dose version of semaglutide designed for chronic weight management in individuals with obesity or weight-related health conditions.
Ozempic’s role in weight loss is a result of its mechanism of action—but it is intended for diabetes care.
How Does Ozempic Work?
Ozempic mimics the GLP-1 hormone, which:
- Stimulates insulin secretion after meals
- Reduces glucagon secretion (a hormone that raises blood sugar)
- Slows gastric emptying, increasing satiety
- May influence appetite centers in the brain
These effects not only support improved glycemic control

Benefits of Ozempic
- Improved Blood Sugar Control: Lowers A1C levels and supports better glycemic stability in people with type 2 diabetes.
- Weight Loss Support: Helps some individuals lose weight due to increased satiety and reduced appetite.
- Cardiovascular Health: May reduce the risk of heart-related events in people with type 2 diabetes and existing heart disease, according to recent studies.
Side Effects and Considerations
Common Side Effects:
- Nausea
- Vomiting
- Diarrhea
- Constipation or abdominal discomfort
These symptoms are usually temporary and often improve as the body adjusts.
More Serious Risks:
- Pancreatitis (inflammation of the pancreas)
- Gallbladder issues
- Kidney function changes
- Thyroid tumors (in animal studies)
Ozempic should not be used in people with type 1 diabetes, diabetic ketoacidosis, or a personal/family history of medullary thyroid carcinoma.

Important Clarification: Ozempic vs. Wegovy
Though both contain semaglutide, the FDA has only approved Wegovy for weight management. Health coaches should be aware of this distinction when discussing semaglutide with clients.
Wegovy: Approved for weight loss in people with a BMI ≥30, or ≥27 with a related condition
Ozempic: Approved for type 2 diabetes

Supporting Clients Who Are Taking Semaglutide
Whether your client is curious about Ozempic or already using it, your role as a health coach is critical in bridging medication use and lasting lifestyle change.
Here’s how coaches can support clients:
1. Educate and Clarify

While coaches don’t give medical advice, they can help clients understand the basics—what semaglutides are, how they work, and what to ask their doctors.
Clients may not know that muscle mass often decreases during rapid weight loss. You can help them prioritize muscle-preserving habits like resistance training and adequate protein intake.
2. Explore Motivation and Mindset
Why does the client want to lose weight? What’s worked—or hasn’t—in the past? Coaches can explore these questions and help clients develop a values-based, sustainable vision of health.

3. Focus on Lifestyle Habits
Weight loss medications can spark change, but lifestyle is what sustains it. Without behavior change, many people regain the weight once the medication stops. Coaches help clients:
- Adopt nutrient-dense eating habits
- Improve sleep quality
- Reduce stress
- Increase physical activity
- Build positive relationships and support systems

What the Research Says
- Blood Sugar Management: Studies show semaglutide improves A1C and may be more effective when used with medications like metformin.
- Weight Loss: Clinical trials show significant weight loss with semaglutide, but most studies use higher doses than those found in Ozempic.
- Long-Term Outlook: Research suggests lifestyle coaching alongside semaglutide use leads to more sustainable outcomes.
Final Thoughts for Health Coaches
Semaglutide medications are reshaping the conversation around weight and metabolic health. As a health coach, you’re uniquely positioned to guide clients through this changing landscape.
By offering judgment-free support, grounded information, and tools for behavior change, you help ensure that any decision—whether to pursue medication or not—is rooted in long-term well-being, not quick fixes.
Additional Resources
If you’re curious about making important lifestyle changes to improve your overall health, consider working with a functional medicine health coach. They will provide crucial support and education so that you can reach your health and wellness goals. You can also dive deeper with the resources below.
- FDA – Drug Trial Snapshot: Ozempic
https://www.fda.gov/drugs/drug-approvals-and-databases/drug-trial-snapshot-ozempic - Novo Nordisk – Ozempic Product Page
https://www.ozempic.com/ - JAMA – Effect of Subcutaneous Semaglutide on Weight Loss in Adults With Overweight or Obesity
https://jamanetwork.com/journals/jama/fullarticle/2777025 - NEJM – Once-Weekly Semaglutide in Adults with Overweight or Obesity
https://www.nejm.org/doi/full/10.1056/NEJMoa2032183 - American Diabetes Association – Standards of Care in Diabetes—2024
https://diabetesjournals.org/care/article/47/Supplement_1/S1/153716/Standards-of-Care-in-Diabetes-2024 - Medical Literacy Initiative – Understanding Ozempic
https://www.medical-literacy-initiative.com/blog/understanding-ozempic - UC Davis Health – Can weight loss medications really help you lose weight?
https://health.ucdavis.edu/blog/cultivating-health/can-weight-loss-medications-help-you-lose-weight/2024/08
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