sophie_paris said:

Heartburn management on constipation: Tums as needed has been my savior.

Sulfur burps on constipation — the most underrated side effect nobody warned me about. 🤢 The smell is absolutely vile and comes on without warning.

What finally helped: taking a digestive enzyme supplement. Also, eating smaller portions and chewing thoroughly reduces the gas production.

If sulfur burps persist beyond 2-3 weeks, talk to your provider — it could indicate gastroparesis that needs medical attention.

stefan_berlin said:

Acid reflux and constipation: I developed GERD symptoms around week 6 that I'd never had before.

That reframing is the part I needed. I will report back once I have actually tried it.

sophie_paris said:

Heartburn management on constipation: Tums as needed has been my savior.

Gastric emptying studies and constipation: semaglutide delays gastric emptying by ~40% at steady state, as measured by acetaminophen absorption testing and scintigraphy[1].

Clinically relevant implications:

• Explains early satiety and nausea
• Affects absorption of co-administered oral medications
• Creates aspiration risk for procedures under anesthesia
• Contributes to constipation via slowed GI transit

Importantly, the gastric emptying delay attenuates with continued use (tachyphylaxis), which correlates with the transient nature of GI side effects.

The figures, for anyone assembling their own picture. One habit that pays for itself: post the method alongside the number. A figure without its method cannot be checked, and an unchecked figure is how this community accumulates folklore.

Moderator note: the sourcing question belongs in the vendor section and has been split out. No action needed from anybody.