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doi: 10.1038/ijo.2013.149 [DOI] [PMC free article] [PubMed] [Google Scholar] 52
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Whilst hiatal hernia is not a contraindication to Ozempic use, the medication's effect on gastric emptying may worsen reflux or nausea in some individuals

Some dose-dependent increases were observed at higher doses compared to placebo, but these remained within normal ranges and did not indicate pathological C-cell stimulation
Your clinician will typically start with the lowest effective dose to minimize side effects like nausea
