HealthRX.com · Printable question sheet
Ozempic at 18 to 29: thyroid, mood and pregnancy-plan follow-up sheet
Use this at the start and at each follow-up: the family and personal history that matters for Ozempic's thyroid warning, the symptoms to mention, a mood check, and your pregnancy plans. It keeps the label's stop and call rules on the same page.
History to give at the first visit
Family history of medullary thyroid cancer or MEN 2?
Thyroid nodules or past thyroid problems
Past depression, anxiety or thoughts of self-harm
Past pancreatitis or gallstones
Pregnancy plans in the next 12 months
Contraception you use now
Mention at each follow-up if you have had
- A lump or swelling in the neck, hoarseness, trouble swallowing or shortness of breath
- Low mood, losing interest in things, or thoughts of harming yourself
- Vomiting or diarrhea most days
- Pain in the upper stomach, fever, yellow skin or eyes, or pale stools
- A missed period or a positive pregnancy test
- Losing weight faster than your clinician expected
Follow-up visits
| Date | Ozempic dose | Weight | Mood check done? | Stomach or bowel symptoms | Plan |
|---|---|---|---|---|---|
What the label and the studies on this page report
- Ozempic must not be used with a personal or family history of medullary thyroid carcinoma or MEN 2; routine calcitonin tests or thyroid ultrasound are of uncertain value for spotting it early.[1]
- In a French nested case-control study, 1 to 3 years of GLP-1 drug use was associated with higher risk of thyroid cancer (adjusted HR 1.58) and medullary thyroid cancer (1.78).[2]
- In US health records of people with overweight or obesity, semaglutide prescriptions were associated with less first-time suicidal ideation over 6 months than other anti-obesity medicines (0.11% vs 0.43%; HR 0.27); an association, not proof of cause.[3]
- Stop Ozempic at least 2 months before you plan to become pregnant.[1]
Act on these the way the Ozempic Medication Guide says
- Lump or swelling in your neck, hoarseness, trouble swallowing or shortness of breath: tell your healthcare provider.[1]
- Upper stomach pain, yellow skin or eyes, fever or clay-colored stools (possible gallbladder problems): tell your healthcare provider right away.[1]
- Severe stomach pain that will not go away, with or without vomiting: stop Ozempic and call your healthcare provider right away.[1]
- Swelling of the face, lips, tongue or throat, trouble breathing or swallowing, severe rash or itching, fainting or a very fast heartbeat: stop Ozempic and get medical help right away.[1]
Questions for your prescriber
- Does anything in my family or personal history make Ozempic a poor choice for me?
- How and when will my mood be checked while I take it?
- Which contraception is most reliable for me while my dose is changing?
- If I want to try for a baby, when should I stop, and what replaces Ozempic in that time?
- What should I do first if I find out I am pregnant?
Sources for the facts on this sheet
- Novo Nordisk, via DailyMed. Ozempic (semaglutide) injection, for subcutaneous use: prescribing information and Medication Guide. Effective 2026-06-01. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=adec4fd2-6858-4c99-91d4-531f5f2a2d79
- Bezin J, Gouverneur A, Pénichon M, et al. GLP-1 Receptor Agonists and the Risk of Thyroid Cancer. Diabetes Care 2023. PMID 36356111. https://pubmed.ncbi.nlm.nih.gov/36356111/
- Wang W, Volkow ND, Berger NA, et al. Association of semaglutide with risk of suicidal ideation in a real-world cohort. Nat Med 2024. PMID 38182782. https://pubmed.ncbi.nlm.nih.gov/38182782/
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.