{"id":627261,"date":"2024-03-07T17:10:40","date_gmt":"2024-03-07T22:10:40","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=627261"},"modified":"2026-03-25T20:36:09","modified_gmt":"2026-03-26T00:36:09","slug":"ozempic-diet","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/ozempic-diet\/","title":{"rendered":"Ozempic diet: What to eat for weight loss"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.singlecare.com\/prescription\/ozempic\">Ozempic<\/a> is a prescription medication containing the active ingredient <\/span><span style=\"font-weight: 400;\">semaglutide<\/span><span style=\"font-weight: 400;\">. The drug, made by Novo Nordisk, belongs to a class of medications called <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/glp-1-agonists\"><span style=\"font-weight: 400;\">glucagon-like peptide-1<\/span><\/a><span style=\"font-weight: 400;\"> (GLP-1) receptor agonists, that help the body produce more insulin, decreases glucagon production, and slows stomach emptying, all of which can reduce blood glucose or sugar. Ozempic injections are one of three semaglutides approved by the Food and Drug Administration. The other two are Rybelsus, which comes in tablet form, and Wegovy, which is an injection like Ozempic.\u00a0<\/span><\/p>\n<p><span data-sheets-root=\"1\"><\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cOzempic is a prescription medication that was initially intended to treat adults with Type 2 diabetes,\u201d says Toni Adamrovich, APRN, co-founder and chief of medicine at <\/span><span style=\"font-weight: 400;\">TB2.Health<\/span><span style=\"font-weight: 400;\"> in Cuyahoga Falls, Ohio. Along with lowering blood sugar levels, adults with Type 2 diabetes taking Ozempic may lose weight and <\/span><span style=\"font-weight: 400;\">reduce their risk of serious heart problems<\/span><span style=\"font-weight: 400;\">, such as heart attack, stroke, or death. The drug may also be an alternative to bariatric surgery for people with obesity.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In the past year, it has become a popular treatment for weight loss, with many discussing the medication on social media. \u201cCelebrities and influencers have endorsed Ozempic as a new weight loss treatment, causing a huge frenzy (and shortage) around the drug,\u201d Adamrovich adds.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you\u2019re taking the GLP-1 medication Ozempic for weight loss, it\u2019s recommended that you eat the best foods to improve your results.\u00a0<\/span><\/p>\n\t\t<div id=\"coupon-cta\" class=\"coupon-cta master-template\">\n\t\t\t<p id=\"headline\">Save up to 80% on Ozempic with SingleCare<\/p>\n\t\t\t<p id=\"subheadline\">Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.<\/p>\n\t\t\t<div class=\"details-wrap\">\n\t\t\t\t<div class=\"details\">\n\t\t\t\t\tOzempic 2 mg\/3 mL (1 Pen)\t\t\t\t<\/div>\n\t\t\t\t<div class=\"address\">\n\t\t\t\t\t23666 - Hampton, VA\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"api-response\">\n\t\t\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-kroger.svg\" alt=\"Kroger Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$791.97<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/ozempic#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/ozempic#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"coupon\">\n\t\t\t<div class=\"logo\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/images.singlecare.com\/content\/images\/pharmacy\/logo-color-harristeeter.svg\" alt=\"Harris Teeter Pharmacy\" \/>\t\t\t<\/div>\n\t\t\t<div class=\"price\">\n\t\t\t\t<div class=\"price-number\">\n\t\t\t\t\t$791.97<br\/>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"price-signup\">\n\t\t\t\t\t<span class=\"info-icon\">i<\/span>\n\t\t\t\t\tPrice with <a href=\"https:\/\/www.singlecare.com\/prescription\/ozempic#blog-cta\">signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"couponbtn\">\n\t\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/ozempic#blog-cta\">Get free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t<a target=\"_blank\" href=\"https:\/\/www.singlecare.com\/prescription\/ozempic#blog-cta\" class=\"coupon-see-all-btn\">See Ozempic prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t\n<h2 id=\"ozempic-and-weight-loss-how-the-drug-works-in-the-body\"><span style=\"font-weight: 400;\">Ozempic and weight loss: How the drug works in the body<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Before discussing what healthy eating on Ozempic looks like, knowing how the drug works <\/span><span style=\"font-weight: 400;\">in your body for weight loss is essential.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cGLP-1 drugs like brand name Wegovy and Ozempic help control one\u2019s appetite by increasing feelings of fullness and reducing hunger,\u201d Adamrovich explains. \u201cThey do this by imitating the effects of the naturally occurring GLP-1 hormone in the body.\u201d One hormone Ozempic imitates for weight loss is incretin. According to <\/span><a href=\"https:\/\/dom-pubs.pericles-prod.literatumonline.com\/doi\/10.1111\/dom.13129\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">a research review,<\/span><\/a><span style=\"font-weight: 400;\">\u00a0incretin hormones are secreted after nutrient intake and stimulate insulin secretion to counteract hyperglycemia.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to a clinical review report, by mimicking natural GLP-1 hormones, <\/span><a href=\"https:\/\/www.novomedlink.com\/diabetes\/products\/treatments\/ozempic\/about\/mechanism-of-action.html#\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Ozempic can cause glucose-dependent insulin secretion<\/span><\/a><span style=\"font-weight: 400;\">, leading to lowered glucagon secretion and slowing food movement through your stomach, also known as gastric emptying. \u201cAs a result, people taking these medications tend to eat less and lose weight,\u201d Adamrovich says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Despite its effects on weight loss, the FDA has not approved Ozempic for this use (unlike Wegovy), according to <\/span><a href=\"https:\/\/www.linkedin.com\/in\/raj-dasgupta-md-facp-fccp-faasm-a9839093\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Raj Dasgupta, MD<\/span><\/a><span style=\"font-weight: 400;\">, a quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine in Los Angeles, California.\u00a0<\/span><\/p>\n<h2 id=\"what-can-you-eat-on-ozempic\"><span style=\"font-weight: 400;\">What can you eat on Ozempic?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Although there aren\u2019t any strict diet rules to follow on Ozempic, you can get better weight loss results by eating a healthy, balanced diet. \u201cIt\u2019s important to eat a balanced, healthy diet with lots of veggies, fruits, whole grains, lean proteins, and good fats,\u201d Dr. Dasgupta says.<\/span><\/p>\n<h3 id=\"ozempic-diet-plan-tips\"><span style=\"font-weight: 400;\">Ozempic diet plan tips<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Below are some nutrition tips you can adopt while taking Ozempic and some examples of foods and meals you can eat to sustain weight loss.\u00a0<\/span><\/p>\n<h4 id=\"1-stick-to-a-schedule\"><span style=\"font-weight: 400;\">1. Stick to a schedule.\u00a0<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Research shows that <\/span><a href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/0748730419892105\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">meal timing<\/span><\/a><span style=\"font-weight: 400;\"> can be an effective way to address health problems like Type 2 diabetes, obesity, and heart disease. \u201cSet a consistent meal schedule to follow and do not rely on hunger cues,\u201d says <\/span><a href=\"https:\/\/www.linkedin.com\/in\/cesar-sauza-ms-rdn-bb418b63\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Cesar Sauza, MS, RDN<\/span><\/a><span style=\"font-weight: 400;\">, a registered dietitian nutritionist and nutrition specialist at <\/span><span style=\"font-weight: 400;\">EH Project<\/span><span style=\"font-weight: 400;\"> of Los Angeles, California. \u201cMindful eating is difficult when hunger cues are hindered due to a decreased appetite.\u201d\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/diabetesjournals.org\/spectrum\/article\/30\/3\/171\/32398\/Mindful-Eating-The-Art-of-Presence-While-You-Eat\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Mindful eating<\/span><\/a><span style=\"font-weight: 400;\">, or conscious eating, is when you use all your senses to experience and enjoy your food. Researchers believe that by adopting this strategy, you will likely lose weight.<\/span><\/p>\n<h4 id=\"2-opt-for-lean-proteins-and-non-starchy-vegetables-first\"><span style=\"font-weight: 400;\">2. Opt for lean proteins and non-starchy vegetables first.<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">\u201cEat whole grains and starches only if still hungry,\u201d Sauza says. According to a 2020 research study, <\/span><a href=\"https:\/\/www.bmj.com\/content\/372\/bmj.m4948\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">a high daily intake of refined grains<\/span><\/a><span style=\"font-weight: 400;\">, such as white bread, white rice, cookies, and muffins, can increase your risk of heart disease and is linked to high blood pressure. Some examples of whole-grain foods and non-starchy vegetables you can eat include quinoa, brown rice, oats, and whole-wheat pasta.<\/span><\/p>\n<h4 id=\"3-eat-in-small-portions\"><span style=\"font-weight: 400;\">3. Eat in small portions.\u00a0<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">\u201cMake sure to eat small portions regularly, as an empty stomach often may lead to nausea and further lack of appetite,\u201d Sauza says. Also, <\/span><a href=\"https:\/\/www.niddk.nih.gov\/health-information\/weight-management\/just-enough-food-portions\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">not eating more than a serving size of food<\/span><\/a><span style=\"font-weight: 400;\"> can help you manage your sugar, salt, fat, and calories.<\/span><\/p>\n<h4 id=\"4-stay-hydrated\"><span style=\"font-weight: 400;\">4. Stay hydrated.<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Be sure to drink enough water throughout the day. \u201cDehydration is often seen in patients taking semaglutide medications since their appetite is so decreased that they do not feel the urge to drink water,\u201d Sauza explains. Research reveals that increased water intake is <\/span><a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnut.2016.00018\/full\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">linked to weight loss<\/span><\/a><span style=\"font-weight: 400;\">, reducing the risk of obesity for diabetes patients.<\/span><\/p>\n<h4 id=\"5-avoid-processed-high-fat-and-sugary-foods-and-drinks\"><span style=\"font-weight: 400;\">5. Avoid processed, high-fat, and sugary foods and drinks.<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">\u201cLimit added sugars from ultra-processed foods and especially added sugars from drinks,\u201d Sauza says. Some examples of these specific foods include breakfast cereals, ice cream, and sugary drinks, and biscuits.<\/span><\/p>\n<h4 id=\"6-ensure-you-re-meeting-your-daily-calorie-intake\"><span style=\"font-weight: 400;\">6. Ensure you\u2019re meeting your daily calorie intake.<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">As you take Ozempic, ensure you\u2019re not exceeding your recommended daily calorie intake. While it can vary from person to person, it\u2019s recommended that women consume <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK499909\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">1,500 or fewer calories<\/span><\/a><span style=\"font-weight: 400;\"> per day, and men should consume no more than 2,000 calories per day to lose 1 pound per week. You can consult your registered dietitian if you\u2019re unsure of your daily calorie limit.\u00a0<\/span><\/p>\n<h4 id=\"7-eat-a-diet-high-in-fiber\"><span style=\"font-weight: 400;\">7. Eat a diet high in fiber.<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Consider eating high-fiber foods to improve your results while on Ozempic. <\/span><a href=\"https:\/\/www.mayoclinic.org\/healthy-lifestyle\/nutrition-and-healthy-eating\/in-depth\/fiber\/art-20043983\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Dietary fiber<\/span><\/a><span style=\"font-weight: 400;\">, often found in fruits, vegetables, whole grains, and legumes, can help you maintain a healthy weight by keeping you satisfied longer and being less energy-dense. Just be mindful that high-fiber foods tend to sit in your stomach longer, and so in some patients taking Ozempic, a high-fiber diet may cause nausea and heartburn symptoms.<\/span><\/p>\n<h3 id=\"ozempic-meal-ideas\"><span style=\"font-weight: 400;\">Ozempic meal ideas<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Here are some healthy meal ideas from experts Sauza and Adamrovich that you can consider during your weight loss journey while taking Ozempic.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For breakfast:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eggs with vegetables<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Plain Greek yogurt mixed with fruits and seeds\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Overnight oats or chia pudding with fruits and nuts<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Multi-grain toast with an avocado and a poached egg<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For lunch:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Turkey or chicken wrap<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sandwich with one slice of bread<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A salad with protein added (animal- or plant-based)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chicken quinoa bowl with black beans, shredded cheddar, diced avocado, and lettuce<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For dinner:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chicken breast with a green salad<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Salmon or tuna with roasted vegetables<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ground turkey lettuce-wrapped tacos<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reverse-seared filet mignon and roasted asparagus\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Healthy snacks on Ozempic:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Low-fat cottage cheese with fruit<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A small protein shake<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">One serving of fruit with one serving of nuts or seeds<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tuna with whole-grain crackers<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For a personalized Ozempic diet plan for weight maintenance, it\u2019s best to speak with a registered dietitian or nutritionist for assistance.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our diabetes newsletter<\/span>\n\t\t\t<form class=\"form-wrapper\" data-newsletter-form=\"1\" data-subsource=\"Diabetes Newsletter\">\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<label for=\"dynamic-email\">Email<\/label>\n\t\t\t\t\t<input type=\"email\" id=\"dynamic-email\" class=\"email\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<input class=\"submit-form-btn\" type=\"submit\" value=\"Click to sign up\">\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<p class=\"success-message\" aria-live=\"polite\"><\/p>\n\t\t<\/div>\n\t<\/span><\/p>\n<h2 id=\"foods-to-avoid-on-ozempic\"><span style=\"font-weight: 400;\">Foods to avoid on Ozempic<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are no strict guidelines on what you cannot eat on Ozempic. However, specific foods and drinks may affect weight loss results.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here are some types of foods you may want to avoid or limit while creating a healthy eating plan for Ozempic, according to Adamrovich:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Processed foods high in sugars, sodium, and unhealthy fats.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sugary foods and drinks, such as cakes, cookies, soda, cereals, pasta, and white bread.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Spicy, greasy, and fried foods like hot wings, french fries, pizza, chips, and fast food.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Certain vegetables like broccoli, cauliflower, cabbage, and Brussels sprouts should be eaten in moderation since they can cause bloating and gas.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u201cIt\u2019s not about cutting these foods out completely, but controlling how much and how often you have them to help manage your blood sugar levels better,\u201d Dr. Dasgupta says. \u201cConsulting with your doctor or a dietitian can give you more tailored advice.\u201d<\/span><\/p>\n<h2 id=\"bottom-line\"><span style=\"font-weight: 400;\">Bottom line<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Although there\u2019s no strict diet to follow while taking Ozempic, it works best for weight loss when combined with a healthy diet and exercise\u2014habits that will help you maintain a healthy weight once you stop taking the drug. Regardless of whether you\u2019re taking Ozempic or not, it is important to eat nutritious foods and avoid those that are overly processed or contain a lot of sugars, salt, and unhealthy fats.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Like any prescription medication, you are at risk of adverse side effects while taking Ozempic. The <\/span><a href=\"https:\/\/www.mayoclinic.org\/drugs-supplements\/semaglutide-subcutaneous-route\/side-effects\/drg-20406730?p=1\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">most common side effects<\/span><\/a><span style=\"font-weight: 400;\"> of Ozempic include nausea, diarrhea, constipation, and hair loss. For more insight on healthy eating on Ozempic, consult a registered dietitian or healthcare provider for medical advice.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ozempic is a prescription medication containing the active ingredient semaglutide. The drug, made by Novo Nordisk, belongs to a class of medications called glucagon-like peptide-1 (GLP-1) receptor agonists, that help the body produce more insulin, decreases glucagon production, and slows stomach emptying, all of which can reduce blood glucose or sugar. Ozempic injections are one [&hellip;]<\/p>\n","protected":false},"author":149,"featured_media":627262,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[10298,21067,553,9825],"coauthors":[20975],"class_list":["post-627261","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-wellness","tag-diabetes","tag-glp-1-drugs","tag-nutrition","tag-weight-loss","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Ozempic diet: What to eat for weight loss<\/title>\n<meta name=\"description\" content=\"Although there\u2019s no official Ozempic diet, the drug is most effective for weight loss with a healthy diet and exercise. 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