Zepbound (tirzepatide) affects digestion, appetite regulation, hydration, and multiple organ systems. While some patients experience only mild nausea, others develop severe, persistent, or permanent side effects, particularly at higher doses.
This page details Zepbound side effects, including warning signs that may indicate serious injury.
Why Zepbound Causes Side Effects
By activating both GLP-1 and GIP receptors, Zepbound:
- slows gastric emptying
- suppresses appetite
- alters intestinal motility
- affects fluid balance
- changes vascular regulation
In some patients, these effects become excessive or pathological.
Common Zepbound Side Effects
Frequently reported effects include:
- nausea
- vomiting
- diarrhea
- constipation
- abdominal pain
- bloating
- fatigue
- dizziness
These symptoms often occur during dose increases.
Severe Gastrointestinal Side Effects
Persistent Vomiting & Inability to Eat
Some users experience:
- daily vomiting
- inability to tolerate food or fluids
- dehydration
- repeated ER visits
Vomiting lasting more than a few days is not normal.
Motility Disorders & Bowel Shutdown
Reported conditions include:
- gastroparesis
- ileus
- severe constipation
- generalized GI dysmotility
➡️ Related: Motility Disorders
Kidney-Related Side Effects
Prolonged GI symptoms may lead to:
- dehydration
- acute kidney injury
- worsening kidney disease
- dialysis in severe cases
➡️ Related: Dehydration and Kidney Damage
Gallbladder Side Effects
Rapid weight loss may increase the risk of:
- gallstones
- gallbladder attacks
- gallbladder inflammation
- gallbladder removal surgery
➡️ Related: Gallbladder Removal
Pancreatitis Risk
Symptoms may include:
- severe upper abdominal pain
- pain radiating to the back
- vomiting
- hospitalization
➡️ Related: Pancreatitis
Vision Side Effects & Blindness (NAION)
Serious vision problems reported include:
- sudden vision loss
- blurred or dim vision
- loss of peripheral vision
- NAION
NAION can cause permanent blindness, often without warning.
➡️ Related:
Long-Term & Persistent Side Effects
Some Zepbound users report symptoms that:
- continue months after stopping
- require permanent dietary changes
- interfere with work and daily life
- result in chronic disability
➡️ Related: Permanent Injuries
When to Seek Immediate Medical Care
Get urgent help if you experience:
- vomiting lasting more than 48–72 hours
- inability to eat or drink
- severe abdominal pain or swelling
- no bowel movement for several days
- minimal urine output
- sudden vision changes
Zepbound Side Effects and Lawsuits
Zepbound side effects are central to GLP-1 litigation, particularly cases involving:
- severe motility disorders
- kidney injury
- gallbladder surgery
- pancreatitis
- blindness / NAION
➡️ Zepbound lawsuits: Lawsuits
Zepbound can cause side effects ranging from mild nausea to severe, permanent, and life-altering injuries, especially because of its dual-hormone action. Persistent or escalating symptoms should never be ignored.
If you experienced serious side effects after using Zepbound, medical and legal review may be appropriate.
➡️ Start your review: File a Claim