Weight loss
Ozempic side effects: what you need to know and how to reduce them
Since 2023, Ozempic has become hugely popular as a weight-loss drug, partly due to the influence of social media. Although the results are impressive – users lose on average 10 to 15% of their body weight after a year – side effects can occur. Some are mild and common, others are rarer and more serious. In this article we discuss the various side effects, their possible causes and practical tips to reduce them.
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Key takeaways
- To use Ozempic safely, it’s important that you’re aware of the side effects.
- Common side effects include gastrointestinal complaints and fatigue.
- Seek medical help immediately if you experience serious side effects.
Please note
If you experience serious or persistent side effects, are worried or have doubts about your health, don’t hesitate to contact a doctor immediately. Your wellbeing comes first!
How does Ozempic work?
Ozempic is a so-called GLP-1 receptor agonist that:
Stimulates insulin production
Slows down gastric emptying
Reduces appetite
This is what makesOzempiceffective as a weight-loss medicine. You can read more about that here. In this article we focus on the side effects. To use the medicine safely, it’s important that you’re aware of them.
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Mild side effects (common)
Gastrointestinal complaints
Symptoms:
Nausea
Vomiting
Diarrhoea
Constipation
Abdominal pain
Causes:
The slowed gastric emptying and changes in the balance of your digestive hormones.
Solutions:
Eat slowly and chew well
Choose smaller meals
Avoid fatty, fried and heavily spiced food
Opt for light, watery foods such as soup, rice or crackers
Drink clear and/or ice-cold drinks (such as water or tea)
Stay sitting upright after eating; don’t lie down straight away
Go outside for fresh air if you feel nauseous
Use ginger (tea or supplements) to reduce nausea
Use ORS if dehydration threatens due to diarrhoea or vomiting
Fatigue
Causes:
Fluctuations in blood sugar levels and adjustments in energy metabolism.
Solutions:
Keep a consistent sleep routine
Eat energy-rich, nutritious snacks such as nuts, wholegrain products and fruit
Stay (lightly) physically active to raise and maintain your energy levels
Headache
Causes:
Changes in blood sugar levels
Dehydration
Solutions:
Drink enough water (around 3 litres per day), especially in warm weather or during physical exertion
Avoid caffeine and alcohol
Limit your intake of sugar and fast carbohydrates
Opt for foods with slow carbohydrates (such as wholegrain products and vegetables)
Changes in taste
Causes:
Hormonal changes affect the taste nerves.
Solutions:
Brush your teeth regularly and use mouthwash
Try different types of food and cooking methods to vary the flavours and stimulate your taste buds
Drink enough water
Avoid heavily spiced food
Opt for sour foods such as citrus fruits or vinegar
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Moderate side effects
Dizziness
Causes:
Changes in blood sugar levels
The impact of the medication on your blood pressure
Nausea or diarrhoea
Solutions:
Get up slowly from a sitting or lying position
Check your blood sugar levels regularly
Drink enough water
Eat a balanced diet to keep your blood sugar levels stable
Avoid sudden movements that can cause dizziness
Injection site reactions
Causes:
Irritation from the injection itself, which can happen if the injection is given too quickly or in an area with less blood supply
Allergic reactions to the medication, although this is rare
Using too much pressure while injecting or repeatedly injecting in the same spot
Symptoms:
Redness, itching or swelling.
Solutions:
Rotate the injection sites so you don’t put too much strain on the skin
Make sure the skin is clean and dry before injecting to prevent infection and irritation
Inject slowly to reduce irritation and lower the chance of swelling or pain
Use a warm compress after the injection to promote blood flow and relieve irritation
Don’t inject into damaged or irritated skin
Reduced appetite
Causes:
Ozempic reduces appetite
Changes in blood sugar levels can affect appetite
Stomach complaints or nausea caused by the medicine can lead to less hunger
Solutions:
Eat balanced meals to prevent nutritional deficiencies, even if you eat less
Consider supplements such as multivitamins to make up for any vitamin and mineral deficiencies
Eat smaller, more frequent meals to get enough nutrients without overloading your stomach
Drink liquid meals or smoothies to ensure you take in important nutrients
Listen to your body and don’t force yourself to eat if you’re not hungry, but make sure you do get the nutrients you need
Serious side effects
Inflammation of the pancreas (pancreatitis)
Causes:
Ozempic can irritate the pancreas, which can lead to inflammation
Increased risk in people with a history of pancreatitis or an increased risk of this condition
Symptoms:
Severe, persistent pain in the upper abdomen that radiates to the back.
Nausea and vomiting.
Solutions:
Stop using Ozempic immediately and consult a doctor.
Gallbladder problems
Causes:
Ozempic can affect gallbladder function, which increases the risk of gallstones
Changes in fat metabolism caused by the medication can worsen gallbladder problems
Symptoms:
Pain in the upper right abdomen
Jaundice or nausea
Solutions:
Consult a doctor if you have these symptoms, so gallbladder problems can be treated quickly
Follow a low-fat diet to reduce gallstone formation and ease the load on the gallbladder
Kidney problems
Causes:
Ozempic can affect kidney function, especially in people with existing kidney disease or an increased risk
Changes in blood pressure and fluid balance can cause kidney problems
Symptoms:
Urinating less
Swelling in the limbs
Solutions:
Have your kidney function checked regularly
Make sure you stay well hydrated
Allergic reactions
Causes:
Hypersensitivity or allergy to the ingredients in Ozempic
The immune system may react to the medication if it perceives it as a threat
Symptoms:
Rash, itching, breathing difficulties, hives or nettle rash, swollen face.
Solutions:
Stop using Ozempic and seek medical help immediately.
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Practical tips for using Ozempic
Here are some additional tips to improve your experience with Ozempic:
Injection routine
Choose a fixed time of day for the injection, for example in the morning after breakfast.
Hydration and nutrition
Drink enough water to prevent dehydration, especially if you suffer from diarrhoea.
Eat fibre-rich food to counter constipation.
Keep a diary
Note down any side effects and discuss them with your doctor during check-ups.
Medical check-ups
Have your blood sugar, kidney function and overall health checked regularly.
Conclusion
Ozempic is effective, but can cause side effects such as nausea, fatigue and gastrointestinal complaints. By applying the tips in this article, you can reduce these side effects. Contact a doctor if you experience serious side effects.
Do you have questions about your treatment with Ozempic? Feel free tocontactus, we’re happy to help.
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Frequently asked questions
What are the most common side effects of Ozempic?
The most common side effects are:
Nausea
Vomiting
Diarrhoea
Constipation
Fatigue
Headache
These complaints usually ease as your body gets used to the medicine.
What can I do about nausea caused by Ozempic?
Eat small, light meals
Avoid fatty and fried foods
Drink cold water or ginger tea
Don’t lie down straight after eating
Can Ozempic cause fatigue?
Yes, fatigue is a possible side effect. Here’s what you can do about it:
Keep a consistent sleep routine
Eat a varied diet
What should I do if I have abdominal pain?
Eat slowly and chew well
Avoid heavy, fatty and spicy food
Opt for mild, easily digestible foods such as rice or crackers
Consult your doctor if the pain is severe or persistent.
Can Ozempic speed up weight loss?
Yes, Ozempic can support weight loss by reducing appetite and slowing gastric emptying. However, it is not a substitute for a healthy diet and regular exercise.
How long do the side effects of Ozempic last?
In general, mild side effects disappear after a few weeks, once your body gets used to the medicine. Seek medical help immediately if you experience serious side effects.
Can I keep using Ozempic if I get diarrhoea?
Yes, diarrhoea is a common side effect. Stay well hydrated by drinking water with ORS. Contact your doctor if the diarrhoea persists or is severe.
What should I do if I have an allergic reaction to Ozempic?
Stop using Ozempic immediately and seek medical help if you experience symptoms such as:
Skin rash
Swelling of the face or throat
Breathing difficulties
Can I drink alcohol while using Ozempic?
Alcohol can increase the risk of certain side effects, such as stomach complaints or blood sugar fluctuations. In addition, alcohol can increase the risk of pancreatitis (inflammation of the pancreas). Combining alcohol and Ozempic can further increase the chance of this dangerous condition. Discuss your alcohol use with your doctor.
Can Ozempic cause kidney problems?
In rare cases, Ozempic can affect kidney function, especially if you’re already dehydrated due to diarrhoea or vomiting. Drink enough water and consult your doctor if you have symptoms such as urinating less or swelling in your limbs.
Can I stop taking Ozempic if I have side effects?
Don’t just stop taking Ozempic without medical advice. Discuss your complaints with your doctor. They can determine whether you need to adjust the dose or switch to an alternative medicine.
Can I use Ozempic during pregnancy or while breastfeeding?
No, you cannot use Ozempic if you are pregnant, want to become pregnant or are breastfeeding. Use reliable contraception while using Ozempic, such as the pill, an IUD or another form of effective protection.
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Medical disclaimer. The information on this page is for informational purposes only and does not replace professional medical advice. Always consult a doctor or another qualified healthcare professional with any questions about your health.
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Written by
Drs. Diego Keijzer
Head of Medical Department
Drs. Diego Keijzer is a doctor and Head of Medical Department at Wellis (BIG: 79066484901). As the doctor with final responsibility, he assesses intakes and draws up treatment plans based on the latest scientific insights, with a focus on GLP-1 treatments and obesity care.