Diarrhea from GLP-1 Medications

Diarrhea can occur as the digestive system adjusts to GLP-1 medications. It is often temporary but can be uncomfortable.

How each medication affects diarrhea

Semaglutide

Common (15-25% in trials)

Often occurs alongside other GI side effects.

OzempicWegovyRybelsus

Tirzepatide

Common (20-30% in trials)

Slightly more common than with semaglutide.

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Liraglutide

Common (15-20% in trials)

Similar rates across GLP-1 class.

SaxendaVictoza

Retatrutide

Common (20-30% in trials)

Higher rates in Phase 2 data.

Management Tips

  • 1.Stay hydrated — drink water, broths, or oral rehydration solutions
  • 2.Eat bland foods like bananas, rice, applesauce, and toast (BRAT diet)
  • 3.Avoid dairy, caffeine, and fatty foods during episodes
  • 4.Consider probiotics to support gut health
  • 5.Avoid artificial sweeteners which can worsen diarrhea

When to See a Doctor

If diarrhea lasts more than a few days, is severe, or is accompanied by fever, blood in stool, or signs of dehydration.

Frequently Asked Questions

Is diarrhea a sign that the medication is working?

Not necessarily. Diarrhea is a side effect of how GLP-1 medications affect your digestive system, not a sign of effectiveness. It usually improves as your body adjusts.