The question of whether weight loss on top of great medical therapy can lower events has been answered, and the effect is impressive
As for Ozempic and sex, its important to be mindful of any changes in sexual health that could occur during treatment
Today, there is no scientific evidence that this happens, but a related drug in the class, tirzepatide (Mounjaro, Zepbound), carries warnings on its FDA labels that it may reduce the efficacy of oral hormonal contraceptives due to delayed gastric emptying. Patients are advised to switch to a non-oral form of contraception or to add a barrier method, such as condoms
At the same time, researchers noted that GLP-1 drugs may benefit some eye conditions, including age related macular degeneration and uveitis
The plain reading: probiotic evidence on bloating is weak overall, evidence on constipation is modestly stronger, and no published RCT has tested any probiotic specifically in semaglutide users for the purpose of relieving drug-induced GI effects