Beyond Ozempic: A Holistic Approach to Sustainable Weight Management in Cayman
There are no easy solutions to managing weight—no simple decisions, no panaceas.
Obesity poses a major challenge to the health of the Cayman Islands population. As the STEPS survey revealed, 70% of our population is overweight or obese. With the rising popularity of medications like Ozempic, many are hopeful that these treatments will provide a much-needed solution. However, while GLP-1 agonists can be a powerful tool for weight loss, they are not a cure-all.
GLP-1 agonists like Ozempic have gained widespread attention for their ability to curb appetite and promote weight loss. Studies report an average weight loss of 20%; this figure though does not tell the whole story. Some individuals lose more, some lose less, and some experience little to no effect. Additionally, not everyone tolerates these medications well.
The United Kingdom’s National Institute for Health and Care Excellence (NICE) has recommended that GLP-1 medications be used as part of a broader weight management strategy—one that also includes lifestyle changes. Medication can be a valuable tool, but it is not the only solution. Sustainable weight management requires a multifaceted approach, incorporating diet, exercise, and overall well-being.
Sustainable Weight Management: A Holistic Approach
Weight management is complex and requires bringing together different perspectives to optimise patient care, referred to as multidisciplinary teamwork in medicine. The most effective approach combines:
- Dietary changes to ensure proper nutrition
- Physical activity that is accessible and sustainable
- Psychological support to address emotional and behavioural aspects of eating
- Medication (when appropriate) as part of a broader strategy
- Surgical options for individuals who may require additional intervention
The Role of Nutrition and Strength Training
Because GLP-1s significantly reduce appetite, there is a real risk of nutrient deficiencies. Individuals taking these medications must ensure they consume a well-balanced diet, rich in essential nutrients. This includes:
- Plenty of vegetables and fruit to provide fiber, vitamins, and minerals
- Whole grains for fibre and sustained energy
- Healthy fats from sources like nuts, seeds, and avocado
- Adequate protein, which is particularly important for preserving muscle mass
Good sources of protein include fish, chicken, eggs, lean beef, and tofu. Protein is crucial because weight loss on GLP-1s is not solely fat loss—muscle mass is also affected. This is why it is essential to maintain a diet that supports muscle preservation. Additionally, incorporating regular resistance and strength training is vital. Maintaining muscle mass is not just about aesthetics; it helps protect bone density and overall physical function. A well-structured strength training routine can make a significant difference in long-term health outcomes.
No single element alone is best for every patient. It is the combination of these factors—tailored to each individual’s unique needs—that delivers the most effective and lasting results. By establishing healthy eating habits and a consistent exercise routine while on GLP-1s, individuals can set themselves up for a smoother transition when or if the medication is discontinued. True success in weight management comes not from a single solution but from a comprehensive, science-backed approach that considers the whole person.
By Dr Richard Preece, Medical Director & Brandi Propas, Registered Dietitian.
Brandi Propas is a highly experienced Registered Dietitian with 20 years of experience in the field. For the past 16 years in the Cayman Islands, she has offered expert nutrition counseling in both private and hospital settings. She specializes in addressing various health conditions, including diabetes, hypertension, and food allergies. Patients can schedule an appointment with Brandi at Doctors Hospital by booking online or by calling +1 (345) 325 9000.
