Wegovy side effects: what patients need to know

A doctor’s guide to Wegovy side effects

Medically reviewed by Dr. Allyson Betts Written by Dr. Caroline Fontana Last reviewed 26-08-2026
Time to read: 7 min

As a doctor, I often tell my patients that Wegovy is an effective tool for weight management. But, like all medicines, Wegovy can cause some side effects. So it’s a medication that needs awareness, patience and close monitoring.

My goal in this article is to help you understand what side effects are normal, serious side effects, and how to navigate treatment safely and confidently.

Key takeaways

  • The most common side effects of Wegovy are gastrointestinal, including nausea, diarrhoea, constipation, and vomiting.
  • Other side effects include headaches, tiredness, dizziness and hair loss among others.
  • Side effects vary in frequency, with the most common ones expected to affect more than 1 in 10 people.
  • Not everyone will experience side effects with Wegovy, and most should subside after the first few weeks.
  • Some side effects can be managed effectively with lifestyle changes, like eating smaller, more frequent meals, and avoiding spicy or greasy foods.

What are the side effects of Wegovy?

Wegovy affects digestion, as it slows down how quickly your stomach empties to help support weight loss. So, the most common side effects are digestion-related, including:

  • nausea
  • diarrhoea
  • vomiting
  • constipation
  • stomach pain
  • bloating or gas
  • stomach flu
  • heartburn or acid reflux
Whiteboard-style graphic showing the most common side effects of Wegovy.

It can also cause other side effects not related to digestion, such as:

  • changes in skin sensations
  • headaches
  • tiredness
  • dizziness
  • low blood sugar (in those with type 2 diabetes)
  • hair loss
  • injection site reactions

These side effects tend to be mild and temporary, so they go away on their own in most cases.

Rarely, Wegovy can cause serious side effects such as thyroid tumours, pancreatitis or kidney stones. However, you will not be prescribed Wegovy if you are at too high a risk of developing these serious side effects.

How common are Wegovy side effects?

Different types of side effects are more likely than others. Thankfully, there is a standardised way in the medical field to calculate how likely a side effect is to occur.

Side effects are classed as very common to very rare based on results from clinical trials.

Some side effects are so rare that they don’t have enough data to estimate how frequently it occurs. These side effects are referred to as “Not known”.

Whiteboard-style graphic showing the side effect frequency of Wegovy.

Good to know: All of the side effects and their frequencies are listed in the patient information leaflet (PIL) of Wegovy, which you can refer to at any time.

How soon after starting Wegovy do side effects start?

Wegovy starts to work right away. So, you should start to feel Wegovy side effects within a few hours or days of the first dose. But that means it’s starting to work. Remember not to be discouraged and continue to use it as instructed.

How long do Wegovy side effects last?

How long side effects will last varies from person to person. Generally, side effects can last up to 1-4 weeks. But for others, they can last for up to 8-12 weeks. Side effects mean your body is adjusting to the medicine - which takes time!

If your side effects do not go away or get worse, you should consult your doctor as soon as possible. They may need to adjust your treatment plan so it’s safe and effective for you.

Do Wegovy side effects increase with the dosage?

Each time you increase the dose, it’s normal to experience a return of side effects. This is because your body has to readjust to the higher dose. But if you do experience side effects again, they are likely to be much milder than before.

How can you reduce the side effects of Wegovy?

Digestive side effects can be discouraging when you’re taking Wegovy. But there are some simple things you can do that I recommend to help manage them.

  • Focus on eating smaller meals more frequently and try to eat more slowly.
  • Eat bland, low-fat foods like crackers, toast and rice.
  • Eat hydrating foods, like soups or jelly.
  • Avoid lying down after eating.
  • Avoid eating greasy or spicy foods.
  • Get some fresh air.

These tips will help manage side effects like nausea, vomiting, diarrhoea and constipation.

Whiteboard-style graphic showing ways to reduce side effects of Wegovy.

Are there long-term side effects from Wegovy?

Long-term side effects are very rare with Wegovy. But they can happen, so it’s important to know about them. Some long-term side effects can include:

  • pancreatitis (inflammation of the pancreas)
  • increased risk of thyroid cancer
  • gallstones or inflammation of the gallbladder
  • diabetic retinopathy (eye damage caused by high blood sugar levels)

The patient information leaflet should contain all signs and symptoms of these conditions, and you should familiarise yourself with them just in case they occur.

If you have any small risk of developing these side effects, your doctor will discuss the risk and decide whether Wegovy is right for you.

Final thoughts

Wegovy can be a powerful tool for weight management, but like any medication that meaningfully affects the body, it comes with a spectrum of potential side effects.

Most people experience only mild, temporary symptoms as their body adapts, and with the right support, these challenges are usually manageable. For many patients, the benefits of improved metabolic health, increased energy, and sustainable weight loss outweigh the temporary discomforts along the way.

What matters most is staying informed and staying connected. Our doctors support you at every step, regularly reviewing your progress and ensuring your treatment plan remains safe and effective.

Also read: Understanding Wegovy dosages: A doctor’s guide

Frequently asked questions

What are the “worst” side effects of Wegovy?

Does everyone get side effects from Wegovy?

What should I do if the side effects are too bad?

Does Wegovy have fewer side effects than Mounjaro?

Does Wegovy cause the same side effects as Ozempic?

Further reading

What to expect during your first month on Mounjaro

What to expect during your first month on Mounjaro

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Understanding Wegovy Dosing

Understanding Wegovy Dosing

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Mounjaro doses explained

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Why you may not be losing weight on Mounjaro

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Mounjaro side effects explained

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How Mounjaro works

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