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Here are some tips to reduce constipation and diarrhoea on Ozempic: Stay hydrated Eat a wide variety of fibre sources (nuts, seeds, fruits, vegetables, legumes) Exercise Go to the toilet when needed (dont try to hold it in!) Adopt a proper toilet position and place your feet on a stool to help your bowel movements Experiment with probiotics and fermented foods like yoghurt, kimchi, fermented beetroot, or kombucha Speak to your doctor or prescribing physician if symptoms persist or become too uncomfortable 3) Rare side effects Thyroid cancer and thyroid-related disorders A recent meta-analysis (a study reviewing many studies on one topic) analysed the risk of thyroid cancer (and other thyroid-related conditions) associated with the use of GLP-1 receptor agonists like semaglutide (Ozempic) and liraglutide (Saxenda)