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The medication works by affecting how the body processes nutrients and manages digestive timing in several ways: Altered Nutrient Absorption: Ozempic can change how the intestines absorb nutrients, potentially leading to osmotic diarrhea when water moves into the bowels Slowed Stomach Emptying: The medication delays how quickly food leaves the stomach, which can trigger various digestive responses Gastrocolic Reflex: Ozempic can cause prolonged stomach stretching, activating what's known as the gastrocolic reflex