A Belle member asked
Side Effects
14 replies · Expert answered · 🤢 managing side effects · Oct 2026
Hi everyone! I'm on my 4th week and I've been having amazing results (I got started specifically for binge eating/food noise). I've always dealt with heart palpitations, but they've greatly increased since starting the shot. Anyone else dealing w/this?
- Belle member
Hey Sarah I’m sorry to hear you’re dealing with that! Have you reached out to the care team in your portal?
- Belle member
Hey Sarah-What types of side effects are you noticing?
- Belle member
@member did! I spoke with a Doctor and he explained that he has had other patients who have dealt with the same issue. Stating that it’s often due to blood sugar drops and/or electrolyte imbalances and not due specifically to the medication itself.
- Belle member
@member Hi Brittany, aside from the heart flutters, I haven’t experienced any other negative side effects at all. The food noise has substantially decreased and overall, I feel “normal”!
- Belle member
Sorry you’re experiencing that but I am glad you reached out to the medical team and was able to speak with a doctor.
- Belle member
@member for some reason its not showing me the core of your post, I only see the title, that’s why I asked haha I see above that the care team recommended electrolytes, which is what I was going to say as well. I’m glad you reached out and made the aware!!
- Belle member
It could be dehydration. I had that happen to me and that’s me cue to drink more fluids. Also, I would try some electrolytes.
- Belle member
Yes I have the same issue. Potassium helps me with the palpitation. Use Ultima and other potassium supplement that I received from my PCP which has really helped.
- Belle member
Hi friend! So glad to hear that you have been having amazing results. What is the additive in your tirz if you don’t mind me asking? And yes, as Nikki stated, the care team can definitely take care of you!
- Tiffany Bailey PA-C · Belle expert
Sarah, I'm so glad you reached out to the care team, and that you're doing so well otherwise! Hydration and electrolytes are a great first step. Please check with your provider before adding a potassium supplement, since too much potassium can also affect your heart rhythm. If the palpitations ever come with chest pain, shortness of breath or dizziness, get seen right away.
- Belle member
Same with the heart things. But I’ve gone to the ER a few times since I was a teenager and my slew of symptoms was just dehydration and low sodium. I always tended to not eat that often and many things I ate said “low sodium food” on them so every so often I would get really sickly and my mom would have to take me to McDonald’s and it worked every time. I haven’t eaten McDonald’s since 2018 but have to keep electrolytes in the house.
- Belle member
@member and McDonald's helped because of the high sodium content in the food?
- Belle member
@member yay!!!
- Belle member
I’m so sorry. It might be a good idea to schedule a call with the clinical staff. Also, make sure your hydrated because medication does dehydrate you which can also cause heart palpitations.
Shared by Belle members about their own experience. Not medical advice: ask your care team before changing anything.