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Severe Gastroesophageal Reflux Disease (GERD): Excess intra-abdominal pressure from carrying extra weight can force stomach acid upward into the esophagus

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It should be noted that Ozempic is not an insulin

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Nausea that consistently appears two days after your injection suggests a connection to the medication's peak concentration, while symptoms that cluster around dose increases or persist beyond initial adjustment periods tell your provider something actionable