
Emotional impact counts too
Side effects aren’t just physical; they affect how people feel about staying on treatment. If nausea is constant, motivation can dip. If tiredness makes daily life harder, it can feel discouraging.
The good news is that many people do push through the early rough patches and come out the other side feeling the medication is worth it. Talking about side effects openly helps because it reminds everyone that these experiences are common and usually temporary.
TL;DR
Mounjaro and Ozempic share a lot of side effects, but the way they show up can feel different from person to person. Some find Mounjaro stronger on appetite, and stronger on stomach issues too. Others say Ozempic is easier to tolerate, though maybe less powerful at keeping food noise at bay.
Neither drug comes with a guaranteed experience. What’s consistent is that most side effects improve with time, dose adjustment, and support from a prescriber. And for many people, those early challenges are balanced out by the results they see in the long run.
Read "Can I Switch to a Different GLP1? The Full Guide" to get the full picture
Where people notice differences
Here’s where things get interesting. Many users say Mounjaro feels “heavier” on appetite, almost like it presses a stronger brake on hunger. That can be a win for weight loss, but it sometimes comes with more intense nausea or fatigue, especially in the first weeks of a new dose.
Ozempic, on the other hand, is often described as a little gentler. People sometimes say it’s easier to tolerate, though they may also notice cravings creeping back in sooner between doses compared to their time on Mounjaro.
Neither description is universal. For every person who found Mounjaro rougher, there’s another who felt Ozempic knocked them harder. The variation is huge, which is why prescribers always say individual response matters more than averages.
Side effects that tend to surprise
Some things aren’t in the glossy leaflets but pop up again and again in user stories. Burping is one, and both drugs can bring on loud, unexpected belches that seem to come out of nowhere. Another is the way taste and smell can shift. Suddenly, a favourite food might smell off, or something you never fancied before becomes oddly appealing.
These quirks can happen on both drugs, but people often say they showed up differently. On Mounjaro, it might be an intense aversion to richer foods. On Ozempic, it could be a subtle change in taste that makes portion control easier without thinking about it.
How long do side effects last?
Most side effects are dose-related and tend to fade once your body adjusts. That’s why prescribers start low and increase slowly; it’s not to frustrate you, it’s to give your system time to adapt.
With both Mounjaro and Ozempic, many users report that nausea and bloating are at their worst in the first couple of weeks on a new dose, then ease off. Constipation, however, can linger if diet and hydration aren’t adjusted alongside.
It’s a very common experience for side effects to flare again when switching from one drug to the other. Even if you’d “settled” on Mounjaro, moving to Ozempic can feel like going back to week one for a short while. The same is true in reverse.
When people talk about GLP-1s, the conversation almost always circles back to side effects. The queasiness, the burps, the fatigue, they’re part of the shared language of being on these medications. But are the side effects on Mounjaro the same as on Ozempic? Not quite. They overlap, but the way people experience them can feel a little different.
Here’s a closer look at how the two compare, drawn from what clinical studies say and what real users often report.
The usual suspects
Both Mounjaro (tirzepatide) and Ozempic (semaglutide) act on the gut–brain connection, so it’s no surprise their side effects often show up in the stomach first. Nausea, bloating, constipation, and that “full too quickly” feeling are very common with both. Fatigue and headaches are also frequently mentioned in the early weeks.
This doesn’t mean everyone will get all of these symptoms; many don’t. But they’re familiar enough that most people who’ve been on one of these medications can nod along when someone else mentions them.
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Published:
4 Sept 2025
Updated:
6 Oct 2025
Mounjaro vs Ozempic Side Effects: What Users Report
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