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Gastrointestinal disturbances are the most frequently reported side effects and can substantially impact energy levels: Nausea and vomiting Very common side effects (may affect more than 1 in 10 people), particularly during dose escalation, these symptoms can reduce nutritional intake and lead to dehydration, both contributing to fatigue [1] [2] Diarrhoea A common side effect that can cause fluid and electrolyte losses, resulting in weakness and tiredness [1] Reduced appetite Whilst therapeutically beneficial for weight management, significantly decreased food intake may result in insufficient caloric energy Abdominal discomfort and constipation Persistent digestive upset can disrupt sleep quality and daily functioning Hypoglycaemia (low blood sugar) represents another important consideration, especially when Ozempic is used alongside other glucose-lowering medications such as sulphonylureas or insulin

Drinking alcohol on Ozempic can be a double-whammy to the gut if youre already experiencing GI effects on the drug

Step #3 Progress Checks: We track weight, waist, and energy trends and adjust the plan

This can refer to side effects that last a long time or that develop after long-term use of Wegovy