HealthRX.com · Printable question sheet
Wegovy constipation questions and bowel log for your visit
Use this sheet before a visit with your prescriber or pharmacist about constipation on Wegovy or a similar weight-loss medicine. Fill in your medicine details, bring the diary, and ask the questions about alternatives and other options.
My current weight-loss medicine
Copy these details from your pharmacy label or pen box.
Dose and how oftenCopy from the label, for example weekly injection
Bring to the visit
Check these before you leave home.
- Bring the bowel diary from the last several weeks
- Bring every medicine box, pen or bottle you take
- Note any warnings on your label about stomach or bowel problems
- Check with your pharmacist which laxatives or fiber products you already use
- Write down when the constipation started and what has changed since
- Confirm the name and phone number of the prescriber who can change your treatment
- List any symptoms that need fast help, such as severe belly pain or no bowel movement
Ask before any change to treatment
- Is constipation a known side effect of my current weight-loss medicine?
- Has any weight-loss medicine been shown to avoid constipation in someone like me?
- Would switching to tirzepatide or another option change my bowel symptoms?
- Which of my other medicines could add to constipation?
- Could my pharmacist check for interactions with the medicines I take by mouth?
- What warning signs should make me stop and call you right away?
- Can you review whether my current dose still suits my symptoms?
- Who should I contact if constipation lasts longer than I expect?
Bowel and symptom diary
Write one row per day. Record what happened, then bring this page to your visit.
| Date | Bowel movement yes or no | Stool hard or soft | Belly pain or bloating | Medicine taken |
|---|---|---|---|---|
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.