Can Semaglutide Cause Headaches? What You Need to Know

Dr. Farizani
November 7, 2025
If you’ve started a GLP-1 medication like semaglutide (commonly known by brand names such as Ozempic® or Wegovy®), you may have wondered: Can semaglutide cause headaches? The short answer is yes, headaches can occur as a potential side effect of semaglutide. However, understanding why they happen and how to manage them can make your weight loss journey or diabetes treatment smoother and more comfortable.

Understanding Semaglutide and How It Works

Semaglutide is part of a class of medications called GLP-1 receptor agonists, used to help manage type 2 diabetes and support weight loss. These medications mimic a natural hormone (GLP-1) that helps regulate blood sugar levels, slow digestion, and reduce appetite. As a result, patients often eat less, lose weight, and experience better glucose control, all under medical supervision.

While semaglutide can be incredibly effective, it can also come with potential side effects. These vary from person to person and may include nausea, vomiting, fatigue, constipation, and headaches. Understanding what’s behind these reactions can help you handle them safely and effectively.

Why Semaglutide Can Cause Headaches

There are several reasons headaches may occur when taking semaglutide or other GLP-1 medications:

1. Changes in Blood Sugar Levels

Because semaglutide helps lower blood sugar, it’s possible to experience mild hypoglycemia (low blood sugar), especially if you’re taking other diabetes medications. Low blood sugar can trigger headaches, dizziness, shakiness, or fatigue. If this happens, checking your blood sugar level and eating a small, balanced snack may help.

2. Dehydration

Many patients report mild nausea or vomiting when first starting semaglutide. These symptoms can lead to fluid loss or reduced water intake, resulting in dehydration, a common trigger for headaches. Staying hydrated is one of the simplest and most effective ways to prevent this side effect.

3. Changes in Appetite and Eating Patterns

Because semaglutide reduces appetite, some patients eat less frequently or consume fewer carbohydrates than their body is used to. Skipping meals or cutting calories too drastically can cause dips in blood sugar that may lead to headaches or even migraines. Maintaining balanced nutrition is key, even while reducing portion sizes.

4. Hormonal and Vascular Changes

GLP-1 medications influence hormones that regulate insulin and glucagon, and they also affect how blood vessels respond to these hormones. In some cases, these changes can contribute to tension-type headaches or migraines, especially during the early stages of treatment.

How to Get Rid of Headaches from Semaglutide

Most headaches associated with semaglutide are mild and improve as your body adjusts to the medication. Here are a few simple strategies that can help:

Stay Hydrated

Aim for at least eight glasses of water per day, and increase that amount if you’re exercising or spending time outdoors in the Houston heat.

Maintain Steady Meals

Don’t skip meals entirely. Choose balanced meals with lean proteins, complex carbs, and healthy fats to stabilize blood sugar.

Track Your Blood Sugar 

If you’re using semaglutide for type 2 diabetes, check your blood sugar regularly to ensure it’s within the healthy range. Low levels can lead to headaches and fatigue.

Rest and Relaxation

Adequate sleep, stretching, and stress-management techniques can ease tension headaches.

Over-the-Counter Pain Relief 

Medications like acetaminophen or ibuprofen may provide relief, but always follow dosage directions and consult your healthcare provider before taking new medications.

If your headaches persist or worsen, contact your healthcare professional. Persistent pain could indicate another underlying issue or the need to adjust your dosage.

woman drinking water

Can Semaglutide Trigger a Migraine?

For most patients, semaglutide does not directly cause migraines. However, if you already have a history of migraines, hormonal or metabolic changes from the medication could act as a trigger. Dehydration, skipped meals, and sudden shifts in blood sugar levels may also contribute to migraine symptoms.

If you experience severe or frequent headaches accompanied by vision changes, nausea, or light sensitivity, speak with your provider right away. These symptoms may require medical attention or a change in your treatment plan.

How Long Do GLP-1 Headaches Last?

In most cases, headaches from GLP-1 medications are temporary. They often appear within the first few days or weeks after starting semaglutide and fade as your body adjusts. For some, mild headaches may come and go during dose changes or as their eating habits evolve.

Every person’s experience is different, so what lasts a few days for one patient may take a few weeks for another. The key is consistent communication with your healthcare provider. They can help monitor your response and make adjustments if needed.

When to Seek Medical Attention

While mild headaches are common, certain symptoms should never be ignored. Contact your doctor immediately if you experience:

  • Severe or persistent headaches
  • Blurred vision or confusion
  • Dizziness or fainting
  • Nausea and vomiting that prevent hydration
  • Signs of an allergic reaction (rash, swelling, or difficulty breathing)

These could indicate more serious side effects of semaglutide or other potential complications requiring professional medical advice.

Managing Potential Side Effects Safely

Headaches aren’t the only side effect of semaglutide or Ozempic®. Other common side effects of Ozempic® include nausea, constipation, diarrhea, and fatigue. Most of these symptoms are mild and tend to resolve as your body adapts.

The most important thing to remember is that you shouldn’t adjust your dosage, skip injections, or stop treatment without medical guidance. Always discuss any side effects or concerns with your healthcare provider, who can help tailor your treatment for optimal results and minimal discomfort.

Semaglutide, Weight Loss, and Long-Term Success

Despite potential side effects, semaglutide remains one of the most effective and clinically supported medications for medical weight management. By reducing appetite, stabilizing blood sugar, and supporting healthy eating habits, it helps patients achieve meaningful, long-term results.

When managed properly and combined with lifestyle changes like diet and exercise, semaglutide can be a safe and powerful tool in achieving your weight loss goals.

Professional Care for Semaglutide Treatment in Houston

If you’re exploring semaglutide for diabetes or weight management, it’s essential to do so under the supervision of licensed medical professionals. At Hillcroft Physicians, our providers carefully evaluate your health history, guide you through potential side effects, and adjust your treatment plan to ensure the best possible outcome.

Our team offers semaglutide treatments in the Houston area as part of comprehensive medical weight management programs. Whether you’re managing diabetes or pursuing a healthier lifestyle, Hillcroft Physicians provides expert care you can trust.

Dr. Farizani

Dr. Farizani created the medical and operational foundation of Hillcroft Physicians, PA., and expanded the clinic and its mission to become one of the largest small group practices in Houston. Dr. Farizani speaks English, Farsi, and Spanish.