Why it happens:

Weight loss injections can slow digestion, which may lead to constipation in some people.

How to manage it:

• Increase your fibre intake by eating more vegetables, whole grains, nuts, and seeds.
• Drink at least 2 litres of water daily to help keep stools soft.
• Engage in regular physical activity, like walking or light exercise, to stimulate digestion.
• Use a mild laxative if necessary—your pharmacist can recommend a safe option.
• Try probiotics or foods rich in gut-friendly bacteria, like yogurt or kefir, to promote healthy digestion.

When to see a doctor:

If constipation becomes severe, lasts longer than a few days, or causes discomfort, bloating, or vomiting, consult a doctor for guidance.

Why it happens:

Some people experience diarrhoea as their body adjusts to the medication, particularly if their diet has changed significantly.

How to manage it:

• Stay hydrated with plenty of clear fluids, such as water or oral rehydration solutions.
• Avoid greasy, fatty, or processed foods, which can make diarrhoea worse.
• Eat small, bland meals such as rice, toast, or bananas to help settle your stomach.
• Consider taking an over-the-counter anti-diarrhoea treatment if needed.
• Avoid caffeine and alcohol, which can irritate the digestive tract.

When to see a doctor:

If diarrhoea lasts more than a few days, becomes severe, or is accompanied by dehydration symptoms (such as dizziness, dry mouth, or dark urine), seek medical advice.

Why it happens:

Weight loss injections impact metabolism, and as your body adjusts to a lower calorie intake, you may feel more tired than usual.

How to manage it:

• Ensure you’re getting enough sleep—aim for at least 7–9 hours per night.
• Engage in light physical activity, such as a short walk or gentle stretching, to boost energy levels.
• Eat a balanced diet and make sure you’re consuming enough calories for safe, sustainable weight loss:
• For men, this is usually 1,900–2,000 calories a day.
• For women, 1,400–1,500 calories a day is generally recommended.
• Stay hydrated—dehydration can contribute to feelings of fatigue.

When to see a doctor:

If fatigue becomes extreme, affects your daily life, or doesn’t improve, speak to a doctor to rule out any underlying causes.

Why it happens:

In some cases, weight loss injections may cause nausea severe enough to lead to vomiting, particularly if you eat too much or too quickly.

How to manage it:

• Follow the same recommendations as for nausea (smaller meals, bland foods, and hydration).
• Sip clear fluids frequently to prevent dehydration.
• Avoid lying down immediately after eating, as this can make symptoms worse.
• Take small sips of rehydration solutions if vomiting persists.

When to see a doctor:

If vomiting is severe, doesn’t improve, or is accompanied by dehydration or abdominal pain, seek medical attention.

While the above symptoms are the most common, some people may experience:

• Headaches: Often due to dehydration or reduced food intake—drink more water and avoid skipping meals.
• Dizziness: Can result from dehydration or low blood sugar—make sure you’re eating enough and staying hydrated.
• Heartburn or indigestion: Try eating slowly, avoiding acidic or spicy foods, and elevating your head while sleeping.
• Sulphur burps: These can occur when food remains in the stomach for longer than usual, allowing it to ferment and release gases like hydrogen sulfide. The same strategies used for managing heartburn —eating smaller meals slowly, avoiding acidic or spicy foods, and elevating your head while sleeping—can be helpful here too.

If any of these symptoms persist or become severe, consult a doctor.