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Tseng et al., 2025)

Heartburn Rare, but serious side effects may include: Acute pancreatitis (including fatal, hemorrhagic, necrotizing) Acute gallbladder disease Acute kidney injury (typically secondary to dehydration) Severe gastrointestinal disease / delayed gastric emptying Hypoglycemia (especially with insulin or sulfonylureas) Hypersensitivity reactions including anaphylaxis and angioedema Pulmonary aspiration during anesthesia or deep sedation (delayed gastric emptying) Suicidal behavior and ideation (monitor) Diabetic retinopathy complications (in T2D clients with pre-existing retinopathy) Thyroid C-cell tumors (rodent data)

Though she did note that it's hard to determine whether Ozempic directly causes changes in libido, as she's seen both heightened and diminished sex drives among her patients

Research indicates decreased visceral fat and respectful subcutaneous fat loss, with the impact influenced by dosage, duration of therapy, age, and gender