What are the gastrointestinal side effects of Ozempic and how can they be managed?

### What is Ozempic? Ozempic (semaglutide) is a medication used to help people with type 2 diabetes manage their blood sugar levels. It works by increasing insulin release and slowing down digestion, which helps keep blood sugar levels stable. It can also lead to weight loss. ### Common Gastrointestinal Side Effects 1. **Nausea**: About 1 in 5 people experience nausea, especially when starting the medication or increasing the dose. It usually gets better over time. 2. **Diarrhea**: Around 1 in 12 people may have diarrhea, which typically resolves within a week. 3. **Stomach Pain**: About 1 in 14 people report stomach pain, including cramps and bloating. 4. **Constipation**: Approximately 1 in 20 people experience constipation, which can last 6 to 10 weeks. 5. **Sulfur Burps**: Slowed digestion can cause sulfur to build up, leading to burps that smell like rotten eggs. 6. **Heartburn**: About 2% of people may experience heartburn or acid reflux. ### Managing Side Effects - **Nausea**: Start with a low dose and gradually increase it. Eat smaller, more frequent meals and avoid high-fat foods. - **Diarrhea**: Avoid greasy or fried foods and sweets. Drink plenty of water. - **Stomach Pain**: Gradually increase the dose and avoid foods that cause gas. - **Constipation**: Increase fiber intake, drink plenty of water, and exercise regularly. - **Sulfur Burps**: Reduce intake of sulfur-rich foods like eggs and broccoli. - **Heartburn**: Avoid spicy and acidic foods, and eat smaller meals. ### When to See a Doctor If you experience severe or persistent side effects, consult your doctor. They may adjust your dose or suggest other treatments. ### Serious Side Effects Though rare, Ozempic can cause serious side effects like stomach paralysis, pancreatitis, thyroid cancer, and severe allergic reactions. If you experience symptoms like severe stomach pain, difficulty breathing, or swelling, seek medical attention immediately.