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ForumsPublic SquareConstipation on GLP-1: pathophysiology and evidence-based management Page 3

Constipation on GLP-1: pathophysiology and evidence-based management

Dr.GutHealth Thu, Feb 5, 2026 at 10:36 AM 12 replies 676 viewsPage 3 of 3
denise_HTX
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Jan 2025
Houston, TX
Feb 5, 2026 at 2:51 PM#11

+1 to COA_Karl. Especially the point about "Re: Constipation on GLP-1 — the subgroup..." — I have seen the same in my own experience with Constipation on GLP-1.

Last edited: Feb 5, 2026 at 4:51 PM
23 13sarah.morrison, NeuroNate, JessicaH_TX and 20 others
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JessicaH_TX
Senior Member
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Dec 2023
Houston, TX
Feb 5, 2026 at 3:08 PM#12

Want to share my personal experience related to Constipation on GLP-1 since I think it might help others in a similar situation.

I started my GLP-1 journey in March 2025 at 255 lbs with metabolic syndrome. My telehealth provider prescribed semaglutide 0.25mg to start.

Now, 8 months later: I am down 45 lbs, my labs have normalized, and my sleep apnea has improved dramatically. The Constipation on aspect specifically was something that made a big difference in my journey.

This forum was my go-to resource throughout.

Last edited: Feb 5, 2026 at 7:08 PM
46 16sarah_TO, wendy_avl, jason_paloalto and 43 others
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Dr.PulmRoch
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Jun 2024
Rochester, MN
Feb 5, 2026 at 3:25 PM#13

SleepDoc_PDX — that is really helpful context on Constipation on GLP-1. Follow-up question: did you change anything about your diet at the same time?

I am in a similar situation (month 2) and trying to set realistic expectations.

40 4AttorneyGrant, DebRD_ATL, KristenIndy and 37 others
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Dr.NephBHM_UK
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Jun 2024
Birmingham, UK
Feb 5, 2026 at 3:42 PM#14

To answer JessicaH_TX's question specifically:

From a clinical standpoint, Constipation on GLP-1 is well-supported by the literature.

The short answer: follow the standard titration protocol and reassess at 4-6 weeks.

The longer answer involves pharmacokinetic considerations around steady-state concentrations, which I am happy to elaborate on if helpful.

42 12SurmountFan_IN, PeptideChemSF, A1cHero_PHX and 39 others
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wanda_boise
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Aug 2024
Boise, ID
Feb 5, 2026 at 3:59 PM#15

Saving this for reference. Top-tier content.

38 11ben_calgary, patPC_UT, Dr.DermMIA and 35 others
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