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But I have had constipation from time to time mostly as they were titrating up my dose

An arrhythmia is an irregular heart rhythm

Common adverse effects of Ozempic, as documented in clinical trials and post-marketing surveillance, predominantly involve the gastrointestinal system: Vomiting Diarrhoea Constipation Abdominal pain Reduced appetite These side effects, particularly if severe or persistent, could indirectly affect sexual desire simply by making individuals feel unwell