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Glucagon-like peptide-1 (GLP-1) receptor agonists, including semaglutide (Ozempic, Wegovy) and liraglutide (Saxenda, Victoza), are increasingly prescribed for type 2 diabetes management and weight loss in the UK

While dose adjustment is not always necessary, altered metabolic states may influence drug response and tolerability

Why GLP-1 Medications Can Make Symptoms Worse GLP-1 medications can amplify these issues in a few ways: Changes in appetite and eating patterns Increased sensitivity to fullness and pressure Altered breathing patterns due to discomfort Increased abdominal guarding or bracing When breathing mechanics shift and the diaphragm is not moving well, pressure is often redirected outward into the abdomen instead of being managed efficiently within the system

Therap Adv Gastroenterol (2013) 6(1):3951