Managing Heartburn from Ozempic/Saxenda!

With anything in life, there is always a potential for negative effects and sometimes there can be too much of a good thing! Taking medication is certainly no exception.
This will be Part 1 of a multi-part series where I review how to manage the most common side effects that come with the GLP-1 RAs such as Ozempic, Wegovy and Saxenda.
Today we are starting with heartburn! Let’s go!
⚠️ Are you experiencing heartburn due to your medication? Let me know your thoughts in the comments!
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[@heidiroy-boy]

He forgot to mention a teaspoon of baking soda in warm water provides immediate relief

[@oldmedstudent1750]

Just found this video at 4am while I feel a hole burning in my chest. Ive taken 8 gaviscon and it still burns. FML. Gaviscon has always worked for me in the past, but this is some next level heart burn.

[@layser-focusedridingmore4288]

I so know 100% what do you mean about the next level heartburn. When it gets that bad the only thing that helps me is a G.I. cocktail from the emergency room which I hate going to, but Maalox, Pepcid, and omeprazole combined are the only things that will work. I’m so sorry. I’m still dealing with the last aspiration of acid and fire that came out of my chest making me feel like I was dying. God bless you.

[@sunshinegypsea]

@olemedstudent1750 Been suffering for 2 days! 😩 had no clue what it was til I found this video! 🤦‍♀️

[@brendacurrie7796]

Thx

[@nitiyahendon]

Yesss same! Died. Pain. Lava!!

[@theunshaved1]

Good tips. I find that one tablespoon of apple cider vinegar, 1-2 times daily, works great for the heartburn. You can add Stevia to make it easily drinkable. Also, going for a walk after meals helps with the gravity thing you mentioned.

[@sibellakingston52]

As a sufferer of absolutely ferocious GERD, the heartburn is the sole reason I refused to go on these medications. I started at the gym instead.

[@PatriciaMarie100]

Glad I found you - the heartburn has been so uncomfortable

[@Kat-hs2ij]

I'm on ozempic for 6 months and I'm just starting recently having heartburn. It's really uncomfortable and I'm a little upset because Ozempic hasn't changed anything yet, still have high sugar levels even if I'm trying to exercise and eating properly, and have 3 different med on top of it.

[@rayokob2391]

I went to the ER after experiencing tighten of the chest. I’m on .25 of ozempic. I had a EKG, chest X-Ray and dye ultimately ended up getting a cat scan. Everything came back normal. I’m still experiencing heartburn so I’m taking lemon water , omeprazole & tums

[@heatherd.cholagh4422]

SAME! I wish I knew it was just heartburn, I thought I was having a heart attack.

[@MagArtist]

@rayokob2391 is it working for you?

[@karinanieves3115]

Does anyone else suffer from sulphur burp? And the amount of pain my stomach felt waking me up from a sleep in need to let air out. My stomach and chest burned barely week one this comes 2 days after my first injection.

[@theofficialdrdan]

Can be due to heartburn. But definitely a side effect some people experience.

[@tuxedocat118]

Omg it’s awful.

[@bucko2202]

So from my understanding semaglutide decreases how fast food is digested making you feel full longer. Does it do this by reducing stomach acid which would cause the food to ferment subsequently causing acid reflux? If that is the case wouldn't eating more acidic foods or adding apple cider vinegar to the end of a meal help the reflux?

[@francesluttermoser234]

In your experience, does the ACV help? I would gladly add ACV to the end of each meal to avoid this indigestion.

[@KoreanJindoVlad]

Alka Seltzer worked for me-along with the pillow prop up at night.

[@Iris-vo5gd]

I already have GERD so being on wegovy sucks at the moment. I am taking nexium

[@jackshilatos7327]

i had no side-effects for first 2 month of ozempic, but now constant heartburn, it actually feels better when i eat bread or food, also milk helps, so nothing on this video make sense, i have increased my ozempic dose and still the same, more hungry than when i started it, im getting off of it

[@anastasiapostoev6442]

question about body ache side effects, Have you heard of people taking the shots, and a few days are having sever pain, and not able to move/ walk- causing inflammation else where... or prior injury?

[@lindyavelar7624]

I just started it and I haven’t had heart burn in years. This is the worst heart burn I’ve had ever! Definitely wont behaving coffee anymore! Although I have varicose veins so I was trying to quit it anyways!

[@monakulasic5669]

And things dont taste good. Even water

[@irisrodriguez6688]

I am on Ozempic 2mg, with severe heartburn. My doctor put me on Famotidine 20mg Bid. I also have a stomach hernia, for the past 2 weeks famotidine is not enough and I find myself chewing on Gaviscon or Tums. Eating smaller portions recently, still experiencing bad heartburn. What else can I do?! 😔😖

[@oldmedstudent1750]

Did you figure it out? Im literally on day 2 and already dying from heart burn. the Gaviscon is not helping! Gaviscon was always my saving grace for heart burn but Ozempic has rendered it useless.

[@Happywife717]

I haven't felt anything yet but I just took the shot 24 hours ago although I have noticed already that I am not hungry at all! I'm shocked that I am not craving.

[@dawnd4898]

Omigosh, so happy I stumbled onto this video. The heartburn is awfully annoying to say the least, but manageable Not quite sure if I can manage daily without coffee though!! LoL. Does anyone have mild throat irritation, like a mild sore throat? They told me I could stop my .5 dosage for a week to see if it subsides, but I've just been dealing with it

[@victoriagoss9332]

I have a sore throat with my indigestion. Its really irritating.

[@pattyhammond6674]

Just started ozempic and have been taking omeprazole for years so hopefully won't bother me to much

[@theofficialdrdan]

Hopefully not!

[@teamCW666]

You mention in the video that most people should experience less heartburn once the titration period is completed, and a small percentage will continue to experience. For the majority group, how long should to expect to experience the symptoms? I'm doing everything possible to manage my symptoms (I already had GERD prior to commencing ozempic) - I'd like to know how long I should expect to sit tight and get used to it. Ball park/generalisation is fine - I know you can't guess for me specifically.

[@theofficialdrdan]

Minimum 4 weeks at a specific dose for some it can be 2-3 months.

[@Fremen02]

I personally have had acid reflux and keep waking up from it for the past year. It keeps coming back..but I suspect its also because ozempic keeps going out of stock and I have to go off it for a week or more each time I need to refill it. :( but yeah its been a year and I still get really bad side effects. here i'm up at 4am because of it

[@mystizO]

The timing of this video is perfect! I literally just woke up from heartburn lol, on my second week on saxenda. Thank you. I just tried adding a bit of apple cider vinegar to a glass of iced water and that seems to have helped somewhat.

[@theofficialdrdan]

Apple cider vinegar can actually aggravate it! It is an acid and it can start to break down the esophagus which can then get hurt by your acid.

[@Fremen02]

@@theofficialdrdan So it seems like some people are pushing apple cider vinegar as a solution to heartburn.. kzbin.info/www/bejne/gJytpmyFdq9ropY

[@jessicavautour24]

Acid reflex has been ridiculous! how long does it last when on ozempic? It's been 8 weeks

[@theofficialdrdan]

Varies person to person.

[@Chic.Geek75]

I am predisposed to GERD to a point I get anxiety..I am so afraid right now with bouts of anxiety and I worry about sleep..since I tend to get insomnia from GERD..took Wegovy 1st day and I feel I am going to sit this one out

[@theofficialdrdan]

Sorry to hear that friend

[@lynnemclaughlin8785]

You can’t tell the first day .. it gets better

[@marytippett7819]

Do you always talk with your hands 😜

[@theofficialdrdan]

Lol yes. I am a hand talker. I have tried to dampen it down but short of sitting on my hands it is very challenging

[@BonnieEwert]

I find laying on my left side does help at night.

[@louisemckelvey]

Heartburn is having my life right now. Its been problematic throughout the last 10 weeks but its been a nightmare since I've moved to 1mg. I'm managing but its not fun is it?! Waking up with the hiccups in the night ocassionally too. Coffee is a huge trigger for me. I am so sad to have to cut it back to the absolute minimum, tea is fine though.

[@Chic.Geek75]

Omg hope you doing better, my goodness what can I say? 1st day on Wegovy and had the fight of my life mentally. I tend to be predisposed to GERD, well! Yes I have to skip my beloved coffee! I had the hiccups and everything under the sun and seriously during the day didn't mind at all. Once 7pm came, the biggest acid reflux ever experienced since 2009. My stomach was on fire, experienced as if someone punch me in the stomach and when I get that bad anxiety joins the party! Well, I got to sleep something 1 hr....Prilosec and Gavinscon are my best friends now..I should have prepared my body before taking the shot..contemplating my future with this..Love the medication because it does the job but I am sensitive 😮‍💨😮‍💨😩😩😩

[@louisemckelvey]

@@Chic.Geek75 I can say that between week 7 and 10 it wasn't fun but I'm on 1.5mg now and if I take 20mg Omeprazole or Esomeprazole in the morning on an empty stomach then it helps hugely. I haven't been on Gaviscon for a few weeks now, my body is starting to tolerate the dose increase and I've found I am rarely hungry now so have to listen to small cues in my body to know when to eat. Its changed my life. Stick with it and try and factor what it is that triggers you. I know its coffee, oats and certain fruits for me so only have very small portions and it seems to work 😊

[@oldmedstudent1750]

@@louisemckelvey So happy to hear you broke through the hell. I've just begun my journey and I hate my life. Its 4am right now and I cant sleep because Im afraid to lie down.

[@ClayCrazyGirl3]

I started having acid reflux when I was a month or more into 1.7 mg of Wegovy.

[@Fremen02]

what did you end up doing?? are you still taking it ? did it finally stop happening?

[@ClayCrazyGirl3]

@@Fremen02 I am still taking it. I take prescription Prilosec. It has helped alot.

[@Tee-kk6tj]

I was on it for 8 months & I’m just now starting to have indigestion where it feels like something is stuck in my throat. Tums helps it for a little bit. I’m about to start mounjaro. Food hasn’t been a factor as I usually only eat once a day. This indigestion has been all day. I’m going to purchase something stronger from the pharmacy. No heart burn just the feeling like you have to burp & can’t.

[@tuxedocat118]

Omg. Sulfur burps and feel the food going down and also feeling like it doesn’t get to my stomach

[@dominickrobinson4967]

Man I thought I was having a heart attack until I put a 0.5 tsp.Baking soda in my water.It works for me

[@yesenia810]

Thanks for the tips. Always down to the issues, love your videos

[@KJ-xc6qs]

Eat light, small refreshing bites of Cantaloupe, Honeydew, and Watermelon.

[@orangecone333]

I was on Saxenda for a year, had heartburn regularly and got terrible, irreversible tooth erosion 😢. My dentist was horrified and told me to contact my doctor ASAP.

[@monakulasic5669]

I got up to 1.8 and i get diaherra and start belching. I reduce to 1.2 it stops. Go back to 1.8 diaherra and burping belching . Why this

[@andiedealessio1693]

Dr Dan, why do so many people get skin sensitivity like sunburn sensation/painful skin?? Can you explain this ?? Some providers say not enough water, but why does it happen?

[@kristinabbate6369]

Thank you for this video. I’m looking for a specific question answered. I took saxenda for 8 weeks and the heartburn got worse not better so I stopped it- hoping to try a different drug. However it’s been 13 days since taking a dose of saxenda and the heartburn is not any better. I didn’t have heartburn before taking saxenda. My question is- have you seen this and how long will it take for the heartburn will subside? What exactly is happening in my esophagus? Is the drug still in my system and just takes time to leave? Keep in mind I started Prilosec week 2 of saxenda when the heart burn started. Week 8 I switched to Pepcid aC. Last night it got so bad I took both. 😢

[@xodaniwaniox]

Okay, but I’m so GASSY! And when I burp it taste like sulfur. I feel like I’ve tried everything. I’ve been on wegovy since January and I’m up to 1.7. I’m trying not to quit, but I’m always so uncomfortable.

[@theofficialdrdan]

For some the side effects can be too much unfortunately.

[@francesluttermoser234]

Did you try the Apple cider vinegar? I have not tried it yet but I think I will.

[@layser-focusedridingmore4288]

You are 100% spot on with every symptom I have. I have Gerd and I also have a hiatal hernia so I ended up in the emergency room because my chest was on fire from aspirating on the acid caused by Ozempic.

[@theofficialdrdan]

That sounds painful. Sorry to hear it!

[@dawntyson8970]

I have a weird side effect. I am lactose intolerant and do not drink milk. My side effect is I frequently taste milk which is very nauseating. What's the fix for that?

[@theofficialdrdan]

Never heard of that as a side effect so I don't know.

[@Bunny_Gee]

My GERD started again after 3 weeks. Sore throat was the first symptom.

[@theofficialdrdan]

Definitely follow up with your doctor

[@annettemyrejrgensen3391]

A lemon slice helps, as oat milk.

[@jannylynnb]

I greatly appreciate your sense of humor with the very helpful information.

[@lindap7983]

Great information. Thank you!

[@sassytee0722]

Great content. Thxs😊

[@PatriciaMarie100]

Also Tums works as well

[@nicolespinelli7257]

Will the heartburn stop once you stop the Semaglutide? I am only on .42

[@3005511]

I hope so! This is so painful and irritating! Been on the .25 Ozempic dose for 4 weeks, then I got switched to Trulicity and took the 1.5 shot. HORRIBLE heartburn… I wish you well, and hope your acid reflux goes away soon..! Hope mine goes away too 😂

[@andiedealessio1693]

Dr Dan, does ozempic cause heart palpitations?

[@crowmanpr]

No

[@francesluttermoser234]

This tutorial has helped a lot. I didn’t know this was going to be a problem. I called my Dr. to get the next prescription and told them it was very bad and maybe I should not go up to the next level. I still think I should wait another 4 weeks on the first dose and see in the indigestion gets better. I’m going to try the Apple cider vinegar. Thanks so much

[@theofficialdrdan]

ACV may make it worse.

[@francesluttermoser234]

ACV DID not work well. Not letting my stomach get empty did. I just eat a few bites of something with some water .

[@sarahhardtbern]

Thank you!

[@sbo3]

Do you do anything like paid weight loss coaching (over the phone/zoom)? Or just the coaching through your job? I would love to have you as a coach.

[@theofficialdrdan]

I do all the above. You can book a free consult with myself here to see if you are a good fit for our program: calendly.com/drdanconsult/he

[@sbo3]

@@theofficialdrdan ooh fantastic! Is your pricing listed somewhere? I wouldn't want to waste your time with a free consultation if it was out of my budget to start with.

[@kellyfarrell4971]

tytyty

[@loripelletier7523]

Just wondering can your body recognize if you have been on wegovy and not respond to it as the first time taking it. My doctor put me on it again and this time it is not curving my appetite I am on 0.5 third week and it is just kicking in.

[@theofficialdrdan]

Not so much your body recognizing. It is more likely just adapted to the potential side effects. There is also a possible component of metabolic adaptation that is making it less effective.

[@loripelletier7523]

@@theofficialdrdan I hope with a higher dosage my body will start dropping weight. My doctor just sent 1.0 to pharmacy today. Thanks for the info.

[@SarahK-rt9uj]

I am on my 2nd pen of ozempic and and into the 7th week I started experiencing sulphur burps and vomiting and now severe chest pain by the breast bone area. I came across this video and am Wondering if it is heartburn because it feels like an artery is blocked type of feeling. Will go to ER to get it checked out

[@oldmedstudent1750]

did you live?

[@kelliecarver7252]

😂

[@oldmedstudent1750]

@@kelliecarver7252 RIP

[@magenta4443]

Have been taking Ozempic for almost 8 weeks. Just commented to my husband that I'm getting severe heartburn and joint achiness along with intense neuropathy pains in ankles and feet. Haven't taken Ibuprofen for years, but recently have taken 600mg (3 tablets) of it for pain keeping me awake at night. Additionally, I feel overly full after soup for lunch. Makes sense after you explained the slow gastric emptying. The severity of the heartburn scares me, though. In the past, I've awoken, unable to take in air after aspiration of stomach acid into my lungs. Gasping for breath, I had to run into the kitchen and put apple cider vinegar and baking soda together with a bit of water. It fizzes but settles down the burning tissue and allows me to breathe again. Scary! I also take fennel (herbal supplement capsules) to control heartburn. Don't want to start up with Omeprizole again as it brings it's own bad side effects. Have also wondered why my hiccups have been so chronic lately. Thank you for explaining all of this. I'll have to make some adjustments.