The year that just went by, was obsessed with Ozempic and weight loss. Not just that, but it was also the most searched weight loss drug outpacing Wegovy, its closest competitor, by 300%. As of November 2024, it had a current volume of 16 million searches per month.
Ozempic or semaglutide s a prescribed drug that is used in people with type 2 diabetes. It is given as an injection under your skin and could be prescribed off-label for weight loss. However, the drug is not approved by Food and Drug Administration (FDA) for weight loss.
The active ingredient in this is semaglutide, which belongs to the class of drugs called glucagon-like peptide-1 or GLP-1 receptor agonists. This is what helps stimulate pancreas to release insulin, prevents, cravings and hunger pangs and prevents increase in blood sugar. It basically mimics the action of naturally produced hormones GLP-1 by activating GLP-1 receptors to achieve these results.
However, it does not come without any side effects. They can include nausea, stomach pain, constipation, thyroid cancer, and more.
But, what if we tell you that you can try these foods which mimic the results of Ozempic, without these above mentioned side effects?
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These foods are called filling foods, that make you feel full and thus controls your cravings. These are foods high in protein, fiber, and healthy fats which can trigger the release of GLP-1 hormones and other satiety-enhancing effects. Another reason to consider it? These are cheaper than the medications and do not have the unwanted side effects.
Oats: They are rich in soluble fiber called beta-glucan. This can delay gastric emptying and promote feelings of fullness. As per a study published in Current Nutrition Reports, the beta-glucan increases satiety and reduces energy intake by enhancing GLP-1 secretion.
Studies also show that oats can help lower body weigh and harmful LDL- cholesterol levels.
Barley: This also contains beta-glucan, so the effects remain same. Furthermore, the journal Nutrients reported that barley lowered a hunger hormone called leptin.
Legumes, beans, lentils, chickpeas: In one study that included more than 15,000 U.S. adults published in the journal Nutrients found that legume intake was inversely associated with weight gain over the 10-year study period. Adults in the study with moderate to high intakes gained substantially less weight over the past decade than those reporting no legume intake.
Eggs: A study published in Nutrition Research reported that those who had eggs for breakfast reduced overall caloric consumption for the entire day.
Greek Yogurt: It is a healthy, must-have in your diet as it helps you stay fuller longer and also helps with your gut health. Studies suggest that the protein coupled with probiotics enhances satiety and impacts your appetite-regulating hormones to keep your hunger and cravings in check.
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Avocado: They are rich in monounsaturated and polyunsaturated fats, which are considered heart healthy. Avocados are also rich in dietary fiber. A medium-sized avocado has 10 grams of fiber, or more than half the fiber you need in a day. The high fat and fiber content of avocados leads to slower digestion, lower blood sugar and insulin levels and elevates hormones levels that trigger fullness.
Fish: The long-chain omega-3 fatty acids in fish along with the high-quality protein help down-regulate your hunger and appetite.
Credit: AI-generated image
In India, vegetarian food is often considered a healthier choice, and many people believe that avoiding meat automatically reduces their risk of lifestyle diseases.
The traditional Indian vegetarian diet, rich in lentils, vegetables, whole grains and legumes, has long been seen as a cornerstone of good health. Yet India faces a staggering diabetes epidemic, with over 101 million people living with diabetes and millions more at the pre-diabetic stage. This contradiction is often called the "Indian vegetarian paradox". As doctors, we need to look beyond whether someone eats vegetarian or non-vegetarian food and understand what actually goes into their daily meals.
A person can follow a completely vegetarian diet and still be at risk of developing type 2 diabetes. This does not mean that vegetarian food is unhealthy. The root of the paradox lies not in vegetarianism itself, but in what makes up the contemporary Indian plate.
Traditional diets relied on complex carbohydrates, high fibre and unrefined grains. Modern eating habits have shifted heavily towards refined carbohydrates such as polished white rice, white flour (maida) and packaged snacks. Indian vegetarian cooking also often includes generous amounts of oil, ghee, full-fat dairy and sugar in sweets and beverages.
Consider a typical Indian meal. A large serving of rice or chapati, accompanied by a small portion of dal and limited vegetables, may look like a regular home-cooked meal.
However, if this pattern is repeated every day, the overall carbohydrate intake can become quite high. When the diet is also low in fibre and protein, it triggers sharp spikes in blood glucose after meals. Over time, these repeated spikes overwhelm the pancreatic beta cells and accelerate insulin resistance, making blood glucose harder to manage, particularly in people who already have insulin resistance.
Interestingly, the ICMR-INDIAB dietary study published in Nature Medicine in 2025, which analysed dietary patterns among 18,090 Indian adults, highlighted the high consumption of low-quality carbohydrates and relatively low protein intake in Indian diets. Its analysis also suggested that replacing a portion of carbohydrate intake with plant-based or dairy protein was associated with a lower likelihood of type 2 diabetes.
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Another misconception is that replacing white rice with millets or switching to whole wheat is enough to prevent diabetes. High-fibre millets and whole grains can certainly be part of a healthy diet, but the quantity consumed and the overall balance of the meal matter just as much. Simply changing the grain without addressing portion sizes may not make a significant difference.
We also need to pay attention to what people eat between meals. Biscuits, bakery products, packaged snacks and sweetened beverages are often considered harmless because they are vegetarian. However, many of these foods contain refined carbohydrates, added sugar, trans fats and excess calories.
There is also an important Indian-specific concern. Diabetes does not affect only people who are visibly overweight.
South Asians have a distinct metabolic profile, with more fat around the abdominal organs, more fat deposited in the liver and lower muscle mass relative to body fat.
This makes them more susceptible to type 2 diabetes even at lower body weights and BMI levels. Family history, physical inactivity and poor sleep can further increase the risk.
The answer is not to give up vegetarian food. Instead, we should focus on improving the quality of the diet by returning to nutrient-dense, traditional patterns. Including adequate portions of dal, whole legumes, beans, non-starchy vegetables, curd, nuts and seeds, while moderating refined carbohydrates, trans fats and added sugars, can make everyday meals more balanced.
Being vegetarian is a dietary choice, but preventing diabetes requires a more thoughtful approach to what we eat, how much we eat and how consistently we maintain a healthy lifestyle. Plant-based nutrition remains powerful, but only when it is balanced for metabolic health.
By Dr Hiran S. Reddy, Consultant Physician, Diabetologist & Critical Care Specialist, Gleneagles Hospital, Lakdi-Ka-Pul, Hyderabad
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From sugary mithai such as jalebi, gulab jamun, laddoo and barfi to fried foods such as puris and pakoras, Diwali is a time for gastronomic delight. While occasional indulgence is unlikely to cause lasting harm, overeating can strain the digestive system, health experts warn.
It can trigger acidity, bloating and indigestion. Excessive consumption of sugary foods can also affect blood sugar levels, particularly in people with diabetes.
Speaking to HealthandMe, two experts explain how festive overeating affects your body and how to ease digestive discomfort.
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Overeating stretches the stomach and may slow gastric emptying, particularly after fatty meals. This can cause heaviness, nausea and abdominal discomfort.
"Excessive consumption of samosas, kachoris, puris and rich gravies can cause heaviness, nausea, belching and abdominal discomfort," said Dr Parmeet Kaur, Chief Dietician, AIIMS.
Dr Ayush Dhingra, Chairman – Gastroenterology, Manipal Hospital, Gurugram, said large portions, eating too quickly and consuming excessive fried, fatty, spicy or sugary foods can trigger digestive discomfort.
Large meals distend the stomach, while fatty foods can delay gastric emptying and worsen reflux. Excessive consumption of chole bhature, pakoras, spicy curries and late-night snacks can trigger heartburn, a sour taste in the mouth and the sensation of food coming back into the throat.
Dr Dhingra said an excessively full stomach can aggravate acid reflux. Recurring symptoms may indicate gastroesophageal reflux disease (GORD) and require medical evaluation.
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Festive sweets such as jalebi, gulab jamun, laddoo and barfi can rapidly raise blood glucose levels, stimulating insulin secretion. Fried foods, including puris and pakoras, may prolong glucose elevations. Excessive fat intake can also temporarily reduce insulin sensitivity.
Dr Kaur cited a controlled human study in which one day of high-fat overfeeding increased glucose and insulin responses and reduced insulin sensitivity by 28%.
Sugary foods and beverages can also cause blood sugar spikes, making portion control particularly important for people with diabetes, Dr Dhingra told HealthandMe.
Excess calories from sweets, namkeen, fried snacks, rich gravies and sugary beverages can increase body weight.
However, initial weight gain may partly reflect water retention and increased glycogen stores rather than fat accumulation.
A systematic review of 39 studies found an average festive-period weight gain of approximately 0.7 kg, although individual outcomes varied. Repeated overeating can contribute to fat accumulation and affect metabolic health.
Mild bloating and indigestion may settle on their own, but persistent or severe symptoms should not be dismissed as ordinary indigestion.
Dr Dhingra cautioned that severe upper abdominal pain, particularly when it radiates to the back and is accompanied by nausea, vomiting or fever, could indicate pancreatitis.
Recurring acidity and indigestion also warrant medical evaluation rather than repeated self-medication.
Returning to regular eating habits rather than following restrictive diets can help your digestive system settle.
Dr Kaur recommends balanced meals comprising dal, roti, vegetable sabzi, curd and khichdi. Adequate hydration and fibre intake can also support digestion.
Dr Dhingra suggests the following measures:
Avoid crash diets or skipping meals to compensate for festive overeating. Return to balanced meals and regular eating habits instead.
Credit: iStock
Do you ever feel energetic in the morning only to feel sluggish in the afternoon? Unable to stifle the yawn at meetings or fighting to keep your eyes open in classrooms? And you find yourself inevitably reaching for that cup of coffee? You are not alone! This is called ‘post-prandial somnolence’. Medical jargon aside, let’s decode why it happens and how to beat it.
The body has a natural clock, called the Circadian rhythm, which drives sleep – wake cycles. This clock brings about a slight dip in alertness in the early afternoon, between 1PM to 4PM and hence the afternoon sleepiness.
But circadian rhythm isn’t the only one driving this slump. The status of digestive power and food plays an important role.
A weak digestive capacity or a weak Agni, as Ayurveda puts it, makes one sluggish after a meal. Also, the quantity and quality of the meal, that is, Matra and Guna of food, help make the distinction between being active or feeling sluggish in the afternoons. A diet rich in refined carbohydrates and fats like maida parotta, Poori, curd, buns/ breads, desserts, etc in large quantities drives this slump. These foods increase Kapha in the body, which makes a person sleepy.
Hydration plays an equally important role. Poor hydration, poor nighttime sleep, and a sedentary lifestyle can worsen the phenomenon.
The trick to overcome this slump is to combine food wisely, rather than skipping food. Instead of a large bowl of polished rice with rasam and papad, one can go with a moderate amount of brown rice, a bowl of sambar, vegetable fry, sprouts, or nuts. Maida-based rotis can be replaced with barley-based chapathis with a bowl of moong dal, chana, green leafy vegetables, etc. One can also opt for millet-based khichdi, millet rotis for the same. Foods that are not heavy for digestion and in the right quantity help avoid mid- day sleepiness.
Maintaining hydration by adequate water intake is recommended. One can also opt for fresh fruit juices, water-rich fruits like melons, or water-rich vegetables. Buttermilk is another healthy option for the same.
Physical activity, or Vyayama as Ayurveda describes, is another important aspect to keep in mind. Prolonged sitting often leads to an increase in Kapha in the body, which results in sluggishness. It is especially true after meals. A short walk of 100 steps after lunch helps beat the sluggishness. Light shoulder and neck stretches in between work too shall keep one active.
However, persistent or excessive daytime sleepiness could be because of underlying medical conditions like thyroid disorders, diabetes mellitus, etc. Hence, it is important to consult the physician if one feels excessive sleepiness or an energy slump during the day.
One need not let the post–meal drowsiness define the rest of the day. A combination of the right food, hydration, and exercise can go a long way in restoring energy without the caffeine!
(By Dr Meghana K A, Assistant Professor, SDM College of Ayurveda, Hospital & Research Center, Udupi)
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