Dr.MetabolicMD said:

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

Drug interaction alert relevant to constipation: if you take oral levothyroxine (Synthroid), GLP-1 agonists can reduce absorption due to delayed gastric emptying. My TSH drifted up after starting semaglutide.

Solution: take levothyroxine on an empty stomach, 60 minutes before any food, and have your TSH rechecked 6-8 weeks after starting or changing GLP-1 dose. My endo had to increase my Synthroid by 12.5mcg.

VendorMark said:

Sulfur burps on constipation — the most underrated side effect nobody warned me about.

This is exactly what I could not find anywhere else. Printing the relevant bit and taking it with me.

Dr.MetabolicMD said:

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

Gastroparesis symptoms with constipation: the delayed gastric emptying from GLP-1 agonists can cause early satiety, bloating, and feeling "full" for hours after a small meal.

Tips: eat your protein FIRST (most important macro), then vegetables, then carbs last. Chew thoroughly — 20-30 chews per bite isn't excessive. Avoid carbonated beverages with meals. If symptoms are severe, your doctor may recommend a gastric emptying study.

The figures, for anyone assembling their own picture. Keep the original post as written when you update it, and add the correction underneath. An edited-away mistake is invisible to the next person who makes it.

Moderator note: the sourcing question belongs in the vendor section and has been split out. Report rather than reply if it drifts again.