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Insulin levels drop substantially

Avoiding fatty, greasy, or heavily spiced foods during the initial titration period reduces gastrointestinal irritation

And long-term use can have complications for some, like whats being called "Ozempic face." "So, what you tend to see is droopiness, or sagginess, or a really deflated look throughout the face from the temples, to the underlid, or tear trough area, through the cheek region, to the nasal and marionette lines, and the jaw, said Doctor Edward Davidson, a Cranial, Facial, & Cosmetic Plastic Surgeon with the Palm Beach Health Network

The good news is that this blurring is usually temporary and should improve as blood sugar levels stabilize