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Semaglutide and Burping: What Users Say

Brand names: Ozempic, Rybelsus, Wegovy

Burping: mentioned by 172 users (6.7%)

Based on user experiences from 2,583 Semaglutide reviews, the following table shows the most commonly mentioned side effects.

All user comments are moderated by Drugs.com. Each review is verified for relevance and screened for inappropriate content. Side effects are user-reported and not clinically verified.

nausea 33.7%
diarrhea 14.9%
constipation 14.9%
vomiting 11.1%
burping 6.7%
headaches 6.5%
upset stomach 6.0%
tiredness 5.4%
fatigue 5.3%
loss of appetite 5.1%

Reviews for Semaglutide

Commonly mentioned side effects
  • Sti...
  • Taken for less than 1 month
  • July 21, 2021

For Type 2 Diabetes "I did one injection and have been ill since. I have had acid reflux, burping, vomiting, constipation, headache, and dizziness. I tried to eat small meals and drink plenty of water as directed by my physician, but I have been unable to hold anything down. Five days after my first injection, I'm off work, drinking Pedialyte, trying to get my strength back, and avoid being hospitalized. This is the worst that I have ever felt in my life."

1 / 10
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  • Dou...
  • January 19, 2021

For Type 2 Diabetes "I took one Ozempic injection at 0.25 and ended up at the ER 2 days later. I had horrible bloating. Burping smelled like eggs. Unstoppable vomiting and diarrhea. I only took one injection and stopped the medicine. It has been 2 weeks and the medicine is still making me sick. I'm just wondering how long it takes to fully leave your system? I just want to feel human again. I was tested for pancreatitis but was okay, but the doctor said they will repeat labs soon. I don't recommended this medication to anyone! Please be safe taking this medication."

1 / 10
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  • Mar...
  • September 27, 2020

For Type 2 Diabetes "I was put on Ozempic after taking Glimepiride for several years. I started on 0.25mg, then onto 1mg. I started having the nastiest burps ever, then diarrhea 3 to 4 times a day. After 3 months, I went to a gastroenterologist and was diagnosed with gastroparesis, a side effect of Ozempic. I have all the side effects - nasty, offensive-smelling burps, eye floaters in both eyes, bad diarrhea, stomach pain, and now this disease that has caused precancerous cells. Yes, my appetite has decreased, I have lost 15 lbs in 3 months, and my numbers are good. But it's not worth being sick every day. I just found out my daughter is going through the same exact thing. So, take it at your own risk."

2 / 10
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Frequently asked questions

  • Mar...
  • September 27, 2020

For Type 2 Diabetes "I was put on Ozempic after taking Glimepiride for several years. I started on 0.25mg, then onto 1mg. I started having the nastiest burps ever, then diarrhea 3 to 4 times a day. After 3 months, I went to a gastroenterologist and was diagnosed with gastroparesis, a side effect of Ozempic. I have all the side effects - nasty, offensive-smelling burps, eye floaters in both eyes, bad diarrhea, stomach pain, and now this disease that has caused precancerous cells. Yes, my appetite has decreased, I have lost 15 lbs in 3 months, and my numbers are good. But it's not worth being sick every day. I just found out my daughter is going through the same exact thing. So, take it at your own risk."

2 / 10
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  • Mom...
  • Taken for 1 to 6 months
  • December 29, 2021

For Weight Loss (Obesity/Overweight) "Just took my last injection of month 5, 1.7. I have lost about 25-30 lbs along with 3-5 days a week at the gym. Definitely curbs your appetite. The nausea is very real! Each month I thought it would get easier. It never does. A couple times I puked for hours. Lots of belching. In the beginning, a little constipation. The first day or 2 after the injection, you can feel fatigue. It works for weight loss if you can tolerate the nausea. This will be my last month. I have a 6-month prescription but I can’t deal with the nausea anymore."

8 / 10
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  • Anonymous
  • Taken for less than 1 month
  • January 22, 2022

For Weight Loss (Obesity/Overweight) "Worst experience of my life. After the second 0.25 dose, I was up all night vomiting and diarrhea. The next day, I had chest pain, shaking, brain fog, stomach pain, more diarrhea, and had to go to the ER. After they gave me Benadryl and morphine, I started to feel better. Still have burping, gas, and acid reflux terribly. WILL NEVER TRY THIS AGAIN! It is not worth it to me! Wish it would hurry up and get out of my system."

1 / 10
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  • Koo...
  • May 1, 2021

For Type 2 Diabetes "I have been taking Rybelsus for 6 months. At first, I was nauseous and had bad sulfur burps, but it went away. My A1C is the best it's been in 9 years. I have had a hard time treating my diabetes, as most other oral medications and daily injections just made life harder. Now, my numbers are 6.7, and I have lost a significant amount of weight, 335 lb to 285 lb, with minimal effort. It definitely suppresses my appetite. I've read you can only lose a few pounds, but I feel like a lucky one."

10 / 10
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More FAQ

  • Jed...
  • Taken for 1 to 6 months
  • December 15, 2021

For Weight Loss (Obesity/Overweight) "Halfway through the 1.7mg dose. Been on for about 4.5 months. Have lost a total of 35 pounds. My weight loss has slowed down since on the 1.7 dose. Still losing but not as quickly as in the beginning. Have no real interest in food anymore. Sometimes have to eat when not hungry due to low blood sugar (had this prior to Wegovy use). Been trying to lose weight for months. Wegovy is the only thing to work for my obesity due to medical issues. Have noticed off and on fatigue, dizziness, constipation, stomach pain, gas, belching, and hair loss. Can no longer eat fried, greasy food without feeling sick, which is good. Now I want healthy food instead."

9 / 10
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  • Dor...
  • Taken for 1 to 6 months
  • December 21, 2020

For Type 2 Diabetes "I started taking Rybelsus 3mg. I was nauseous at first and constipated. I was also belching a lot. After 2 weeks, that seemed to stop. I've been on the 7mg for 17 days and the nausea, indigestion, stomach pain, and now diarrhea have been almost unbearable and are getting worse. I've also started feeling panicky and anxious in the middle of the night with rapid heartbeat. I'm stopping the 7mg tomorrow and calling my doctor. I can't feel like this at Christmas. Going to see if she will put me back on 3mg. My A1C was 9.0. I have no idea what it is now. I've also lost 18 lbs because I can barely eat anything. This isn't worth it."

3 / 10
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  • Lau...
  • Taken for 1 to 6 months
  • October 13, 2019

For Type 2 Diabetes "I've been on Ozempic for about 4 weeks now. Started at 0.25mg, now onto 0.5mg. The only mild side effect I have is the sulfur burps, other than that, I don't really have any. The odd sick feeling, but it's not too strong. This medication has cut the sugar cravings in half to non-existent, therefore, I have lost a bit of weight, which is noticeable. Food habits are now also non-existent. I feel fuller for longer. This drug is amazing, and to only inject once weekly is fabulous! I do recommend Ozempic highly. I held a lot of weight around my stomach, which is now starting to shift. To me, it's been a life-changer, and I hope anyone considering it has the same experience as myself. GL x"

10 / 10
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  • Tou...
  • Taken for less than 1 month
  • March 14, 2023

For Weight Loss (Obesity/Overweight) "I am on my 3rd 0.25 dose of Wegovy. I feel terrible most of the time. I have lost 5 lbs and am definitely not hungry due to nausea. My prescriber will not prescribe Zofran with Wegovy because she feels nausea that severe should be considered a negative side effect and the medication stopped. That's reasonable. I read the reviews before I began the med and take Omeprazole daily, as well as Miralax. I am 57, menopausal, and used to feel really good most of the time. Sadly, this med is not worth the side effects for me. I really, really wanted to tough it out, but as a nurse, I feel it's creating problems that I did not have before taking this medication. The nausea is constant, the belching/burping is so frequent that it's embarrassing, stools are like a rock, and the worst feeling is chest tightness. I had so hoped I would be one of those without adverse side effects, but I am not."

3 / 10
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  • Tou...
  • Taken for less than 1 month
  • March 14, 2023

For Weight Loss (Obesity/Overweight) "I am on my 3rd 0.25 dose of Wegovy. I feel terrible most of the time. I have lost 5 lbs and am definitely not hungry due to nausea. My prescriber will not prescribe Zofran with Wegovy because she feels nausea that severe should be considered a negative side effect and the medication stopped. That's reasonable. I read the reviews before I began the med and take Omeprazole daily, as well as Miralax. I am 57, menopausal, and used to feel really good most of the time. Sadly, this med is not worth the side effects for me. I really, really wanted to tough it out, but as a nurse, I feel it's creating problems that I did not have before taking this medication. The nausea is constant, the belching/burping is so frequent that it's embarrassing, stools are like a rock, and the worst feeling is chest tightness. I had so hoped I would be one of those without adverse side effects, but I am not."

3 / 10
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  • Soo...
  • Taken for less than 1 month
  • July 8, 2021

For Cardiovascular Risk Reduction "I've been on Ozempic for just over a week now as part of a physician-run weight loss program. I was told to expect some GI upset, but I had no idea it would be this bad. Seven days after taking it, I started with diarrhea. One day after injection number 2 (2.5mg), I was up all night with diarrhea, nausea, severe reflux, belching, and eventually vomiting. Medications like Pepto can't seem to touch it. I am going to talk to the doctor next week and see what he thinks. I really don't think it is worth this kind of suffering."

2 / 10
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  • Dan...
  • Taken for 1 to 6 months
  • March 24, 2019

For Type 2 Diabetes "I’ve been on this med for 7 weeks. I’ve lost 25 lbs and my daily blood sugars range from 60 - 90. I use it along with 500 mg Metformin. The first couple of weeks were hard with nausea and stomach cramps. I also had the headaches that others have mentioned in the first couple of days. In week 3, I increased from 0.25 to 0.50. Then came the diarrhea. It wasn't too bad, I was just happy that I could go. I’m now taking 1.0 and experiencing sulfuric burping. Ugh! After doing some research on home remedies to help with the burping, I’m trying a spoon of apple cider vinegar. If you can make it through the first few weeks and you can be somewhat disciplined, you will notice a huge difference in how you feel. In my opinion, the side effects are manageable when I compare the weight gain while taking Insulin. BTW - I’m not severely obese. Prior to being on this drug, my weight was 205, and I’m 5’9 and 47 years old. I hope this is helpful to someone."

9 / 10
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  • val...
  • Taken for 1 to 6 months
  • May 29, 2020

For Cardiovascular Risk Reduction "I have been using this medication Ozempic for several months. My dose is 1mg per week. This medication has made me feel sick from my first dose. I've lost 15 lbs but have bloating, gas, burping, and most recently hiccups for over a week. I will not be using this medication anymore."

3 / 10
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  • Bec...
  • Taken for 1 to 6 months
  • April 21, 2025

For Weight Loss (Obesity/Overweight) "I started at 0.25 ml mid-January 2025. After one month and no side effects, I was down 16 pounds. Second month I titrated up to 0.5 ml. No side effects and lost an additional 8 pounds. Third month titrated up to 1 ml. Three days in, I have been experiencing explosive, uncontrollable diarrhea, sulfur burps, and mild stomach cramps. Trying to control it with Pepto-Bismol and Imodium offered only a brief half-day respite, and then the diarrhea was back with a vengeance. Still losing about 2 pounds per week, but only sticking to the BRAT diet, supplementing with saltines and oatmeal. Water and Gatorade are my main sources of fluids as I am trying to stay hydrated. Decided to speak with the doctor and seek blood work and stool sampling just to make sure nothing else is going on. Depending on what comes of this, I hope to keep continuing on with this medication as it has helped me tremendously with weight loss, lowered my A1C, and boosted my self-confidence with respect to how I look and feel."

9 / 10
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  • Ste...
  • Taken for 1 to 6 months
  • October 12, 2020

For Type 2 Diabetes "Used Ozempic for 2 months, had to stop taking it. I had the most toxic reaction from any prescription drug I have ever taken. Terrible chemical-smelling burps, felt sick often, caused serious bowel problems. Will never take this drug again, benefits are not worth the grief."

1 / 10
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  • JAO...
  • Taken for 1 to 6 months
  • June 14, 2023

For Weight Loss (Obesity/Overweight) "I had been on this drug for 4 months. Typical escalation dose until month 4, I stayed on the 1 mg. The side effects were rough since increasing to 1 mg. So much nausea, worsened reflux, constipation, bloating, burping, and indigestion. I vomited once, but there were a few times I almost did. In the last few weeks, I noticed hair loss. Noticed skin tags that I have never had...like 3 grew since the med. Weird. Oh, and I had serious issues with certain smells. I had to change out the hand soaps in my house 5 times. If I smell rubbing alcohol, I am instantly nauseous. Just looking at the Wegovy box before injecting would make me dizzy and nauseous. So weird. Difficult to eat healthy on this med due to side effects, and only able to tolerate simple carbs, low-fat diet. Also hard to work out when feeling so nauseous...so didn't think it was contributing to my health. Has not really contributed to weight loss, and appetite is almost the same as before med."

1 / 10
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  • Ano...
  • Taken for 6 months to 1 year
  • April 20, 2025

For Weight Loss (Obesity/Overweight) "I started Wegovy in October at the lowest possible dosage and worked up to 1.7 by February. I had no side effects and very slowly lost weight, which I was fine with. I lost 35 pounds in six months. However, oddly enough, after five weeks at 1.7 with no side effects, I became quite ill. I started having the sulfur belches, followed by vomiting and severe diarrhea. I went to urgent care. They said it was a normal response and to take anti-diarrhea meds. I did. It got worse, to the point of diarrhea every 15-20 minutes. After six days of this, I went to the emergency room. They admitted me. I spent nine days in the hospital with severe dehydration, which caused my kidneys and pancreas to start shutting down. Docs felt I had a separate bacterial bug not caused by my shots. I was finally able to go home. My doctor had me start back at a safer .25 dose. I did, but immediately got sick again. I think I need to stop these meds, sadly, as they did originally help me, but I can’t go on this way."

6 / 10
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  • Fif...
  • Taken for less than 1 month
  • August 29, 2021

For Type 2 Diabetes "On week 4 now, honestly, the first 2 weeks were a nightmare. Doctors don’t tell you to stay away from fatty foods and not to overeat. If they did, I wouldn’t have had the most horrible sulfur burps that made my eyes water, projectile vomiting, diarrhea, and stomach pain, not to mention constant nausea even during the night. I finally figured out not to eat too much and to avoid fatty foods completely! This was a game changer, and now I’m doing okay. I've lost 21 pounds so far, which is mad, but mostly because in 2 weeks I’ve eaten probably 4000 calories. I’m back to wanting to eat again but have to control myself or face the terrible consequences. Blood sugars are all over the place, as you can imagine, however, insulin sensitivity is way better. It just takes time to get used to. Hope this helps."

6 / 10
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  • Anonymous
  • Taken for 6 months to 1 year
  • May 8, 2023

For Weight Loss (Obesity/Overweight) "I was prescribed Ozempic for weight loss in Nov 2022. I started on 0.25 mg for one month. I found it slightly suppressed my appetite, and the side effects I had were awful heartburn, constipation, and sulfur burps. Sometimes I felt nauseous. I decided to stick with it anyway and increased to 0.5 mg after one month. The symptoms were the same but added in fatigue. A month later, I bumped up to 0.75, and the burps, fatigue, and heartburn subsided. I went to 1 mg two months later, and all symptoms disappeared. I started at 192 lbs on Nov 15th, and as of May 1st, I weigh 152 lbs. I found my sugar cravings disappeared once I started taking 1 mg. Up until then, I still craved sugary foods. I lost all interest in greasy food (fries, anything deep-fried, etc.) from 0.5 mg and up. I personally love Ozempic. The side effects at the beginning were worth it for me, but from the sounds of it, mine weren’t that bad. I have never once thrown up."

10 / 10
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  • Job...
  • Taken for 1 to 6 months
  • November 2, 2020

For Type 2 Diabetes "I have taken Ozempic for a month now, dosage being 0.25 once a week. At first, I didn’t really see any side effects or anything, but then one day I made the mistake and overate, resulting in constant gas, repeated burping, and an hour later, non-stop diarrhea. After that experience, I have learned never to do that again. I now usually eat a big breakfast and a snack later on throughout the day, which has helped me completely cut out soda. I originally started taking this because I was experiencing rapid weight gain. They checked my thyroid and said it was within normal limits, so they put me on Ozempic, and I am so glad. In the morning, I haven’t had a blood sugar reading over 130 in a month. I am looking forward to going back to my doctor to figure out my A1C. In total, I’ve lost 8 pounds in one month :)"

10 / 10
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  • Haz...
  • Taken for 1 to 6 months
  • September 18, 2019

For Type 2 Diabetes "Blood sugar levels started getting high 33 a year ago, tried several different prescriptions before being placed on Ozempic (4 months ago), metformin & Invokana. Now reading 6.5 levels, with a recent 7.0 A1C. In the past 4 months have gone from 170 to 141 lbs. I was told weight loss included muscle loss so I’m trying to keep on a high-protein diet and weight workouts. I don’t think I’ve had a hunger pang in 4 months, and eat way less. I do get burps after eating and occasional stomach pain that is tolerable. Perhaps it’s the combination of all bringing down my levels that gives me two things I didn’t expect, clear clarity in thinking (better memory recall) and a lot more energy (as in stable for a good 10 hours and then I start getting fatigued). I honestly am very happy to lose weight and eat off a smaller plate."

10 / 10
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  • Gym...
  • Taken for 1 to 2 years
  • October 8, 2020

For Cardiovascular Risk Reduction "My doctor prescribed Ozempic to me a year ago for weight loss. I’m only taking 19 clicks every 2 weeks when I go see my doctor he gives it to me. Every time I get the Ozempic I get sick 2 days later. It starts by nasty burps, then stomach cramps, then out of nowhere I throw up you don’t get a warning, sometimes diarrhea and sometimes I feel like I’m going to pass out. I got the Ozempic Monday and woke up in the middle of the night with nasty burps and stomach cramps."

1 / 10
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  • Me ...
  • Taken for 1 to 6 months
  • January 25, 2022

For Weight Loss (Obesity/Overweight) "Nausea, diarrhea, constipation, sulfur burps, fatigue, loss of appetite, super sensitive to smells, I have to make myself eat enough. It's like morning sickness, only it's 24/7. Zofran helps for about 6 hours. Cannot tolerate much besides chicken broth and Brussels sprouts. No fried, fatty, oily, spicy foods. Need to stay hydrated with water. Ginger ale helps. I'm up to a 1 mg dose and 14th week. This nausea is constant and impacts my daily routine significantly. However, it is the only effective weight loss option that's worked in 26 years of diets and exercise and eating healthy. I will not give up. The weight is killing me, and I needed this medication. I started at 221 lbs. and now I'm at 194.3 lbs. BMI is close to pre-obesity, and I know I'll cry the day I hit it. Full disclosure, I'm disabled in part due to my weight. There is no way I could have worked and taken Wegovy with the severity of my nausea and fatigue. But the mobility and breathing issues are improving."

10 / 10
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51 Report

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