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Common Ozempic side effects include: Weight loss Gastrointestinal symptoms, such as nausea, constipation, diarrhea, and abdominal pain Eye symptoms, such as diabetic retinopathy Low blood sugar, characterized by lightheadedness Injection site reactions, such as pain or redness Serious side effects include: Thyroid tumors Angioedema (swelling of tissues in the face, eyes, and lips) Acute kidney injury Worsening of kidney disease Pancreatitis (inflammation of the pancreas) Gallbladder inflammation (cholecystitis) Cholelithiasis (gallstones) Gastroparesis (stomach paralysis) Syncope (fainting and loss of consciousness) Serious side effects should be reported to a healthcare provider immediately