Printable GLP-1 symptom diary to bring to your doctor

Warning signs: don’t wait for your appointment

If any of these happens, get medical care even if your diary isn’t finished. If you have trouble breathing or swelling of your face, lips, or throat, call 911. The passages in quotation marks are copied word for word from the US Medication Guides for Wegovy (semaglutide) and Zepbound (tirzepatide) on DailyMed, checked on September 24, 2026.

Vomiting or diarrhea that won’t stop, or signs of dehydration
“Diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration) which may cause kidney problems. It is important for you to drink fluids to help reduce your chance of dehydration. Tell your healthcare provider right away if you have nausea, vomiting, or diarrhea that does not go away.” Wegovy and Zepbound Medication Guides (same text)
MedlinePlus advises contacting your provider if you can’t keep any food or liquid down, vomit three or more times in one day, or haven’t urinated for 8 hours or more.
Severe stomach pain that won’t go away, sometimes reaching your back
“Stop using WEGOVY and call your healthcare provider right away if you have severe pain in your stomach area (abdomen) that will not go away, with or without nausea or vomiting. Sometimes you may feel the pain from your abdomen to your back.” Wegovy Medication Guide
This is how the guides describe inflammation of the pancreas (pancreatitis). The Zepbound Medication Guide has the same text, with “ZEPBOUND” in place of “WEGOVY”.
Pain in your upper stomach, yellow skin or eyes, fever, or clay-colored stools
“WEGOVY may cause gallbladder problems including gallstones. Some gallbladder problems need surgery. Call your healthcare provider if you have any of the following symptoms:pain in your upper stomach (abdomen)yellowing of skin or eyes (jaundice)feverclay-colored stools” Wegovy Medication Guide
“Gallbladder problems have happened in some people who use ZEPBOUND. Tell your healthcare provider right away if you get symptoms of gallbladder problems” Zepbound Medication Guide
The Zepbound guide lists the same four symptoms.
Severe stomach problems, or days without a bowel movement with vomiting, pain, or a swollen belly
“Stomach problems, sometimes severe, have been reported in people who use WEGOVY. Tell your healthcare provider if you have stomach problems that are severe or will not go away.” Wegovy Medication Guide
The Zepbound guide has the same text. The prescribing information of both medicines also lists intestinal obstruction among the problems reported after approval; these signs are worth a call with any treatment.
Signs of a serious allergic reaction
“Stop using WEGOVY and get medical help right away, if you have any symptoms of a serious allergic reaction including:swelling of your face, lips, tongue or throatsevere rash or itchingvery rapid heartbeatproblems breathing or swallowingfainting or feeling dizzy” Wegovy Medication Guide
The Zepbound Medication Guide lists the same five symptoms.
Low blood sugar, if you also take insulin or a sulfonylurea
“Your risk for getting low blood sugar may be higher if you use ZEPBOUND with medicines that can cause low blood sugar, such as an insulin or sulfonylurea. Signs and symptoms of low blood sugar may include:dizziness or light-headednesssweatingconfusion or drowsinessheadacheblurred visionslurred speechshakinessfast heartbeatanxiety, irritability, or mood changeshungerweaknessfeeling jittery” Zepbound Medication Guide
“Low blood sugar in patients with type 2 diabetes who receive WEGOVY can be both a serious and common side effect. Talk to your healthcare provider about how to recognize and treat low blood sugar.” Wegovy Medication Guide

This diary is for talking with your prescriber, not for changing your dose on your own. Raising, lowering, delaying, or skipping a dose is a decision for your prescriber.

How to fill it in

Take a minute at the end of the day. Rate each symptom from 0 to 3 and leave blank anything you didn’t track: a blank is not the same as a 0. In the notes, write down whatever helps explain the day: what you ate, when the symptoms started, and what made them better or worse, which is what MedlinePlus suggests describing at your appointment.

Intensity scale for each symptom
Level	What it means
0 · None	You didn’t notice it.
1 · Mild	You notice it, but you can go about your day as usual.
2 · Moderate	It bothers you and makes you change something: eat less, rest, stop what you’re doing.
3 · Severe	It keeps you from eating, drinking, or going about your day as usual.

Appetite: from 0 (not hungry at all) to 10 (very hungry). Fluids: glasses of about 8 fl oz (250 ml). Protein: an estimate in grams. Dose taken: the dose you took as your prescriber set it, or blank. The scale is for comparing your days with each other: a 3 is not a warning sign on its own, and having no 3s doesn’t rule one out. That is what the box above is for.

Important notice. This content is general information and does not replace medical advice. Talk to a healthcare professional before changing your diet, physical activity or medication.

Your 4 weeks

Intensity from 0 to 3; appetite from 0 to 10; fluids in glasses; protein in grams. On a phone, swipe each table sideways.

Week 1
Symptom or item	Day 1	Day 2	Day 3	Day 4	Day 5	Day 6	Day 7
Nausea0–3
Vomiting0–3
Constipation0–3
Diarrhea0–3
Reflux or heartburn0–3
Tiredness0–3
Dizziness0–3
Stomach pain0–3
Appetite0–10
Water and other fluidsglasses
Protein (estimate)g
Dose takenas prescribed
Notes

A diary to talk with your prescriber, not to change your dose on your own. Intensity: 0 none, 1 mild, 2 moderate, 3 severe. Warning signs on the first page.

Week 2
Symptom or item	Day 8	Day 9	Day 10	Day 11	Day 12	Day 13	Day 14
Nausea0–3
Vomiting0–3
Constipation0–3
Diarrhea0–3
Reflux or heartburn0–3
Tiredness0–3
Dizziness0–3
Stomach pain0–3
Appetite0–10
Water and other fluidsglasses
Protein (estimate)g
Dose takenas prescribed
Notes

A diary to talk with your prescriber, not to change your dose on your own. Intensity: 0 none, 1 mild, 2 moderate, 3 severe. Warning signs on the first page.

Week 3
Symptom or item	Day 15	Day 16	Day 17	Day 18	Day 19	Day 20	Day 21
Nausea0–3
Vomiting0–3
Constipation0–3
Diarrhea0–3
Reflux or heartburn0–3
Tiredness0–3
Dizziness0–3
Stomach pain0–3
Appetite0–10
Water and other fluidsglasses
Protein (estimate)g
Dose takenas prescribed
Notes

A diary to talk with your prescriber, not to change your dose on your own. Intensity: 0 none, 1 mild, 2 moderate, 3 severe. Warning signs on the first page.

Week 4
Symptom or item	Day 22	Day 23	Day 24	Day 25	Day 26	Day 27	Day 28
Nausea0–3
Vomiting0–3
Constipation0–3
Diarrhea0–3
Reflux or heartburn0–3
Tiredness0–3
Dizziness0–3
Stomach pain0–3
Appetite0–10
Water and other fluidsglasses
Protein (estimate)g
Dose takenas prescribed
Notes

A diary to talk with your prescriber, not to change your dose on your own. Intensity: 0 none, 1 mild, 2 moderate, 3 severe. Warning signs on the first page.

Diary from saciedad.com: https://saciedad.com/en/tools/symptom-diary/

Keep reading

Nausea on Ozempic, Wegovy or Zepbound: what to eat and what to avoid.
Constipation on Ozempic, Wegovy or Zepbound: why it happens and what helps.
Hydration on Ozempic, Wegovy or Zepbound, and the hydration calculator.
Weekly menu for small appetites, with protein spread across meals.
Questions to ask your doctor about GLP-1, a list of questions for the same appointment.

How I made this diary

The eight symptoms in the diary are among the most common side effects listed in the Wegovy Medication Guide: nausea, vomiting, diarrhea, constipation, stomach pain, tiredness, dizziness, and heartburn (the reflux row). Appetite, fluids, and protein help show how you are eating. The 0 to 3 scale is a simple way to compare your days; it is not a validated clinical scale and it can’t be used to diagnose anything.

The warning signs are quoted word for word from the US Medication Guides for Wegovy and Zepbound, the versions for people in the United States. The Spanish version of this diary (in Spanish) quotes the European patient leaflets for Wegovy and Mounjaro instead; otherwise the two diaries are the same. The diary doesn’t interpret what you log or tell you what to do: it keeps your notes so you can go over them with your prescriber.

Your entries are saved in your browser’s local storage. I don’t receive or see them, they don’t sync between devices, and they disappear if you clear the site’s data or press “Delete everything”. The English and Spanish pages share the same storage, so a diary started in one language shows up in the other. To keep a copy, export the CSV or save the PDF.

Sources

Sources for the warning signs and the advice, with the date they were accessed.

Drug labelDailyMed, U.S. National Library of Medicine (NIH).Wegovy (semaglutide) injection and tablets: Medication Guide and prescribing information (section 6.2), revised 06/2026.accessed September 24, 2026.
Drug labelDailyMed, U.S. National Library of Medicine (NIH).Zepbound (tirzepatide) injection: Medication Guide and prescribing information (section 6.2), revised 08/2026.accessed September 24, 2026.
InstitutionMedlinePlus, U.S. National Library of Medicine (NIH).When you have nausea and vomiting.accessed September 24, 2026.
InstitutionMedlinePlus, U.S. National Library of Medicine (NIH).Talking With Your Doctor.accessed September 24, 2026.

Symptom diary for GLP-1 treatment

How to fill it in

Log a day

Your 4 weeks

Keep reading

How I made this diary

Sources