The GLP-1 Constipation Fix: How to Keep Things Moving on Ozempic & Wegovy

GLP-1 drugs reduce appetite by slowing digestion — but this also slows bowel movements.

GLP-1 medications like Ozempic, Wegovy, and Mounjaro are changing lives.
Weight drops. Cravings calm down. Blood sugar improves.

But for many people, one side effect quietly steals the joy:
constipation that just won’t budge.

Days go by without relief.
Your stomach feels heavy.
You start wondering if something is wrong with you.

Here’s the truth:
You’re not broken — your digestion is just moving slower than before.

And the good news?
This is one of the most fixable GLP-1 side effects.


🔎 Key Takeaways (TL;DR)

  • GLP-1 drugs slow digestion, making stool drier and harder to pass
  • Constipation usually comes from dehydration, low electrolytes, and sudden fiber changes
  • With the right routine, most people feel relief in 7–14 days — without harsh laxatives

Why GLP-1 Medications Cause Constipation (Body-First Explanation)

GLP-1 drugs work by slowing gastric emptying — how fast food leaves your stomach.

This helps you:

  • Feel full longer
  • Eat less
  • Lose weight steadily

But there’s a trade-off.

When digestion slows too much:

  • Food sits longer in the intestines
  • More water is pulled out of stool
  • Stool becomes dry, hard, and difficult to move

So constipation on GLP-1 isn’t random.
It’s the direct result of how these drugs change gut timing.

📎 Read More: Stress Weight Gain (Even With Clean Eating)

Why This Constipation Feels Different

This isn’t normal “missed a day” constipation.

People on GLP-1 describe it as:

  • Pressure without movement
  • The urge to go, but nothing happens
  • Bloating that doesn’t ease after bathroom trips

That’s because this is motility-related constipation, not diet-related alone.

📎 Read More: Wired But Tired at Night: Why Your Cortisol Is Spiking


The GLP-1 Constipation Fix (Body-First Approach)

You don’t need extreme cleanses.
You need to restore rhythm.

Gentle movement and hydration help restore bowel rhythm on GLP-1 medications.

1️⃣ Hydration + Electrolytes (The Hidden Fix)

Many people drink water but still stay dehydrated because:

  • GLP-1 drugs reduce thirst signals
  • Low sodium and potassium stop water from being absorbed properly

What helps:

  • Add electrolytes to one drink per day
  • Sip steadily instead of chugging
  • Aim for pale-yellow urine, not clear

This alone fixes constipation for many users.

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2️⃣ Fiber — Start Low and Go Slow

Biggest mistake: jumping straight to huge fiber doses.

That causes:

  • Gas
  • Painful bloating
  • More pressure without movement

Better method:

  • Start with soluble fiber (oats, berries, chia)
  • Increase every 4–5 days
  • Add insoluble fiber later (vegetables)

3️⃣ Magnesium — The GLP-1 Community Favorite

Many users find relief with:

  • Magnesium citrate
  • Magnesium oxide

These:

  • Relax intestinal muscles
  • Draw water into stool
  • Support nighttime bowel movements

⚠️ Always start low and consult your provider if you have kidney issues or take medications.


4️⃣ Walk After Meals (Not Intense Workouts)

A simple 10–15 minute walk:

  • Stimulates digestion
  • Activates colon movement
  • Reduces bloating

This works better than heavy gym sessions.

Calming the nervous system helps restore gut movement and reduce constipation.

5️⃣ Stool Softeners vs Laxatives

OptionBest UseRisk
Stool softenersDaily supportLow
Osmotic laxativesShort-term helpModerate
Stimulant laxativesEmergency onlyDependency risk

The goal is regularity, not forcing.

Is This Normal? (Yes — Extremely Common)

People often say:

  • “I’m losing weight but feel blocked.”
  • “I never had constipation before this.”
  • “It started right after my dose went up.”

That pattern is classic GLP-1 adjustment, not something wrong with you.

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When Constipation Becomes a Medical Issue

Call your doctor if you have:

  • No bowel movement for 3–4 days
  • Severe abdominal pain
  • Vomiting or extreme bloating

These can signal bowel obstruction — rare, but serious.

Related Reading

📎 Read More: Stress Weight Gain (Even With Clean Eating)
📎 Read More: Hormonal Belly Fat (Estrogen vs Cortisol)
📎 Read More: Wired But Tired at Night: Why Your Cortisol Is Spiking
📎 Read More: Why Perimenopause Feels Like a Second Puberty

Health Disclaimer

This article is for general wellness education only and does not replace medical advice.
Always consult a licensed healthcare professional before changing medication or supplements.