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Zepbound and Nausea: What Users Say (Page 2)

Reviews for Zepbound

Commonly mentioned side effects
  • mar...
  • Taken for 1 to 6 months
  • May 1, 2025

For Weight Loss (Obesity/Overweight) "I started Zepbound late January. I was generally a small person and was the same size for over 25 years. However, with menopause and COVID combination, I gained over 25 pounds and my BMI went from a 24 to a 30 in the past 4 years. Both of my parents were diabetic, therefore, my risk factors were great. Initially, I felt nauseous for a few days, but the nausea went away. I started on 2.5 mg and lost 13 pounds in the first month. Moved to 5 mg the second month. I was down 18 pounds after month 2. No side effects from the meds. I went to 7.5 for the 3rd month and am still on it. I have lost 24 pounds. I am also exercising more. I try to put in 10k steps at least 5 days a week and exercise for 30 minutes 4 days a week. I am 5'2 and started at 166 pounds. I am down to 142 now and have more energy. My A1C was 6.1 when I started and is now 5.7. My cholesterol did go up from 212 to 267, however, I attribute this to the rapid weight loss and will test again in 6 months."

10 / 10
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  • Sha...
  • Taken for 1 to 6 months
  • December 1, 2024

For Weight Loss (Obesity/Overweight) "I started using Zepbound on October 31st of this year. The beginning dosage was 2.5 mg. I started to lose 1-3 lbs. a week. The dosage was increased to 5 mg, which I started on the 4th week. Current total loss of 11.5 lbs. My provider has suggested that I increase the dose to 7.5 mg for my next refill. I do have side effects: nausea, constipation, dry mouth. My appetite has diminished, but I have to make a conscientious effort to eat. Cravings for specific foods have gone as well. I have a fear of needles, but do not feel the injections or any discomfort associated with normal 'shots.' Overall, my experience has been a good one, but it is still early."

8 / 10
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  • Day...
  • Taken for less than 1 month
  • February 2, 2025

For Weight Loss (Obesity/Overweight) "Flu-like symptoms, nausea, discomfort after eating anything. Broth has been my go-to. Very fatigued. Hoping week 2 will be better. Today is day 7. No appetite, no energy. There's not an option for maybe. One week isn’t enough time to give recommendations."

9 / 10
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Frequently asked questions

  • Anonymous
  • Taken for 1 to 6 months
  • December 17, 2024

For Weight Loss (Obesity/Overweight) "I am 5'2" and 46 years old. I started Zepbound on 8/20/2024 at 166 pounds. I took the 2.5 mg dose for one month, then increased to 5 mg in Oct. and Nov. I had very mild side effects, and I steadily lost weight until last week. I have now increased to the 7.5 mg dose, and the nausea and diarrhea are pronounced. I'm down 30 pounds, but I may switch back to the 5 mg dose if the side effects don't subside."

8 / 10
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  • Ano...
  • Taken for 1 to 6 months
  • July 9, 2025

For Weight Loss (Obesity/Overweight) "So far the experience for me has been difficult. The weight loss is slow but pretty much steady. I’m experiencing nausea, stomach pain, and fatigue. I’m still trying to stick it out, hoping that it will subside."

7 / 10
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  • Anonymous
  • Taken for less than 1 month
  • November 29, 2024

For Weight Loss (Obesity/Overweight) "First dose 2.5 today, and already my appetite is none. I only ate a very small portion plate and drank nothing but water. It wasn't until I tried to have my daily cup of coffee when I felt very nauseated after only a few steps. Day 1, and I'm here to say I know it's going to work out (I'm hoping I can build my coffee/frappe tolerance back up, I LOVE my coffee)."

9 / 10
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  • Anonymous
  • Taken for 1 to 6 months
  • January 12, 2025

For Weight Loss (Obesity/Overweight) "I am a 49-year-old female. Started on 2.5 mg of Zepbound at 201. Lost some weight quickly and got to 191, then stopped. Second month, they bumped me to 5 mg. I only got sick once. It was nausea. I started losing again. Got down to 185. Then, for reasons I can’t explain, I gained 2 lbs despite walking and tracking food. On my 3rd shot, I was very lethargic for a whole weekend after the shot. I have no energy, and I am taking nothing else. I hope it goes away soon and I start losing again. It’s not a magic bullet. You have to track your food and exercise too (which is hard with lethargy)."

5 / 10
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More FAQ

  • Mrs...
  • Taken for 6 months to 1 year
  • October 8, 2024

For Weight Loss (Obesity/Overweight) "Zepbound made weight loss easy. I have lost 40-50 pounds on it. Very little side effects outside of a little nausea occasionally. It’s so easy to use with the prefilled injector. I am now maintaining, and my doctor is happy with my weight. I’m so excited, I haven’t been this thin in 30 years! The only downside for me is the cost. It’s quite expensive even with the coupon. I’m not sure how much longer I can keep paying at this price."

10 / 10
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  • kan...
  • Taken for 1 to 6 months
  • December 21, 2024

For Weight Loss (Obesity/Overweight) "I am a 55-year-old female, 5’7 starting weight 250, started Zepbound 6 weeks ago. 1st month, 2.5 — moved up to 5 2nd month. Probably the most annoying, almost immediate side effects were GERD, bloating, and constipation. However, this did improve quickly when I added more fiber, avoided high-fat, saucy foods, and ate less. I do agree with the others… that it definitely helps your “hunger-food brain.” I can skip a meal without even noticing. I fill up eating a quarter to half of what I would normally eat. I begin getting nauseated while I eat, which makes me stop eating, of course. Now that I've increased from 2.5 to 5, the nausea is a little worse, but intermittent and tolerable. Hoping this will improve once my body adjusts. Overall, still very thankful for this opportunity to try Zepbound. I'm trying to find some type of a meal plan to follow, with sufficient protein and fiber, as well as other foods or supplements to prevent muscle loss, hair loss, constipation, and fatigue."

9 / 10
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  • Ms ...
  • Taken for 6 months to 1 year
  • March 11, 2025

For Weight Loss (Obesity/Overweight) "I started my Zepbound journey in August 2024. I have been on .50 the whole time. I've lost 40 lbs using this medicine, which is amazing! In February, out of nowhere, I started to get side effects after my shot: nausea and diarrhea. Thinking it was the flu, I nursed myself back. Shot day is Wednesdays. On Saturday, the diarrhea came back again. I truly am excited for my weight loss journey but am literally pooped out."

9 / 10
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  • Mom...
  • Taken for 1 to 6 months
  • November 19, 2024

For Weight Loss (Obesity/Overweight) "I have had great success with Zepbound, currently on 15 mg. Been on it for 6 months, 67 lbs down. Went from a size 20 pants to a 12. I have had some nausea and vomiting. It’s easy to use. I’m squeamish when it comes to shots, so for the first 2 months, my husband had to inject me. I got used to it and can now do it on my own. I feel so much better about myself and so much healthier."

8 / 10
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  • Ran...
  • Taken for 1 to 6 months
  • May 25, 2025

For Weight Loss (Obesity/Overweight) "I started on the 2.5 mg starting dose. After the second day, I was experiencing severe diarrhea, burping, nausea. These went away on Day 6. Very tolerable after then. I stayed on 2.5 for several months before going to the 5 mg dose, due to the intensity of my side effects. Started Day 1 of the 5 mg dose, and on the 3rd day after it I had tiredness, orthostatic hypotension (85/55 when standing up). At the 5th day, I am still having orthostatic hypotension - I maintained a water source. Spent 2.5 days without eating. I also vomited a couple of times during the 5 mg startup. Once this batch of side effects goes away, probably will be fine. I just think that a warning about the SEVERE side effects that make me functionally worthless should be discussed. I believe my side effects are a little more extreme than most, but folks should, at least, be informed."

9 / 10
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  • get...
  • Taken for 1 to 6 months
  • June 4, 2024

For Weight Loss (Obesity/Overweight) "I have been on Zepbound for almost 3 months now. I've been at 2.5 the whole time as we are struggling to get any higher doses from back order. I have lost over 20 pounds already. My first shot, my side effects weren't horrible, but I also deal with nausea daily. I also had really bad pain in my upper back, neck, and shoulders like I had whiplash, but that was gone after 48 hours and was nowhere near as bad the 2nd shot. And then nothing after that. This past week though, I've been waking up starving, like I haven't eaten in days. I normally eat dinner around 5:30ish and have a small snack around 8ish, and I haven't had this before. The only other thing I've noticed and just read it could be a side effect is my hands have been super itchy, like I'm having an allergic reaction to something, which I've been thinking that's what's going on. But overall, my side effects have been very minimal, and the benefits majorly outweigh them."

8 / 10
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  • Tim...
  • Taken for 1 to 6 months
  • July 27, 2024

For Weight Loss (Obesity/Overweight) "Severe nausea, horrid vomiting and diarrhea after 7.5 mg dose - did okay with 2.5 and 5 mg doses - there should be more warnings with the higher doses as this was severe. Higher doses should be reviewed further for safety reasons."

6 / 10
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  • wen...
  • Taken for 1 to 6 months
  • March 26, 2025

For Weight Loss (Obesity/Overweight) "I have only taken it for 5 weeks. I have had a lot of nausea and acid reflux. Hopefully, they go away, but when I started, I weighed 174, and 5 weeks later, I am at 165, so it's working. Side effects seem to be decreasing, so I'll keep going for now."

6 / 10
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  • kel...
  • Taken for 1 to 6 months
  • March 12, 2025

For Weight Loss (Obesity/Overweight) "I am a 45-year-old female starting weight 243... I just took my fifth shot a few minutes ago, and I have lost a total of 26 lb since my first shot. Food noise is completely gone, and I find myself not able to eat anything until the day before my shot. I do drink a lot of water and have no cravings for sweets like I used to. I have done moderate exercise in the evening and tried to force myself to eat some source of protein throughout the day. I also take women's one-a-day gummies and I feel fantastic! The very first shot I took, the first few days I felt horrible, like I had the flu and had been hit by a bus. Since then, no side effects except for very mild nausea, which I take promethazine to help, and it does wonders. My sleeping patterns have gotten better, and my energy has increased. It states for my age and height at 5'9, I should weigh 167. I honestly feel like I would look very sickly if I got that small, so my goal is basically just to fit in my pants from last summer, lol."

10 / 10
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  • KJa...
  • Taken for 1 to 6 months
  • December 27, 2024

For Weight Loss (Obesity/Overweight) "Fantastic! I have never felt better! Lost 14 lbs in 1 1/2 months minimal side effects a little nausea here and there. Nothing crazy, truly a miracle drug for weight loss, the bonus is inflammation in general is better, and I am hoping to get off my BP meds soon!"

10 / 10
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  • Lyn...
  • Taken for 1 to 6 months
  • December 20, 2024

For Weight Loss (Obesity/Overweight) "I am happy with the results so far. I have lost 29 lbs in 13 weeks. My goal is 75 lb weight loss. My appetite is far less, and my cravings for sugar have much improved. I have had some constipation and 1 or 2 episodes of nausea but did not vomit. You have to drink water! I started on 2.5 mg and was increased to 5 mg. I'm worried to go to a higher dose due to potential increased side effects, as I have a history of kidney issues. However, since I started the medicine, my Hga1c is normal and lipid panel perfect."

9 / 10
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  • Pro...
  • Taken for 6 months to 1 year
  • February 25, 2025

For Weight Loss (Obesity/Overweight) "I’ve been on Zepbound since 8/1/24 (305 lbs, 5’6). So far, I lost 65 lbs, I’m 45 lbs away from my goal. My current dose is 10 mg. I experience side effects within 24 hours of injection administration, ranging from nausea, vomiting, belching, diarrhea, abdominal pain, fatigue, and dizziness. The side effects last about 24-36 hours. The medication definitely decreases my appetite and cravings. My doctor stopped my BP medication as I continue losing weight and my BP readings are good. My husband has noticed that I stopped snoring, lol. My plan is to reach my weight goal and stop the medication. I have changed my relationship with food. I look at food more as fuel for my body instead of indulging and overeating. I also introduced portion control and exercise, mostly walking and swimming. My insurance covers the medication."

9 / 10
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  • Anonymous
  • Taken for 1 to 6 months
  • January 20, 2025

For Weight Loss (Obesity/Overweight) "I am a 48-year-old female and have been on this for 6 weeks. I am down 9.2 lbs and haven't had a lot of side effects. With the dose increase to 5 mg, I noticed intermittent nausea, but nothing that prevents me from daily tasks or from taking the next shot. I am rarely hungry and get full very quickly. The shot doesn't really hurt, but I do bruise at the site. Weight loss isn't super fast, which is good because I don't want to have a lot of loose skin."

10 / 10
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  • 123...
  • Taken for 1 to 6 months
  • September 16, 2024

For Weight Loss (Obesity/Overweight) "I began this treatment in April. It is now mid-September. I have lost 20 pounds. It is very easy to use, which is a big deal for those who have a needle phobia. In the beginning, I had very few side effects. After going to the 7.5 mg dose, I started to experience constipation and nausea. To combat this, I began a small fiber intake routine and requested Zofran from my doctor. Both are very effective for those side effects. I am now on a 12.5 mg dose and doing well. I feel I am close to a maintenance dose. This medication was quite effective. I am a small person, menopausal, and struggled with losing weight. Losing 20 lbs for my size is a very big deal. Through this process, I have learned better eating habits, keeping my portions small to maintain a healthy weight and continuing my exercise routine even if I am not losing weight. All in all, this was a win-win for me."

10 / 10
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  • agm...
  • Taken for 1 to 6 months
  • December 18, 2024

For Weight Loss (Obesity/Overweight) "I have been on Zepbound for 16 weeks. I have lost 23 lb. I am a 6'3" 74-year-old man. I wanted a kick start to get to my goal, which I am at. Except for three weeks at 5 mg, I have been on 2.5 and am now after a brief go at 5 mg. My experience has been generally acceptable, but nausea and fatigue are a real challenge. No vomiting or diarrhea. I have had some acid reflux. The key has been to eat good clean food and stay away from fried or greasy. I have reduced my alcohol intake, but they are empty calories, and why do it? It just makes it tougher. The reason I drink some is usually social, but I have found it easier to abstain than I expected. Here's the deal: I think people lose weight on these drugs because they don't want to get sick and choose to behave and stay at a calorie deficit, and bingo, the math kicks in. It's not rocket science. I have taken a week off while on an overseas trip. Again, I didn't want to get sick. I am about to take another week off."

7 / 10
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  • Deb...
  • Taken for 1 to 2 years
  • December 20, 2024

For Weight Loss (Obesity/Overweight) "Worked great, however, I experienced nausea/dry heaves the 1st and 2nd day after injection and intermittent nausea throughout the week before the next injection. I've lost 20% of my body weight. I believe this medication needs to be taken forever, or all the weight will return."

8 / 10
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  • Ang...
  • Taken for 6 months to 1 year
  • February 27, 2025

For Weight Loss (Obesity/Overweight) "I started Zepbound in August 2024. I initially weighed 255 lbs. I have since lost 110 lbs! I went from a size 20 to a 10! It is still very unreal to me. I am now on 15 mg and still feel great. I drink a protein shake in the morning and a small portion for dinner. The only side effect is nausea."

10 / 10
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  • Jen...
  • Taken for 1 to 6 months
  • May 18, 2025

For Weight Loss (Obesity/Overweight) "I just started Zepbound in March, and I’m on the 2.5. Let me tell you, it’s a miracle drug. I was 190, and I’m down to 181 in three weeks. I’m losing it slow, and that’s how I’m doing it. The nausea sucked, but I got Zofran for it. I include exercise and water and eating a balanced diet. I use monk fruit for sugar because I’m a huge sugar girl. It’s been an amazing journey so far. I plan to stay on 2.5 because I don’t want to lose it too fast. I don’t have far to go! Target weight 170!"

10 / 10
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Reviews may be edited to correct grammar/spelling or remove inappropriate content. Reviews appearing to come from parties with a vested interest are not published. This information is not intended to endorse any medication and should not replace the expertise and judgment of healthcare professionals.