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How to Manage Nausea and Other Common GLP-1 Side Effects

Nausea and other gastrointestinal symptoms can occur with GLP-1 medicines. See general suggestions, safety warnings, and when to contact your prescriber.

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Nausea, diarrhea, vomiting, constipation, and abdominal discomfort are among the gastrointestinal effects reported with GLP-1 medicines. Eating more slowly and choosing bland, low-fat foods may help some people, but symptoms can be severe and there is no single remedy or side-effect rate that applies to every medicine. Contact your prescriber if symptoms persist, are severe, or make it hard to eat or drink; do not change your dose or add a medicine or supplement without their guidance.

Which side effects are commonly reported?

The exact side-effect list and frequency depend on the specific medicine, dose, and study population. Current U.S. WEGOVY prescribing information lists nausea, diarrhea, vomiting, constipation, abdominal pain, dyspepsia, dizziness, bloating, belching, flatulence, and reflux, among other effects. MOUNJARO’s adult type 2 diabetes trial information lists nausea, diarrhea, decreased appetite, vomiting, constipation, dyspepsia, and abdominal pain among reactions reported by at least 5% of participants. See the WEGOVY prescribing information, revised February 2026, and the MOUNJARO prescribing information on DailyMed.

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What MOUNJARO trial percentages mean

In placebo-controlled trials in adults with type 2 diabetes, the MOUNJARO label reported the following percentages. These are results from that medicine’s trials—not head-to-head comparisons with other GLP-1 medicines, and not estimates for every patient or use.

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Reported reaction 5 mg 10 mg 15 mg Placebo
Nausea 12% 15% 18% 4%
Diarrhea 12% 13% 17% 9%
Vomiting 5% 5% 9% 2%

What may help with nausea?

Wegovy’s manufacturer offers general suggestions that a healthcare professional may recommend. They are not guaranteed remedies or individualized treatment instructions:

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  • Eat more slowly.
  • Choose bland, low-fat foods, such as crackers, toast, or rice.
  • Try foods that contain water, such as soup or gelatin.
  • Get fresh air outdoors if that feels comfortable.

Ask your prescriber what is suitable for you, particularly if symptoms continue, interfere with eating or drinking, or began after a recent dose increase. The manufacturer’s Wegovy side-effects information provides these suggestions for people taking Wegovy; they should not be assumed to work for every person or every GLP-1 medicine.

When should you contact your prescriber?

Get medical advice for symptoms that are severe or persistent, or that make it difficult to maintain fluids. Vomiting and diarrhea can cause fluid loss; WEGOVY labeling warns that this may worsen kidney problems or contribute to kidney injury, especially in people with existing kidney problems. The label also notes that severe gastrointestinal reactions can occur and that WEGOVY is not recommended for people with severe gastroparesis.

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Your clinician can consider when symptoms began, their severity, your hydration, other medicines and health conditions, and whether the prescribed titration needs review. There is no universal symptom-duration threshold established here. Do not delay, skip, stop, or otherwise adjust a dose on your own, and do not start an anti-nausea, antidiarrheal, laxative, or supplement product without clinician advice.

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Other important safety concerns

WEGOVY labeling also addresses acute gallbladder disease, pancreatitis, hypersensitivity, low blood sugar in certain situations, and reports of aspiration around anesthesia or deep sedation. If you are having a procedure involving anesthesia or deep sedation, tell the procedural team that you take a GLP-1 medicine and follow their instructions. Seek prompt medical care for concerning symptoms and follow the specific medicine’s label and your clinician’s advice.

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Can symptoms change during dose escalation?

In MOUNJARO trials, most reports of nausea, vomiting, and diarrhea occurred during dose escalation and decreased over time. That pattern does not guarantee symptoms will resolve for an individual. If symptoms follow a dose increase or are difficult to manage, contact the prescriber rather than changing the dose yourself.

Side-effect percentages should be compared only with context: the product, dose, study population, symptom definition, treatment discontinuations, and trial conditions all matter. Rates from separate clinical trials do not establish that one GLP-1 medicine causes fewer side effects than another.

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What if the medicine is compounded?

FDA says compounded drugs are not FDA-approved and are not reviewed for safety, effectiveness, or quality before marketing. It has described dosing errors with compounded injectable semaglutide and reports of adverse events, including gastrointestinal symptoms. As of May 31, 2026, FDA had received 990 reports associated with compounded semaglutide and more than 730 associated with compounded tirzepatide. These are adverse-event reports—not proof that the drugs caused each event and not incidence rates; FDA also says such reports may be underreported. See FDA’s concerns with unapproved GLP-1 drugs used for weight loss.

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FDA notes that compounding may be appropriate when a patient’s medical need cannot be met by an FDA-approved drug or the drug is not commercially available. If you are using a compounded medicine, discuss it with your clinician and make sure it was prescribed and obtained through a licensed pharmacy; FDA’s cautions are not a claim that every compounded product is fraudulent or unsafe.

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