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Ozempic Constipation: Causes and Relief

Published on 
April 14, 2025
April 14, 2025
Virta Health
Virta Health
Virta Health
Ask Theresa: An advice column

Ozempic has been in headlines for months now as a significant advancement in treatment for type 2 diabetes, with also significant benefits for weight loss. But as with any new medication, discussion around the side effects of GLP-1s has also been a hot topic. One of the most common side effects is referred to as Ozempic constipation, and it’s pretty much exactly what it sounds like. In this article, we’ll walk you through what causes Ozempic constipation, how to alleviate or avoid the symptoms, and other commonly asked questions.

H2: What causes Ozempic constipation?

While it’s not known what exactly causes constipation for some patients and not others, Ozempic’s active ingredient, Semaglutide, slows down the stomach's ability to empty food into the intestines. This means patients taking Ozempic generally experience less hunger and feel fuller faster than those who aren’t taking the medication. However, if they aren’t careful, their lessened sense of hunger might result in them not getting the water and fiber in their diets they need for more complete bowel movements. 

How long does Ozempic constipation  last?

One study found that Ozempic constipation typically lasts about 6 weeks. While the duration and severity of constipation can vary from person to person, that same study found that the side effect resolved itself over time as patient’s bodies adjusted to the medication. More frequent constipation was also found with patients taking a higher dose, so be aware that you may be more likely to experience constipation if your dosage is high, and constipation may return if your doctor increases your dosage later. 

H2: What helps with Ozempic constipation?

While Ozempic constipation is a common side effect for many, there are some simple things you can do to help ease or avoid the issue.

  • Make sure to drink enough fluids, especially water, every day. For most people, this is 90-125 fluid ounces, or around 12 to 16 US cups a day. 
  • Increase physical activity. 10 to 20 minutes of physical activity a day can help your gut move more naturally. 
  • Add more fiber-rich foods to your diet, like berries and leafy vegetables.
  • Build a consistent bathroom routine. This can help your gut get into a routine of its own. Time your poop breaks for about a half hour after eating when your gut is most active.
  • Try a toilet stool or squatty potty. A small stool or box positioned under your feet while on the toilet can make having a bowel movement easier. 

H2: Ozempic constipation FAQs

H3: Can I take Miralax while taking Ozempic?

Short answer, yes. If you’re experiencingOzempic constipation, Miralax is generally a safe over-the-counter solution, but it’s always a good idea to check with your doctor first. Miralax is an osmotic laxative that draws water into your colon, which softens stools and makes them easier to pass.

H3: How often should I go while taking Ozempic?

Everyone’s “normal” when it comes to bowel movements is somewhat different, so there’s no universal answer here. A good rule of thumb is that you should aim to poop at least every 2-3 days.

H3: Does Ozempic make you have more bowel movements?

For some patients, Ozempic can lead to an increase in the number of bowel movements, including diarrhea. The common side effects of Ozempic are largely gastrointestinal in nature. Those taking Ozempic commonly experience constipation, diarrhea, nausea, and abdominal pain. 

The Takeaway

GLP-1s like Ozempic are great medications for those looking to gain better control over their blood glucose and weight. While there are numerous benefits, Ozempic constipation and other gastrointestinal side effects are common, but can be lessened or avoided entirely through many diet, activity, and over-the-counter medications.

If you would like to lose weight and manage your blood sugar with or without Ozempic, Virta Health may be able to help. By making healthy lifestyle changes in a medical setting with supportive resources like 1:1 virtual coaching, you can regain control of your health and feel like yourself again. See if you’re eligible for Virta Health here.

This blog is intended for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or any advice relating to your health. View full disclaimer

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