conversations, a new and unexpected side effect has emerged that’s catching everyone’s attention: ‘Ozempic feet.’
This latest addition to the growing list of Ozempic-related body changes (which already includes ‘Ozempic face’ and ‘Ozempic butt’) is making waves on social media, with users pointing out visible changes in celebrities’ feet, including Sharon Osbourne and Oprah Winfrey, who have been open about their weight loss journeys.
What Exactly Are ‘Ozempic Feet’?
According to Dr. Scott Isaacs, president of the American Association of Clinical Endocrinology, ‘Ozempic feet’ are characterized by:
- Sagging skin on the feet
- Reduced fat padding
- Visible tendons and veins
The phenomenon occurs when someone loses weight rapidly through GLP-1 medications. As fat disappears from throughout the body-not just from typical trouble spots-the feet lose their natural padding.
“The underlying mechanism is that when fat is lost quickly, the skin’s natural elasticity may not be able to keep up,” explains Dr. Isaacs. This is especially true for older individuals or those whose skin has been stretched for extended periods.
Should You Be Worried?
While primarily a cosmetic concern, ‘Ozempic feet’ can actually cause physical discomfort. The fat pads on our feet serve as natural shock absorbers, and when they diminish rapidly, the results can be painful.
“The feet’s fat pads act as natural shock absorbers, and the rapid loss of tissue can leave the skin in the foot lax and unsupported,” says Dr. Isaacs.
Many people report feeling like they’re “walking on bone,” making standing and walking uncomfortable. This discomfort might even cause people to alter their walking patterns, potentially leading to changes in gait mechanics and other foot problems.
If you’re experiencing these symptoms, Dr. Karl Nadolsky, a clinical endocrinologist and obesity specialist, recommends seeing a podiatrist. “It’s not something to ignore,” he warns. “You want to preserve foot function, particularly if you’re increasing activity levels as part of a healthy lifestyle”.
It’s Not Just Feet
The rapid weight loss from GLP-1 medications affects other extremities too. ‘Ozempic hands’ or ‘Ozempic fingers’ describe the skeletal or aged appearance of hands after significant weight loss.
“This occurs because the hands, like the face and feet, contain minimal fat to begin with,” explains Dr. Isaacs. “When that volume is lost, the skin may not contract quickly enough, leaving veins, tendons, and bones more pronounced”.
How to Prevent ‘Ozempic Feet’
While there’s no guaranteed way to avoid this side effect completely, experts suggest several approaches:
- Aim for gradual weight loss – Slower weight loss gives your skin more time to adapt
- Stay well-hydrated – Proper hydration helps maintain skin elasticity
- Wear supportive, cushioned shoes – These can compensate for lost natural padding
- Regularly inspect your feet – Monitor for changes in appearance or new pain
Dr. Nadolsky emphasizes that for people with obesity-related conditions like type 2 diabetes, heart disease, or sleep apnea, the benefits of these medications typically outweigh the cosmetic side effects.
However, he cautions that people without obesity shouldn’t take these medications, as “it’s unlikely that the benefits outweigh the risks of side effects”.
For those with diabetes, it’s especially important to report any foot changes to your doctor immediately, as you may already be at higher risk for foot complications.
As these medications continue to transform bodies across the world, ‘Ozempic feet’ serves as another reminder that rapid weight loss affects every part of the body-even the parts we rarely think about.
