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Common GLP-1 Side Effects Commonly reported semaglutide side effects include: Nausea Vomiting Diarrhea Constipation Abdominal pain Reduced appetite Bloating or fullness Indigestion Dizziness Fatigue Symptoms, Possible Concerns, and Related Tests Safety note: Severe abdominal pain, inability to keep fluids down, very low urine output, jaundice, facial or throat swelling, difficulty breathing, confusion, or sudden vision changes should not wait for routine outpatient lab testing