Natural Constipation Remedies for Wegovy® Users

Constipation is one of the most common side effects of Wegovy and other GLP-1 meds. This is because these medications work by slowing the speed at which food passes through your stomach and intestines, and this frequently results in constipation.

For my patients who are taking Wegovy, I typically speak about constipation on the first visit so that they know what to expect and how to manage it.

But don’t worry—you’d be surprised how much difference simple changes in your diet and exercise can make!

Disclaimer: This is my expert opinion as a registered dietitian and doctor in clinical nutrition. I base my opinion on extensive research and experience working with patients taking weight-loss medications

How Can Wegovy Cause Constipation?

Your doctor will define constipation as having difficulty passing stools or having fewer than three bowel movements a week.

Here’s how weight loss injections may contribute to this discomfort:

1. Slows Digestion: Wegovy slows stomach emptying, which helps with weight loss by promoting a feeling of fullness. However, this slowdown in digestion can also lead to constipation.
2. Reduced GI Muscle Movement: This medication can decrease the movement of the muscles in your gastrointestinal tract responsible for moving food and waste. This sluggish intestinal motility can cause delayed bowel movements, contributing to constipation.
3. Decreased Fluid Intake:  Feeling less hungry can lead to forgetting to drink enough water, which can result in drier and harder stools. This makes bowel movements more challenging and worsens constipation.

Wegovy Constipation Relief

The Basics

Before you try anything else, make sure that you are covering the following healthy habits.

Eating Enough Fiber

Fiber add bulk to your stool and promotes regular bowel movements.  I usually encourage my clients to eat between 25 and 30 grams of fiber a day to make it easier. Still, if you want to be more precise, these are the recommendations by the Dietary Guidelines for Americans:

Should you get your fiber from food or supplements?

Food is always the best option, as it provides a variety of nutrients and promotes overall health. However, if you are struggling to meet your daily fiber needs, supplements can be an effective way to increase your intake.

Drink Enough Fluids

Try these fruit-infused water ideas to make water tastier.

Move Your Body

Regular physical activity not only helps with weight loss but also promotes good digestion. Exercise stimulates the muscles in your digestive tract, helping food move through your system more efficiently. It also reduces stress, which can contribute to constipation.

Establish a Regular Toilet Routine

To encourage natural bowel movements, create a consistent schedule for using the bathroom, preferably in the morning or after meals.

You can also try a toilet stool*, which can help put your body in a more natural position for passing stool.

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Natural Remedies for Constipation

As a registered dietitian, I prefer utilizing natural remedies for constipation, as they tend to be very effective. This is particularly true of prune juice.

Prune Juice

Prune juice has natural laxatives like sorbitol and fiber, which help soften stool and stimulate bowel movements. Rich in antioxidants and nutrients, prune juice supports overall digestive health.

In fact, many hospitals keep a stock of prune juice to help patients experiencing constipation.

It is recommended to drink a small glass (around 4-6 ounces) of pure, unsweetened prune juice in the morning or evening, starting with a smaller amount and gradually increasing as needed.

Olive Oil

Olive oil works by lubricating the intestines, making it easier for stool to pass through the digestive tract.

For best results, try consuming one tablespoon of extra-virgin olive oil on an empty stomach in the morning. You can also use olive oil as a salad dressing or drizzle it over cooked vegetables as part of your daily diet. Incorporating olive oil regularly ensures consistent benefits for digestive health.

Coffee

Coffee can help with constipation by stimulating the digestive system. The caffeine in coffee acts as a natural laxative, promoting muscle contractions in the colon and encouraging bowel movements.

Enjoying a cup of coffee—especially in the morningespeciallymay lead to more regular bowel movements for some people.

Over the Counter (OTC) Products for Constipation

If the basics don’t work, then consider using over-the-counter supplements for constipation relief. These can often be effective, but consulting with a healthcare professional before taking any supplements is important.

I found the following articles helpful to decide which over the counter supplements to take:

When to Contact Your Doctor

If constipation persists despite these measures, talk to your doctor.

What Your Healthcare Provider Can Do

Beyond advising you to eat more fiber, drink more water, and move more, your healthcare provider can:

• Review your Wegovy dosage and make adjustments, if necessary.
• Evaluate other medications you’re taking that may contribute to constipation.
• Prescribe medications or recommend over-the-counter remedies to alleviate constipation.

My Expert Opinion

Constipation is a potential side effect of Wegovy and one I address during the first visit with my patients.

Not everyone who takes it will experience constipation, but it is common and something we can manage.  Prioritize dietary fiber, hydration, regular exercise, and a consistent toilet routine to promote bowel regularity while using any GLP-1 weight-loss medication.

It’s common for side effects to occur as the dose increases. However, typically, after a few weeks of using the medication, bowel movements return to a healthy rhythm.

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