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If your belly hurts and you also have a temperature, that points strongly toward a diverticulitis flare and not a routine Ozempic side effect

doi: 10.1097/GME.0000000000000863

The mechanism by which GLP-1RAs induce reduction of body weight and hunger is believed to relate to multiple mechanisms by which GLP-1 regulates appetite and energy consumption and supports metabolic homeostasis via central neuronal pathways and through neuronal activation in the gastrointestinal tract [94, 141]

But here is where it gets complicated for semaglutide users