> “The data show clear changes in food spending following adoption,” Hristakeva said. “After discontinuation, the effects become smaller and harder to distinguish from pre-adoption spending patterns.”
It's interesting that overall spending doesn't decrease that much in the end, although shifting from snacks to fruit is the kind of change health advocates have always wanted?
I do think this could only be temporary victory over the food industry by the pharmacology industry. It's only a matter of time until food additives or varieties are discovered that partially ameliorate the effects of ozempic.
I live in the US. If those numbers are true, then it seems likely that I know at least one person on it. I however don't know that I know someone one it, since people (at least in the US) don't usually announce "Hi everybody, I'm taking weight loss drugs." Being overweight is seen as shameful, and losing weight through any means other than diet and exercise is an admission of failure.
I started a GLP-1 in October. I've been eating healthy and exercising for a decade, but I was still in the obese category and blood sugar tests indicated I was at the edge of pre-diabetes. If I pushed hard on calorie reduction or exercise, I could gain 10-20% improvement, but it seemed like that would always reverse itself when I'd hit an injury or got sick. I'm hitting my mid-40s and decided it was time for a drastic change. I could have continued yo-yo dieting or opt for a solution that gets me to a healthy BMI within a year.
I gained a lot of weight during puberty, coupled with a less healthy diet in my youth. I suspect many folks are in the same boat - by the time they realize they need to eat/exercise, it's too late. Their metabolic system has been compromised by either diet, hormones, genetics, whatever.
In four months on a GLP-1, I've dropped about 18kg and since I coupled resistance training, I've increased on various strength parameters. The sudden reduction in weight has benefited my activity level substantially. There tends to be two classes of folks - those who need to stay on this drug forever and those who don't - I'm hoping in the end I fall into the don't, but I'm going to let the data from my continuous glucose monitor decide that.
I highly recommend the book "Ozempic Revolution" if you're considering the pros/cons of this path.
There are vast differences in obesity rates between rural and urban areas, and red states vs blue states. Someone in San Francisco California is going to see a lot less obesity than someone in Plano Texas. I’m sure it is similar in Europe, with the caveat that Europeans are healthier than Americans in general.
It’s not just the processed foods. It’s the sedentary lifestyle. US cities are so car centric that actually getting a minimal baseline of healthy activity requires working into one’s schedule. When I lived in Japan, everything is so walkable/bikable that it makes a significant difference in the base activity level of average individual. I imagine Europe is similar.
It’s hard to force yourself to eat at all while on Ozempic. Yet, you need the protein, and yogurt, cottage cheese and protein bars go down easier than regular meals.
It's probably just because yogurt is commonly considered to be a "healthy" food, but given Ozempic's bone-density effects maybe there could be cravings for calcium-rich foods?
When I had severe loss of appetite (caused by mental illness) yogurt was the easiest food to get down, by far, and the least likely to come back up. The lack of chewing also really helped because everything tasted like cardboard and chewing on wet cardboard is really unpleasant.
Yogurt's been a staple of mine ever since I started eating clean years ago. It's high in protein, can be mixed with all sorts of protein powder, fruit, nuts, and seeds, and is always quick and easy to prepare. The probiotic effects are an excellent benefit, but the real trick for me is that it offers that junkfood-like "quick snack" availability while being actually pretty nutrituious. It makes a pretty solid default snack.
That is pretty astonishing given 10% of Americans use semaglutide / tirzepitide.
> Spending on savory snacks dropped by about 10%, with similarly large decreases in sweets, baked goods and cookies. Even staples like bread, meat and eggs declined.
I can't read the paper (paywall), but that means something like the 10% of Americans who are on it must switch to purchasing almost no junk food.
This headline is a touch misleading as it gives the impression of being across all US households, the quote is:
>Within six months of starting a GLP-1 medication, households reduce grocery spending by an average of 5.3%. Among higher-income households, the drop is even steeper, at more than 8%. Spending at fast-food restaurants, coffee shops and other limited-service eateries falls by about 8%.
> ..In casual dining establishments, they spend 25% more than non-GLP-1 households do, the market researcher says. Data firm Numerator shares similar findings, noting that while GLP-1 users report eating out less and cooking at home more, their spending says otherwise: “Verified purchase data reveals that their fast-food buy rate is up 2%.”
Wow, it's hard to think of a better example of a correlational study measuring something that would obviously be confounded by the thing being studied. Don't forget that most GLP-1 users are obese and many will continue to be after treatment (as it only causes a reduction in 10%-20% of body weight). And they're rich. So the headline is "rich obese people spend more in restaurants than average".
No shade on people taking the drug btw. I'm on tirzepatide myself.
Not GLP-1, but moved onto an OMAD diet which is essentially a 23hr daily fast with nothing but neat espresso, cigarettes and water in between - although occasionally I have a small treat or sugary drink.
But now I eat almost exclusively at restaurants and enjoy it, and overall it's cheaper than cooking at home given wastage with many ingredients and desire for variety.
I do eat very simply though, usually south & east asian food.
This isn't surprising to me. I'm on Topamax as an appetite suppressant & I notice a similar effect. A lot of the time a Soylent will do the trick, or a small snack that can't even be considered a meal.
> Notably, about one-third of users stopped taking the medication during the study period. When they did, their food spending reverted to pre-adoption levels – and their grocery baskets became slightly less healthy than before they started
That’s very interesting and it confirms what i thought about this drug. It’s a life long commitment. As soon as you stop, you end up becoming your old self whereas you don’t lose all the gains when you stop paying a nutrition expert.
Yes, it is managing a chronic disease, you can expect to take it indefinitely. People suggesting otherwise are doing a disservice. Especially when they are medical professionals who should know better.
We’re seeing similar in the UK, fast food restaurants are having to adapt and dieting companies have outright collapsed.
Sounds conspiratorial, but when you look at the revenue impact this is having, the deluge of baseless articles about it making your eyes fall out or “users who stop taking it gain the weight back” or whatever malady they can make a tenuous link to, it all make a lot more sense.
The biggest food companies do not want people to be thinner. They want people to buy their low-quality, high-margin products.
“users who stop taking it gain the weight back” is not a baseless claim.
Most of the people on GLP will come off the drugs and regain the weight back to their original weight, if not heavier, just like people who temporarily restrict eating in any other way (discipline). You need real lifestyle change. Even the people shilling the drugs tell people that.
Personally, I hope all of these business fail. Screw the fast food industry, dieting companies (they don't want customers to actually succeed), and the pharma companies that are restricting access to people who actually need GLP drugs.
I wonder how much the 2026 SNAP food stamp item rule changes will move this needle further, with several states using new federal waivers to restrict "junk food" items like soda, candy, energy drinks, or prepared desserts?
People know in GLP-1 will tell me it “changed their metabolism”. Few fat people want to admit that they’re simply eating less, and if they ate less without drugs they’d also lose weight.
I worry that eventually fat people on GLP-1 will figure out a way to over eat, just as people with stomach reduction learned to sip calories all day long and get fat again…
hopefully it's reducing the demands of snacks filled with artificial crap and shifting the trend to give manufacturers an incentive to focus on healthier alternatives
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[ 3.2 ms ] story [ 98.1 ms ] threadIt's interesting that overall spending doesn't decrease that much in the end, although shifting from snacks to fruit is the kind of change health advocates have always wanted?
I was wondering how you could get such a high impact overall. But it seems one in 6 households are on GLP-1 drugs in the US.
In my friend circle in Germany I don't even know one single person on this stuff.
It's insane to me that so many people need these to get off the processed foods killing them in the US.
I gained a lot of weight during puberty, coupled with a less healthy diet in my youth. I suspect many folks are in the same boat - by the time they realize they need to eat/exercise, it's too late. Their metabolic system has been compromised by either diet, hormones, genetics, whatever.
In four months on a GLP-1, I've dropped about 18kg and since I coupled resistance training, I've increased on various strength parameters. The sudden reduction in weight has benefited my activity level substantially. There tends to be two classes of folks - those who need to stay on this drug forever and those who don't - I'm hoping in the end I fall into the don't, but I'm going to let the data from my continuous glucose monitor decide that.
I highly recommend the book "Ozempic Revolution" if you're considering the pros/cons of this path.
If you understood how super stimulants work, then you wouldn't have found it "insane."
I think many Germans will start using these drugs once they become cheaper
Interesting. Wonder what it is about yogurt and ozempic users. Probiotics?
> Within six months of starting a GLP-1 medication, households reduce grocery spending by an average of 5.3%.
> Spending on savory snacks dropped by about 10%, with similarly large decreases in sweets, baked goods and cookies. Even staples like bread, meat and eggs declined.
I can't read the paper (paywall), but that means something like the 10% of Americans who are on it must switch to purchasing almost no junk food.
>Within six months of starting a GLP-1 medication, households reduce grocery spending by an average of 5.3%. Among higher-income households, the drop is even steeper, at more than 8%. Spending at fast-food restaurants, coffee shops and other limited-service eateries falls by about 8%.
> Ozempic Users Actually Spend More Dining Out.
> ..In casual dining establishments, they spend 25% more than non-GLP-1 households do, the market researcher says. Data firm Numerator shares similar findings, noting that while GLP-1 users report eating out less and cooking at home more, their spending says otherwise: “Verified purchase data reveals that their fast-food buy rate is up 2%.”
https://www.bloomberg.com/news/articles/2026-01-02/ozempic-g... (archive: https://archive.ph/V6Erv)
No shade on people taking the drug btw. I'm on tirzepatide myself.
But now I eat almost exclusively at restaurants and enjoy it, and overall it's cheaper than cooking at home given wastage with many ingredients and desire for variety.
I do eat very simply though, usually south & east asian food.
It looks like it’s just for users, not across the board.
That’s very interesting and it confirms what i thought about this drug. It’s a life long commitment. As soon as you stop, you end up becoming your old self whereas you don’t lose all the gains when you stop paying a nutrition expert.
Yes, it is managing a chronic disease, you can expect to take it indefinitely. People suggesting otherwise are doing a disservice. Especially when they are medical professionals who should know better.
All economies have deep and sometimes non-obvious dependencies. I'm interested in what happens next.
Will food stores lay off workers? Will they change their mix of offerings? Where is the new equilibrium going to be?
As an example from the piece:
> Only a handful of categories showed increases. Yogurt rose the most, followed by fresh fruit, nutrition bars and meat snacks.
Will the unit prices of these products go up to compensate for the losses in savory snacks?
Sounds conspiratorial, but when you look at the revenue impact this is having, the deluge of baseless articles about it making your eyes fall out or “users who stop taking it gain the weight back” or whatever malady they can make a tenuous link to, it all make a lot more sense.
The biggest food companies do not want people to be thinner. They want people to buy their low-quality, high-margin products.
Most of the people on GLP will come off the drugs and regain the weight back to their original weight, if not heavier, just like people who temporarily restrict eating in any other way (discipline). You need real lifestyle change. Even the people shilling the drugs tell people that.
Personally, I hope all of these business fail. Screw the fast food industry, dieting companies (they don't want customers to actually succeed), and the pharma companies that are restricting access to people who actually need GLP drugs.
SNAP is supposed to be about nutrition.
I worry that eventually fat people on GLP-1 will figure out a way to over eat, just as people with stomach reduction learned to sip calories all day long and get fat again…
> Households with at least one GLP-1 user reduce grocery spending by 5.3% within six months of adoption,
The reduction is only within those households using GLP-1 drugs, NOT across the US as a whole. Same for the other claims in the paper.
(That still suggests that these drugs are responsible for a 0.8% drop in total grocery spending in the US, which is remarkable.)