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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.

Diego Keijzer
Medically reviewed byDrs. Diego Keijzer · Head of Medical Department

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.

Diego Keijzer
Written byDrs. Diego Keijzer · Head of Medical Department
Published 21 Jul 2026·5 min
Hand houdt een blauwe Ozempic-injectiepen met semaglutide vast tegen een lichtgrijze achtergrond

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

Blauwe Ozempic-injectiepen met rood etiket ligt op een lichtgrijze ondergrond

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.

Diego Keijzer

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.