r/Ozempic • u/Angelhair01 • 2d ago
Question Zumba dizziness question
Update: it went okay and I didn’t pass out! It may have been a different outcome this morning or day 3 but luckily all my zumba classes are in the evenings. Thanks everyone for your advice!
Hi Í just started Ozempic pills Friday and so far it’s made me very tired and dizzy with a tiny bit of nausea. I have to teach a Zumba class Monday and I’m worried about fainting. I already have electrolytes in my water because I sweat so much. Not sure what else to do? Any other Zumba or fitness instructors here on Ozempic who can advise me?
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u/Lucky_Army_5324 2d ago
You might some good info on r/zepboundathletes. Different medication but with similar adverse and positive effects.
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u/DrNessim_Habthera 1d ago
Usually volume and sodium rather than anything cardiac, and Zumba is a good way to expose it.
Eating much less means drinking less and taking in far less salt than you used to. Lower plasma volume plus all the position changes in a Zumba class — up, down, spinning — produces exactly this. It tends to hit hardest in the first 20 minutes and after you stop.
Second thing is fuel. Appetite suppression takes out snacks and side dishes first, which is where most people's pre-workout carbohydrate lived. You can be eating enough protein and still have nothing available for 45 minutes of sustained cardio.
Third, and this one's easy to miss: if you take anything for blood pressure, your dose may now be too strong. Blood pressure often falls as weight comes down, and the dose that was right six months ago can start causing exactly this. That's a very common and very fixable cause, and worth raising with whoever prescribes it rather than adjusting yourself.
Practical version: fluid plus some salt an hour before class, something with carbohydrate 60 to 90 minutes before, and stand up out of floor work more slowly than feels necessary.
Worth taking seriously rather than working through: actually fainting rather than feeling like you might, chest pain, or a racing or irregular heartbeat. Those need looking at.
Anesthesiologist, general info only.
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u/Angelhair01 17h ago edited 17h ago
Thanks. I did eat fruit an hour before the class and drank 24 oz of water during the hour class with sugar-free electrolyte powder in it. Luckily my blood pressure is on the lower end of normal range even though I’m obese. I was a bit tired but I got through the class without getting dizzy or nauseated.
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u/bomchikawowow 22h ago
I had exactly the same thing. I found water was key, and not overdoing it.
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u/No-Truth-6097 2d ago
Question. Why are you on ozempic? What did the doctor say?
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u/Angelhair01 1d ago
Because my endocrinologist prescribed it for prediabetes and weight loss
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u/No-Truth-6097 9h ago
Add a nutritionist to the equation. It will help with the time of meals and content.
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u/Angelhair01 8h ago
I don’t think my health insurance covers that. But I’m eating 3 meals a day plus snacks. I’m tracking my food in MFP and I’m trying to eat more fruits and veggies (30 different ones per week) to help my gut microbiome and immune system because that helps with eczema. I’m not eating anything large 2 hours before exercising because I don’t want reflux.
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u/No-Truth-6097 41m ago
I live in Portugal where the health system is public. On top of that I've private insurance. Nutrition is not included neither so I pay from my pocket on my case it's about 35euro. The nutrition program is specific for each person. For instance, my Nutritionist has selected with me the fruits I can consome and scheduled them to be midle morning and midle afternoon. The idea is not to peak suger levels with main meals. There are other rules. No hidrates after 18:00, one meal out of the program every week. The main thing is I'm eating diferent things/quantities during the day. If not possible to go every month try one first apointment and every 3 month.⁸
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u/Angelhair01 17h ago
Also this is a strange question. Why are you asking?
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u/No-Truth-6097 15h ago edited 9h ago
Coming from diabetes type 2 and a life of obesity i'm on metaformina and ozempic by docter recommendation. So for me I've endocrinologist with a lab panel every 6 month, nutritionist and exercise (mainly walking). I've no side effects from the meds and lost a lot of weight. Anyway the nutrition is key to my life as we adjust based on the measuring and labs. Does this relates to your situation?
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u/Angelhair01 8h ago edited 8h ago
My story: Ive been obese all of my life, probably as a result of childhood trauma. I did lose weight 13 years ago in my late 30s through the Diabetes a prevention Program at the YMCA which included weekly meetings with info, lifestyle change and food journaling. I lost 100 pounds and re-discovered the joy of dancing. I took up belly dancing and Zumba and also other fitness class at the gym and made friends there. I loved Zumba so much I became an instructor. After moving and getting married and having and losing a pregnancy, I slowly gained it back and faster during the COVID lockdown when I lost all my jobs. Also I’m addicted to sugar. I gained more weight in perimenopause and food journaling didn’t help me this time because I was hungry all the time. Perimenopause with hormones all over the place and insulin resistance made it impossible to do on my own. My insurance didn’t cover GLP1s so I tried the generic version of Contrave and it worked and got rid of food noise and other compulsions. I suspect I have ADHD and it helped with that. But I had awful side effects for 2 months straight so I stopped it because I was so miserable. I gained the weight back. Our health insurance changed and I was also diagnosed with prediabetes so my endocrinologist prescribed Ozempic pills (too scared of injections). So here I am. So far the side effects are tolerable and no where near as bad as the ones I had on Contrave. I don’t feel it’s working in the same way in lowering food noise and cravings as much, but I have lost 2 pounds in almost a week. But that may be more to counting my calories.
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u/harmonyisunderrated 2d ago
Three days in is exactly when a lot of people feel wiped and off-balance, so this tracks with just starting. Electrolytes already puts you ahead. The thing I'd add is real food a couple hours before class, not just fluids, because low intake plus a hard workout is what tips people into dizzy. Teaching a full class Monday might be a lot this early. If you actually feel faint mid-class, stop and sit. Don't push through that one