Ozempic Lawsuit

Our lawyers are investigating Ozempic lawsuits for patients with NAION, gastroparesis or gastrointestinal conditions, including bowel obstruction or cyclic vomiting syndrome.

Ozempic is the popular brand name for semaglutide, a prescription drug approved for the treatment of type 2 diabetes. As we all know, Ozempic is also commonly used as a weight management drug. Recent scientific studies have shown that taking Ozempic, particularly at higher doses, can cause gastroparesis.

Until recently, the warning label for Ozempic did not correctly notify patients or doctors about the risk of these injuries. Anyone who suffered injuries after taking Ozempic may be able to get financial compensation for their injuries by filing a product liability lawsuit.

Lawsuits involving Ozempic, Rybelsus, Wegovy, Trulicity, and Mounjaro are consolidated in an MDL class action lawsuit. NAION lawsuits are growing but, as we explain in the updates below, vision loss cases are handled outside of the MDL. This page will provide the latest news and updates on the Ozempic litigation, as well as our predictions about the potential settlement value of these cases.

If you have an Ozempic lawsuit, call our lawyers today at 800-553-8082 or reach out to us online for a free consultation.

Ozempic Lawsuit at a Glance

📄 MDL Overview

  • MDL No. 3094 – Eastern District of Pennsylvania
  • Active Cases: 1,882 as of June 2025 (up 700+ from April)
  • NAION lawsuits could be very large claims (likely housed in NJ)
  • Consolidates claims involving Ozempic, Wegovy, Mounjaro, Rybelsus
  • Focus: Failure to warn of serious GI and vision-related side effects

🔗 Our Firm Is Taking Only

  1. NAION (vision loss)
  2. Gastroparesis (stomach paralysis)
    1. Hospitalization > 1 day for GI issues
  3. Ileus or bowel obstruction

📅 Key Developments (Spring 2025)

  • June 24: New Vision Loss Concerns Beyond NAION
  • June 10: Push for a NAION Warning
  • May 14: Rule 702 Hearing – Admissibility of expert causation testimony
  • April 24: Standalone NAION case filed (vision loss injury)
  • CDC Study: 25,000 semaglutide-related ER visits in 2023
  • Defense Focus: Excluding expert opinions lacking gastric emptying tests

⚖️ Litigation Posture

  • Plaintiffs: Targeting label inadequacy, misleading advertising
  • Defendants: Narrowing claims via diagnostics challenges and preemption defenses
  • Discovery: Currently limited to FDA label adequacy and warning content

💰 Settlement Outlook

  • High-Severity Estimate: $200,000–$500,000 for severe gastroparesis
  • Injuries That Resolve in Short Order: Lower settlements on their best day
  • Eye Injuries: NAION claims new, value could be over $1 million
  • Pressure Points: Massive profits, reputational risk, jury exposure
  • Realistic Timing: No resolution before 2026 at the very earliest

⚠️ Red Flags / Watch Points

  • Potential exclusion of claims without gastric emptying tests
  • NAION claims may evolve into a separate track or MDL
  • Daubert ruling is make or break

Ozempic Lawsuit Updates

Our Ozempic lawyers are dedicated to providing you with the latest updates and news on this litigation.  Come back frequently. Our attorneys update this page whenever there is a new development or an update

June 24, 2025 – Beyond Just NAION: Ozempic and Wegovy Linked to Increased Risk of Vision Loss

A new study in JAMA Ophthalmology has added another entry to the growing ledger of concerns about Ozempic and Wegovy, with yet more concerns involving the loss of vision.

Researchers from the University of Toronto found that patients taking semaglutide, the active ingredient in both drugs, were twice as likely to develop neovascular age-related macular degeneration (nAMD). This disease gradually destroys central vision and often leads to permanent impairment.

The study looked at nearly 140,000 patients with type 2 diabetes from 2020 to 2023. The risk was small in absolute terms, just over two in 1,000 for semaglutide users versus one in 1,000 for non-users. But the increase was real and statistically significant. Researchers controlled for other known risk factors, including kidney function, smoking, and the use of insulin and metformin.

What stands out is not just the result, but the biological plausibility: GLP-1 drugs like Ozempic alter vascular and inflammatory pathways. These are mechanisms directly implicated in macular degeneration. That ought to matter to doctors. It certainly should matter to patients.

Ozempic was not marketed as a weight loss miracle, but it became one. The public embraced it before science caught up. Now that evidence is emerging, first about stomach paralysis, now about vision, companies like Novo Nordisk will have to answer not just for what they disclosed, but for what they never bothered to investigate.

June 21, 2025 – New NAION Lawsuit

In a new lawsuit filed on Thursday in New Jersey Superior Court, a man from Woodbridge, New Jersey, alleges that his use of the weight-loss drug Wegovy caused him to suffer non-arteritic anterior ischemic optic neuropathy, resulting in permanent vision loss.

According to the complaint, the plaintiff used Wegovy, a GLP-1 receptor agonist, and subsequently developed NAION.

The lawsuit claims that the drug’s manufacturers failed to adequately warn consumers and healthcare providers about the risk of NAION. The plaintiff alleges that the company knew or should have known of the potential for Wegovy to cause optic nerve damage, yet continued to market the drug without proper safety disclosures.

He is seeking compensatory and punitive damages for his injuries, ongoing medical treatment, and diminished quality of life.

June 17, 2025 – NAION Claims Are Heating Up

Twenty-one New Jersey plaintiffs who say they suffered permanent vision loss after taking Ozempic or Wegovy are seeking to consolidate their lawsuits into a multicounty litigation against Novo Nordisk. They are asking New Jersey state courts to coordinate the growing number of cases involving a rare and irreversible eye condition called nonarteritic anterior ischemic optic neuropathy, or NAION. These plaintiffs argue that centralization would streamline discovery, reduce inconsistent rulings, and make the litigation more manageable as filings continue to increase, the same arguments that got us a gastroparesis MDL.

What is notable here is that the NAION claims are now generating more attention from lawyers than the earlier wave of gastroparesis lawsuits. While stomach paralysis cases helped launch the Ozempic litigation, the vision-loss allegations are getting a lot of buzz because the injuries are so significant.

Permanent blindness, especially when it develops suddenly and without prior warning, presents a particularly high-stakes form of injury that is more likely to motivate individual lawsuits, media coverage, and eventual jury trials.

As scientific studies continue to examine a possible causal link between GLP-1 receptor agonists and optic nerve damage,  these cases will continue to move to the center stage.

June 12, 2025 – MDL Case Count

There are currently 1,882 pending cases in the GLP-1 RA MDL (MDL 3094) in the Eastern District of Pennsylvania.  For a litigation that only began in early 2024, that is a solid number, and filings have been steady. The docket includes almost all gastroparesis claims.  There are an increasing number of vision loss lawsuits involving NAION, but this MDL does not cover those.

You will likely see a significant increase in Ozempic lawsuits after the judge rules on Daubert. Currently, many plaintiffs’ lawyers are waiting on the sidelines to see how the gastroparesis lawsuits unfold.

June 10, 2025 – NAION Warning

Momentum is building behind calls for the FDA to take action on Ozempic’s potential vision risks. Several ophthalmologists and public health advocates are now urging the agency to require a black box warning on semaglutide drugs, including Ozempic, Wegovy, and Rybelsus, in light of mounting evidence linking them to nonarteritic anterior ischemic optic neuropathy (NAION).

This comes after recent reports in JAMA Ophthalmology and a Danish registry study suggested a statistically significant association between semaglutide use and sudden vision loss events. The push for regulatory change is being amplified by attorneys involved in the New Jersey multicounty litigation effort, who argue that Novo Nordisk has long been aware of this potential risk but has failed to update its labeling accordingly.

A black box warning would represent a major shift. It would not only reshape physician prescribing behavior but could also open the door to new theories of liability for failure to warn. For plaintiffs’ lawyers, it would be a powerful piece of evidence showing that the dangers of NAION were both foreseeable and preventable.

Expect pressure to grow, especially as more independent case reports emerge and as media coverage draws attention to the life-altering nature of these injuries. This is not just a litigation story anymore—it is rapidly becoming a public health issue.

June 2, 2025 – Early Defense Strategy Emerges in Vision Loss Cases

Novo Nordisk is already telegraphing part of its defense strategy for the NAION lawsuits: blame the underlying health conditions. In several recent filings, the company has suggested that diabetes, hypertension, and high cholesterol, common among Ozempic users, are known risk factors for optic nerve damage and vision loss, and that any injury suffered by plaintiffs may be unrelated to semaglutide exposure.

This is a familiar pharmaceutical defense attorney playbook: frame the condition as multifactorial and shift the focus away from the drug’s role. But it is a risky strategy in front of a jury. Plaintiffs’ lawyers will argue that Novo Nordisk had an obligation to warn even if the drug only slightly increased the baseline risk, especially since patients with diabetes are already vulnerable to ocular damage and would be even more cautious if fully informed.

This line of defense also ignores the emerging scientific consensus that NAION events in semaglutide patients are occurring at a higher-than-expected rate. Some of the most severe injuries are showing up in people with no significant prior eye issues. If the litigation progresses to expert testimony and case-specific discovery, juries may not be sympathetic to a company that downplays catastrophic injuries as just a coincidence.

It is an early sign that the NAION litigation will not just mirror the gastroparesis MDL but could evolve into its own battleground, with distinct scientific questions, plaintiff demographics, and a higher potential for headline verdicts.

More Ozempic Lawsuit Updates 👈

May 19, 2025 – Ozempic Vision Loss Lawsuits Filed Over NAION Side Effect

The Ozempic litigation is expanding. Multiple vision loss lawsuits have now been filed against Novo Nordisk by patients who developed non-arteritic anterior ischemic optic neuropathy (NAION). This serious and potentially irreversible eye condition can lead to blindness after using Ozempic.

These new Ozempic lawsuits allege that Novo Nordisk failed to warn patients and doctors about the risk of NAION, despite evidence from clinical trials, post-marketing surveillance, and adverse event reports. These cases are especially troubling because the current label for Ozempic does not include any warning about vision loss or NAION, even though the scientific literature and real-world reports suggest a link between semaglutide (the active ingredient in Ozempic) and optic nerve damage.

These vision loss claims are expected to grow. Similar lawsuits involving Wegovy and Rybelsus, two other semaglutide drugs that Novo Nordisk manufactures, are also in development. All three medications are part of the GLP-1 receptor agonist drug class and share similar pharmacological profiles.

From a litigation standpoint, the argument is clear: patients were never given the chance to make an informed decision, and many never would have agreed to use Ozempic had they been properly warned. Plaintiffs’ lawyers are pointing to the company’s well-chrnoicled aggressive marketing tactics, including off-label promotion of Ozempic for weight loss, as further evidence that patient safety took a backseat to profit.

For attorneys already tracking Ozempic stomach paralysis or gallbladder injury claims, these vision loss lawsuits represent a new and severe injury theory.  NAION lawsuit may carry much higher settlement amounts due to the life-altering nature of blindness and the complete absence of warnings.

May 2, 2025 – Over 500 New Cases Added to MDL In April

The Ozempic MDL (MDL No. 3094) now includes 1,685 active cases, up from 1,148 last month. That is a jump of over 500 new filings in just one month—one of the sharpest increases we have seen across any current mass tort. This follows a period of expanded advertising by law firms and growing public awareness of the alleged gastrointestinal injuries tied to GLP-1 receptor agonists like Ozempic, Wegovy, and Mounjaro.

April 24, 2025 – New NC Case Added to MDL

In a new lawsuit filed Tuesday, a North Carolina woman alleged in New Jersey federal court that her use of Ozempic led to irreversible vision loss due to nonarteritic anterior ischemic optic neuropathy (NAION), a condition that causes sudden and permanent blindness.

The plaintiff, who began Ozempic in November 2023, was diagnosed with NAION by June 2024. She asserts that Novo Nordisk and its related entities knew or should have known of the causal connection between GLP-1 RAs and optic nerve ischemic events, based on mounting clinical trial data, post-marketing surveillance, peer-reviewed case reports, and a growing number of pharmacovigilance signals, including findings from JAMA Ophthalmology and Danish population studies. Despite this, the manufacturer never included any warnings regarding vision loss or NAION in Ozempic’s labeling.

This action is not part of the ongoing GLP-1 receptor agonist MDL centralized in the Eastern District of Pennsylvania, which focuses primarily on gastrointestinal injuries. Instead, this case represents one of the emerging standalone filings centered on severe ocular injuries—specifically NAION—allegedly linked to semaglutide exposure.

April 22, 2025 – Oral Arguments Today

Novo Nordisk and Eli Lilly moved to dismiss the majority of claims in these lawsuits. Their argument, ignoring the depth and detail already provided in the master complaint, is that many allegations were too vague to support legal action.

This does not track. We are talking about specific gastrointestinal injuries. These are not boilerplate allegations. Plaintiffs argue the complaint specifically references recurring themes in the companies’ advertising strategies that overstated safety profiles and misled both patients and prescribers.  This is a hard argument to refute, even for people who wholeheartedly support these drugs.

Contrary to the defendants’ characterization of a “kitchen sink” approach, the negligence claim deliberately includes a wide range of conduct to account for differing state laws that will apply across individual cases. Far from being unfocused, this strategy is a necessary feature of complex, nationwide litigation. It is a feature, not a bug.

Moreover, the assertion that the complaint lacks specific misrepresentations overlooks the reality that these drugs were marketed to the public in a uniform, heavily branded manner. Plaintiffs contend that these promotions, which saturated digital, print, and broadcast media, consistently omitted meaningful warnings—an omission that became especially problematic as internal safety signals and international regulatory developments surfaced.

It is hard to see the judge ruling against plaintiffs. But it is only one judge who makes the decision. Anything is possible.

April 21, 2025 – New Study

A CDC-supported study published in the Annals of Internal Medicine found that semaglutide-related emergency room visits occurred an estimated 25,000 times between 2022 and 2023, with the majority of these visits occurring in 2023. The majority of these visits involved semaglutide alone, almost always in injectable form, and were triggered by serious gastrointestinal issues or hypoglycemia. Many cases required hospitalization.

Defendants will downplay the findings by characterizing the overall rate of visits as “rare,” but that term does not accurately reflect the severity of the outcomes. Nearly 40 percent of hypoglycemia cases and 15 percent of gastrointestinal cases resulted in hospital stays. These are not minor side effects. They are serious medical events that are risks that need to be clearly communicated to patients and doctors.

April 9, 2025 – The Battle Over Gastroparesis Without a Gastric Emptying Study

Eli Lilly and Novo Nordisk are trying to shut down a big part of the plaintiffs’ case by blocking two key experts from testifying. These experts, Dr. Daniel Raines and Dr. Eliot Siegel, have been helping plaintiffs connect their use of drugs like Ozempic and Mounjaro to gastroparesis, which, as most everyone reading this knows, slows down digestion and causes severe symptoms like nausea, vomiting, and stomach pain.

The defendants argue that unless a plaintiff has undergone a specific medical test—a gastric emptying study—to objectively confirm the diagnosis, the entire opinion should be dismissed.  The defense is basically saying that symptoms alone are not enough and that relying on clinical judgment or timing, like the fact that symptoms started while on the drug and went away when it was stopped, does not meet the legal standards for reliable scientific evidence. They’re leaning heavily on medical guidelines that recommend testing and framing the experts’ methods as unscientific and too vague to be trusted in court.

What this really is, though, is a strategic move to disqualify potentially hundreds of claims from people who did undergo formal testing, often because their doctors believed it was not necessary once the symptoms subsided. If the court agrees with the defense, a huge number of plaintiffs could be excluded just because they didn’t go through a specific diagnostic process, even though their symptoms and timelines strongly point to the drugs as the cause.

A ruling that excludes expert testimony ignores how medicine is actually practiced. In real life, doctors often rely on symptoms, clinical judgment, and how a patient responds to stopping a medication, especially for drug-induced conditions that are temporary and resolve without invasive tests. Many plaintiffs did not undergo formal testing. Why?  Many reasons.  One big reason many victims tell us is that their symptoms improved once they stopped taking GLP-1 drugs, and their doctors saw no need for further workup.

So if the court requires objective testing in every case, it effectively penalizes plaintiffs for following standard medical advice, shuts the courthouse doors to valid claims, and sets an unrealistic and unfair legal bar that benefits drug companies at the expense of genuinely harmed patients.

April 1, 2025 – 164 New Ozempic MDL Cases in March as Parties Prepare for Rule 702 Hearing

The Ozempic MDL added 164 new cases in March, following 110 filings in February, bringing the total number of pending lawsuits to 1,685. These filings come as the parties prepare for a pivotal Rule 702 hearing set for May 14, 2025, where the admissibility of expert testimony on causation will be challenged. This hearing could shape which types of claims survive into later stages of the litigation.

March 26, 2025 – New Direct-Filed Lawsuit

New lawsuits keep coming in over Ozempic and other GLP-1 receptor agonists, with plaintiffs continuing to allege severe gastrointestinal injuries. In the latest case, a plaintiff from Illinois has sued Novo Nordisk, claiming Ozempic caused debilitating gastroparesis.

Filed directly into the GLP-1 MDL in the Eastern District of Pennsylvania, the complaint argues that Novo knew for years about the risk of stomach paralysis but failed to warn patients and doctors. The plaintiff, who took Ozempic for weight management, suffered severe gastrointestinal complications requiring medical intervention.

March 17, 2025 – Eli Lilly Motion

Eli Lilly has filed a motion requesting that the court rule that a reliable diagnosis of gastroparesis must be based on contemporaneous objective testing.

The motion further seeks to exclude testimony from plaintiffs’ experts who argue that a gastroparesis diagnosis can be reliable without such testing. The company argues that objective testing is necessary to ensure medical reliability and prevent speculative diagnoses, which could undermine the scientific rigor of the case.

Eli Lilly’s motion is a clear attempt to impose an overly rigid standard for diagnosing gastroparesis, one that does not necessarily reflect how real-world medicine, or real work tort claim, work. While objective testing can be useful, doctors do not rely on it alone. Many diagnoses are based on a combination of symptoms, patient history, and clinical judgment, especially when tests are inconclusive or not always available. By attempting to exclude expert opinions that acknowledge these medical realities, Lilly want to change how tort claims work.

This approach is entirely consistent with their broader effort to. do whatever they can to limit the number of claims against them. The fewer diagnoses they can classify as valid, the fewer plaintiffs can proceed with their cases. This motion is not about ensuring medical accuracy or justice. It is about creating legal barriers to weaken the plaintiffs’ ability to hold them accountable and we do not think it will fly.

February 26, 2025 – New NAION Study

A recent study published last week in JAMA Ophthalmology investigated the potential link between semaglutide and non-arteritic anterior ischemic optic neuropathy (NAION), a rare eye condition that can lead to sudden vision loss.

The research analyzed data from 37.1 million adults with type 2 diabetes, including over 810,000 new users of semaglutide. The findings indicated an increase in the relative incidence of NAION among semaglutide users compared to those not exposed to the drug. Specifically, the incidence rate was 14.5 cases per 100,000 person-years among semaglutide users.

So it does not happen often.  Should there be a warning that there is a risk of this awful eye problem so patients can choose whether to take the risk?  Of course.

The authors of this study also recommend that healthcare providers consider this increased risk when prescribing Ozempic, Rybelsus, and Wegovy and discuss it with patients as part of a comprehensive benefit-risk assessment.

February 25, 2025 – Prices Drop

Eli Lilly & Co. has announced a significant price reduction for its weight-loss and diabetes medication, Zepbound. The cost for single-dose vials will decrease from $699 to $499 per month for self-paying patients. Additionally, the company is introducing two new dosage options: 7.5 mg and 10 mg, both priced at $499 monthly. The existing 2.5 mg and 5 mg doses will also see price reductions to $349 and $499 per month, respectively.

Why the price drop? Demand is not dropping, but the sales are not growing at the level some hoped. Why?  Are people seeing that these drugs have real limitations and risks, and they are not for everyone?

February 21, 2025 – Case Management Conference Agenda Next Week

  • Update on Case Filings: Review the current status and number of case filings.

  • Short Form Complaint and Enabling Order: Discuss the adoption and implementation of a standardized short form complaint to streamline individual lawsuit filings.

  • Coordination Order: Consideration of an order to coordinate proceedings among various parties to ensure efficient case management.

  • Deposition (Non-Expert) Protocol: Establish guidelines and protocols for conducting depositions of non-expert witnesses.

  • Planning for May 14, 2025, Rule 702 Hearing: Organize and schedule the upcoming hearing focused on the admissibility of expert testimony under Federal Rule of Evidence 702.

February 6, 2025 – Ozempic MDL Sees Significant Uptick in January Filings

After a slow December, when only 31 new cases were added, the GLP-1 Receptor MDL saw a sharp increase in January, with 110 new lawsuits filed. This brings the total number of pending cases to 1,443. This is still not quite the number of lawsuits we thought we would see filed when the litigation began. But our law firm continues to receive a steady stream of new inquiries from individuals who have suffered severe gastrointestinal injuries after taking GLP-1 receptor agonists like Ozempic.

February 1, 2025 – New Lawsuit

In a new lawsuit filed yesterday, a Michigan woman has sued Novo Nordisk, alleging that the company’s widely used weight-loss and diabetes drug, Ozempic, caused her to suffer severe gastrointestinal injuries.

The lawsuit, which would have been filed in the Western District of Texas if there was not an MDL in Pennsylvania, claims that the pharmaceutical giant negligently designed, marketed, and failed to warn patients about the significant risks associated with the drug, including gastroparesis, ileus, and intestinal obstruction.

The plaintiff, who was prescribed and used Ozempic in Waco, Texas, alleges that she experienced debilitating cyclical vomiting, extreme constipation, and severe dehydration that required hospitalization. The complaint details how Novo Nordisk allegedly downplayed the severity and duration of these side effects while aggressively marketing Ozempic as a “miracle” weight-loss solution. The lawsuit further claims that the company failed to provide adequate warnings about the risk of long-term gastrointestinal complications, which have led to lasting health consequences for the plaintiff.

January 28, 2025 – New Study, More Concern

A recent study published in JAMA Otolaryngology–Head & Neck Surgery has added another layer of concern to the growing Ozempic lawsuits and the broader litigation over GLP-1 receptor agonists.  We did not need another layer to have plenty of concern.

The study analyzed data from over 350,000 adults with type 2 diabetes and found that patients initiating GLP-1RA therapy—including drugs like Ozempic and Mounjaro, of course—had a significantly increased risk of being diagnosed with thyroid cancer within the first year of use compared to those prescribed other diabetes medications.

Like most single studies, this study admittedly proves nothing.  Maybe the spike is due to increased medical surveillance rather than the drug itself directly causing cancer. But the findings still raise more red flags about the potential risks of GLP-1 medications. There is too much smoke around these drugs for there not to be some fire on some of these new “maybe” side effects.

January 22, 2025 – New Study Throws More Cold Water on Ozempic

A new January 2025 study has emerged to throw more cold water on the ostensible miracle drug Ozempic and similar GLP-1 receptor agonists (GLP-1RAs). While these medications are widely promoted as groundbreaking treatments for diabetes and obesity, this latest research highlights a troubling reality: Ozempic is not all it is cracked up to be. The study reveals a mixed bag of health outcomes, with no doubt some real benefits but also significant risks that raise serious concerns about the drug’s overall safety profile.

While GLP-1RAs like Ozempic may reduce the risks of dementia, heart disease, and some infections, they are also associated with severe and often life-altering complications. The study found increased risks of gastrointestinal disorders, kidney stones, arthritis, fainting, and even drug-induced pancreatitis in patients using these medications. This adds to a growing body of evidence suggesting that Ozempic may not be as safe as advertised. Patients who trusted these medications to improve their health are left to deal with unexpected and painful consequences—consequences that drug manufacturers either overlooked or failed to adequately warn about. This is yet another reminder that flashy marketing, early success, and a fawning media do not tell the whole story.

Does this mean Ozempic is an awful drug and there should be an Ozempic recall?  No. But a drug should warn of the known risks.

January 9, 2025 – Key Hearing in May

The court has scheduled a pivotal Rule 702 evidentiary hearing in the litigation to address Cross-Cutting Issue No. 1, set for May 14, 2025. This hearing will assess the admissibility of expert testimony under Rule 702, a crucial step in determining whether the opinions of certain experts will be permitted to inform the case. All experts subject to motions to exclude will testify. This will be every single plaintiff’s expert on causation. So this hearing is make or break.

December 31, 2024 – MDL Expected to Approach 10,000 Cases

At the most recent status conference in the Ozempic MDL, lead counsel for the plaintiffs advised the judge to expect thousands, and possibly tens of thousands of cases to be added to the MDL eventually. That estimate was based on a poll of the various plaintiffs’ lawyers regarding the number of potential cases currently under investigation. That poll found that there were around 7,000 potential cases currently under investigation (and only included those plaintiffs’ lawyers who are already involved in the litigation). Meanwhile, Judge Marston set an evidentiary hearing for May 20, 2025, on whether to permit early discovery and motion practice on the issues of preemption, adequacy of warning labels, and gastroparesis diagnostic testing standards.

December 20, 2024 – Adding Saxenda, Not Other Injuries

The Judicial Panel on Multidistrict Litigation ruled to expand the GLP-1 receptor agonist MDL to include claims involving Novo Nordisk’s Saxenda. But it rejected a request to add blood clot-related injuries, such as deep vein thrombosis and pulmonary embolism, due to concerns over increased complexity.

The MDL focuses on gastrointestinal injuries such as stomach paralysis and intestinal obstruction. Despite support from both plaintiffs and Novo Nordisk for including clotting-related claims, the JPML ruled they did not share enough commonalities with gastrointestinal injuries.

November 13, 2024 – New Lawsuit

In a new lawsuit filed as part of the national MDL for glucagon-like peptide-1 receptor agonists (GLP-1 RAs) in Philadelphia, a Tennessee woman alleges that Novo Nordisk’s drugs, Ozempic and Wegovy, caused her to develop severe, chronic gastrointestinal injuries, including gastroparesis.

The plaintiff was prescribed Ozempic in 2022 to manage diabetes and weight. She soon began to experience persistent vomiting, nausea, and extreme stomach discomfort. After ongoing symptoms, she underwent a gastric emptying study in early 2023, a diagnostic test widely regarded as the gold standard for diagnosing delayed gastric emptying or gastroparesis, which confirmed her condition. This objective test result is likely to be significant evidence in the litigation.

Her lawsuit alleges, as they all do, that Novo Nordisk failed to adequately warn users and healthcare providers of the drugs’ severe gastrointestinal risks, including gastroparesis, stomach paralysis, and intestinal blockages—risks the plaintiff argues the company either knew or should have known based on prior clinical studies and adverse event data. She also alleges Novo Nordisk downplayed these risks in its marketing, portraying the drugs as safe, effective, and essential for weight management, while omitting critical information about the drugs’ serious side effects and the likelihood of weight regain if discontinued.

November 12, 2024 – Minimizing Gastroparesis Risks

As cases mount in the Ozempic MDL, new filings are drilling down on the claim that Novo Nordisk systematically downplayed gastroparesis risks in its marketing.  Plaintiffs’ lawyers allege Novo Nordisk was aware of Ozempic’s impact on stomach motility but resisted adjusting the warning labels, fearing it could dissuade users from starting or continuing treatment. The reluctance to address gastroparesis risks early on will be a key focus in this litigation, as many lawyers have stopped talking about cases that do not involve gastroparesis.

November 4, 2024 – Gastric Emptying Studies Grow in Importance

The MDL judge seems to have questions about whether plaintiffs can prove that gastroparesis is caused by Ozempic or even whether an individual plaintiff can prove they have gastroparesis. So there is a new emphasis how to nail down whether a patient had gastroparesis and the fear that even though a doctor’s diagnosis should be enough, it won’t be.

That has led to a new emphasis on gastric emptying studies as a key element of proof in the GLP-1 agonist litigation. These studies, which measure the rate at which food leaves the stomach, are considered the most objective way to identify delayed gastric emptying, a primary symptom and clinical hallmark of gastroparesis.

As the litigation progresses, gastric emptying studies will increasingly be viewed as the key pathway to substantiating claims that drugs like Ozempic may alter gastrointestinal motility. Presenting gastric emptying study results in court provides scientific support and helps distinguish true cases of gastroparesis from other digestive issues,

November 1, 2024 – Scheduling Order

This is the path forward:

Deadline Description
July 2, 2025 Deadline for fact discovery
July 16, 2025 Deadline for Plaintiffs to serve expert reports
August 13, 2025 Deadline for Defendants to serve expert reports
August 22, 2025 Deadline for Plaintiffs to serve rebuttal expert reports
October 10, 2025 Deadline for all parties to complete expert depositions
October 27, 2025 Deadline for submission of motions to exclude expert opinions under Rule 702 and initial briefs
October 29, 2025 Deadline for submission of summary judgment motions and initial briefs
December 3, 2025 Deadline for submission of briefs in opposition to Rule 702 motions
December 16, 2025 Deadline for submission of briefs in opposition to summary judgment motions
December 17, 2025 Deadline for submission of reply briefs in support of Rule 702 motions
January 16, 2026 Deadline for submission of reply briefs in support of summary judgment motions

What we are willing to do here is tell you the truth.  This schedule is depressing. This will be a long process.  All this is just to get to the individual lawsuits and conduct further discovery on the defendants if we win.  You can already see Ozempic lawyers tightening their criteria, as they realize this will be a long-term project. So pack a lunch, this is going to take a while.

October 29, 2024 – Problems Making Ozempic

The FDA recently cited Novo Nordisk’s main Ozempic and Wegovy production plant in Kalundborg, Denmark, for quality control issues. The problem was a lack of proper information on water used in production to ensure control over microorganisms. This facility, one of only two in the world that manufactures semaglutide (the active ingredient in these drugs), is crucial to Novo’s efforts to meet rising demand for its popular obesity and diabetes medications. Earlier, Novo’s North Carolina plant faced FDA citations for insufficient investigation into bacterial contamination.
The reason for mentioning this is that they’re repeating the same mistakes—prioritizing maximum production and profit—as they did when they rushed this product to market.

Ozempic

Ozempic (generically known as semaglutide) is a prescription medication that is used in the management of type 2 diabetes. Ozempic is part of a class of drugs known as glucagon-like peptide-1 (GLP-1) receptor agonists. GLP-1 is a hormone in the body that gets released in response to food intake and helps regulate blood sugar levels.

There is also evidence that Ozempic can induce weight loss in people with obesity, even those without diabetes. Ozempic is approved for the management of type-2 diabetes. Recently, however, doctors have prescribed Ozempic to treat obesity and weight management.

Ozempic is manufactured by the Dutch pharmaceutical company Novo Nordisk, which focuses primarily on the development and sale of diabetes drugs.

Ozempic was first developed by Novo Nordisk in 2012, and it was approved for use by the FDA and released on the U.S. market in December 2017. In 2021, a higher-dose version of Ozempic (sold under the brand name Wegovy) was approved by the FDA.

Ozempic (and other GLP-1 drugs) work by stimulating the production of insulin after meals. GLP-1 is a naturally occurring peptide in the body that helps control blood sugar levels. GLP-1 agonists mimic the effects of this peptide, making them useful in the treatment of type 2 diabetes.

So this drug helps to reduce blood sugar to normal levels. Ozempic also slows down the digestive process, which also helps to maintain normal glucose levels. Ozempic is administered as a once-weekly injection with a minimum dosage of 0.25 mg and a maximum dose of 1 mg.

Beyond its primary use for diabetes, the weight loss effects of Ozempic, observed during clinical trials, led to further exploration of the drug’s potential in this area. As a result, semaglutide has also been approved in higher doses under the name “Wegovy” for chronic weight management.

How does Ozempic work? It works great. The drug is sweeping the country and it is helping many patients. The question is, did the drug maker warn of all the risks so that a minority of patients did not unnecessarily suffer?

Gastroparesis Is Awful

Gastroparesis is essentially a stomach condition where the muscles don’t work as they should. Normally, strong muscle movements help move food along the digestive system. But if you have gastroparesis, this movement in your stomach is either too slow or doesn’t happen at all, making it hard for your stomach to empty food correctly.

This can mess up your digestion and lead to several problems, like feeling nauseous, throwing up (sometimes even food that hasn’t been digested), belly pain, bloating, getting severely dehydrated, feeling full quickly when eating, food not digesting and staying in the stomach, acid reflux, blood sugar levels going up and down, not feeling hungry, losing weight, not getting enough nutrients, and a drop in your quality of life.

The news gets worse: there is no known cure for gastroparesis.

So, if you are reading this and you are not a victim, imagine the hunger pangs that prompt you to nourish your body, only to be met with pain, nausea, and vomiting every time you try to eat.

This condition traps its sufferers in a relentless cycle of discomfort. With a stomach that refuses to cooperate, the basic human need to eat becomes a battleground. Every meal is a calculation, a risk, and often a regret. The physical symptoms are just the beginning; the psychological toll is equally devastating. The constant worry about when the next flare-up will occur, the anxiety of eating in public, and the stress of managing a diet that is both safe and nourishing can be overwhelming. It is miserable.

The pain and discomfort of gastroparesis are not fleeting, either. They linger and echo through every aspect of your life, casting a shadow over daily activities and social interactions. The chronic nature of the condition means that relief is often temporary and incomplete, leaving sufferers to navigate a maze of treatments and dietary adjustments in search of some semblance of normalcy.

Gastroparesis is frequently misunderstood or overlooked, especially by those unfamiliar with its effects, which can make the experience even more isolating for sufferers. The symptoms of gastroparesis are non-specific and often resemble those of other conditions like functional dyspepsia, irritable bowel syndrome, or peptic ulcer disease. This can lead to frequent misdiagnosis or a failure to diagnose the condition at all.

Because it is an “invisible” illness, it is often disregarded by family and friends, making empathy hard to come by. As a result, many individuals with gastroparesis feel alone in their struggle, compounding their emotional and physical burden.

The misery of gastroparesis is not just in its physical symptoms but also in the way it steals the simple pleasures of life, like enjoying a meal without fear or pain. It is a condition that demands constant vigilance and adaptation and tests the resilience of those it afflicts.

This Could Have Been Avoided

The frustration is palpable when you learn that this could have been avoided, that the medication you took, the one promised to help with another condition entirely, came with a hidden price tag: an increased risk of developing cholecystitis or gastroparesis. But where was the proper warning to put the risk of this misery in fair context? Where was the caution that could have spared you from this relentless cycle of pain and despair? That is what Ozempic lawsuits are about.

The bottom line is that drug makers have a duty, a moral obligation, to fully disclose the risks associated with their products. Patients deserve to make informed decisions about their health care, weighing the benefits of a medication against its potential risks. This is where the lawsuits come into play.

NAION and Ozempic

In 2024, a new and alarming potential side effect of Ozempic emerged in the ongoing litigation: Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION). NAION is a serious condition where blood flow to the optic nerve becomes blocked, leading to sudden and sometimes irreversible vision loss.

Typically, this condition is linked to underlying risk factors such as high blood pressure, diabetes, and elevated cholesterol levels. However, it can also occur unexpectedly due to structural characteristics of the eye, making it a concerning and unpredictable threat.

As we mentioned in our July 3, 2024, update above, the link between Ozempic and NAION is not yet definitively proven. However, a new study has emerged that strongly suggests a connection between the drug and the development of NAION.

According to the research, rapid fluctuations in blood glucose levels—commonly seen with the use of diabetes medications like Ozempic—may adversely impact blood flow to the optic nerve, triggering this condition in individuals who are particularly susceptible.

Our law firm is actively investigating these cases. Given the severity of NAION and its potential link to Ozempic, our Ozempic attorneys believe that claims related to this issue could lead to substantial settlement amounts, reflecting the life-altering impact of sudden vision loss. We are fully prepared to pursue these claims and hold the responsible parties accountable.

Estimated Ozempic Lawsuit Settlement Amounts 

Estimating the potential settlement value of new product liability cases like this is almost impossible to do with any real accuracy. That is particularly true with the Ozempic gastroparesis lawsuits because they are very new. At this point, we don’t know how the scientific evidence behind these cases is going to hold up in court. That is a major variable in any defective drug case.

Still, victims want to know how much the Ozempic lawsuit is going to pay out? So what our lawyers can do, however, is provide an educated guess as to the possible settlement compensation payout range of Ozempic cases based on various assumptions about the causation evidence. Based on these significant assumptions, our attorneys believe that a successful Ozempic lawsuit could have a settlement value range of $400,000 to $700,000. This is the settlement value estimate for the “top tier” Ozempic cases, which would be those in which the plaintiff suffered severe gastroparesis or death.

In our April 5, 2024 update above, our attorneys talk about the type of cases we are seeing in this litigation. Some of them involve injuries that resolve quickly. You will not see settlement payouts anywhere near that number for those types of lawsuits. However, serious, permanent injury cases may yield significant value.

Practical Reasons That May Drive an Ozempic Settlement

The financial dynamics of the pharmaceutical market suggest significant potential payouts in the Ozempic-related litigation. These defendants are getting ridiculous profits from Ozempic, Rybelsus, Wegovy, Trulicity, and Mounjaro. These companies are in a position to handle extensive settlement costs without crippling their financial standing.

Drug companies typically like to fight and drag out litigation as long as possible.  They also do not care as much as you would think about besmirching the name of the company with adverse publicity of big verdicts against them. But this is different – they are worried about the drug’s reputation and their ability to sell more of it.

It is the profits these drugs are bringing in that may change the calculus.  It may make it more likely that these companies will prefer settling claims out of court more quickly to protect their profits and avoid the public relations disaster of a verdict and the additional scrutiny that adverse verdicts on these drugs could bring.

The thinking is that these defendants might opt to offer substantial settlement payouts to quickly resolve the litigation and mitigate any negative publicity that could arise during a trial. Such a strategy not only helps maintain the brand’s market position but also potentially avoids the exposure of additional harmful evidence that could lead to even higher compensation claims or punitive damages.

So the expectation hope is that defendants will issue significant compensation to claimants sooner rather than later to circumvent the reputational damage and financial unpredictability associated with jury verdicts.

Weight Loss Lawsuits May Have Higher Values than for Diabetes

We think injury lawsuits for patients taking Ozempic and related drugs for diabetes will receive real compensation if the claims are viable.  Still, settlement amounts for Ozempic in weight loss cases may be higher than those for diabetes claims due to several factors.
First, the use of Ozempic for weight loss can involve a different patient demographic, potentially including younger individuals who may experience longer-term or more severe impacts from side effects, thereby increasing the perceived damages. Younger patients generally get higher settlement payouts than older patients in mass tort lawsuits.
Secondly, the expectations and marketing surrounding weight loss medications can create a higher perceived duty of care from pharmaceutical companies to disclose potential risks, which, if not adequately communicated, could lead to greater liability and thus higher settlements. The thinking is that weight loss is far more optional than diabetes, so failure to warn those patients is somehow worse. Jurors may view the failure to warn of side effects in a medication used for lifestyle or cosmetic reasons as more egregious than one used for managing a chronic health condition like diabetes, potentially leading to not only a greater chance of winning a failure to warn claim, it could lead to a large punitive damages award.
Additionally, weight loss patients may not have the same underlying health issues as those with diabetes, making it easier to attribute certain side effects directly to the medication rather than pre-existing conditions.  Defense lawyers in this litigation know that juries look for reasons to blame the patient.  Good lawyering can solve most of this problem.  But it is still a thing, and this perceived clearer causation can strengthen claims and influence settlement outcomes.

New Ozempic Warning

On September 28, 2023, the FDA added a new warning to the Ozempic label about the potential for increased risk of ileus, a blockage that keeps food or liquid from passing through the colon.

The new warning on the Ozempic label states that:

Ileus: Ileus is a serious but rare side effect that has been reported in patients taking Ozempic. Ileus can cause abdominal pain, nausea, vomiting, and constipation. If you experience any of these symptoms, contact your healthcare provider immediately.

The FDA also recommends that healthcare providers monitor patients taking Ozempic for signs and symptoms of ileus, and that they consider discontinuing Ozempic if ileus is suspected.

The point being underscored here is that we have a drug on the market, but the risks of the drug are far from nailed down.

The Focus of Every Ozempic Lawsuit Is the Failure to Warn

Every Ozempic lawsuit asserts the key claim in this litigation:  Novo Nordisk, the maker of Ozempic, failed to provide adequate warnings about the risk of developing gastroparesis, a condition characterized by delayed stomach emptying, as a side effect of the drug.

While the Ozempic label mentions common adverse reactions like nausea, vomiting, diarrhea, abdominal pain, and constipation, it does not link these symptoms to gastroparesis, nor does it include them in the “Warnings and Precautions” section. The label does mention delayed gastric emptying in the context of drug interactions. It describes a minor delay in gastric emptying as part of the drug’s mechanism. Still, it does not explicitly state gastroparesis as a risk or potential chronic condition resulting from Ozempic use.

Additionally, Novo Nordisk’s promotional materials, including their primary website, fail to mention the risk of gastroparesis in the “Important Safety Information” section. The materials also highlight changes in labeling over time, such as the removal of specific guidance on side effects from the “Patient Counseling Information” section, which may cause physicians to misinterpret symptoms like vomiting as minor or temporary.

Victims’ Ozempic lawyers argue that Novo Nordisk was aware or should have been aware of the potential link between Ozempic and gastroparesis, based on clinical studies, case reports, and medical literature. That is the core of these lawsuits. The company failed to provide adequate warnings about this risk, which allegedly led to a lack of awareness in the medical community and potentially affected prescribing decisions.

You also have to remember that we are not just talking about Ozempic in terms of clues to the risk. Ozempic is a  GLP-1 receptor agonist (GLP-1RA). The risk of gastroparesis is common across the GLP-1RA class, which includes medications like tirzepatide, exenatide, liraglutide, albiglutide, dulaglutide, and lixisenatide. Published literature on the association between gastroparesis and any GLP-1RA, not just Ozempic, should have alerted manufacturers to the need for warnings about this risk to patients and prescribing physicians.

Ozempic lawsuits contend that if the risks of gastroparesis had been adequately disclosed, it would have influenced the physician’s decision to prescribe Ozempic or to monitor for symptoms of gastroparesis more closely. Why not disclose the risk? There could be any number of reasons. But, like everything, it usually comes down to money. More warnings equal fewer sales, which equals less money. It is as simple as that.

Ozempic Class Action Lawsuit

In February 2024, the MDL panel certified an Ozempic class action lawsuit. A Multidistrict Litigation (MDL) class action can potentially speed up the settlement process in lawsuits like the Ozempic case in two important way that may lead to earlier Ozempic settlements:

Streamlined Proceedings: MDLs consolidate similar cases to streamline the legal process. By bringing numerous similar lawsuits under one court, MDLs help reduce duplicative discovery, avoid conflicting rulings in different courts, and increase the efficiency of the legal process. This consolidation can lead to quicker settlements because it creates pressure on the defendants to resolve many cases at once rather than dealing with each case individually over a prolonged period.

Higher Negotiation Leverage: In an MDL, the large number of cases consolidated together increases the plaintiffs’ negotiation leverage. This can encourage the defendant, in this case, Novo Nordisk, to settle to avoid the risk of facing a potentially large, cumulative judgment across many individual cases. Settlements in an MDL can offer compensation to claimants more quickly than individual lawsuits, which might take years to resolve. Ozempic settlement amounts are unlikely to be one-size-fits-all. If these claims are successful, Ozempic settlement payouts will vary depending on the severity of the side effects and the evidence supporting the plaintiffs’ claims.

Our lawyers sometimes refer to the Ozempic MDL (multidistrict litigation) as a class action lawsuit because that is what people call it (and, frankly, how they search it), but it is important to understand that these two legal mechanisms are distinct.

A class action lawsuit involves a group of plaintiffs who have suffered similar harm from the same defendant, and their cases are combined into a single lawsuit. This allows the group to be represented collectively by a member of the class, and any judgment or settlement applies to all class members. In a class action, the court must certify the class, establishing that the claims are sufficiently similar and that the representative parties will protect the interests of the class. You might see some classic Ozempic class actions filed in this litigation that include consumer claims for people who may not be injured.

On the other hand, an MDL consolidates individual Ozempic lawsuits with similar claims into a single court for pretrial proceedings, streamlining the process and making it more efficient. Each plaintiff in an MDL maintains their individual lawsuit, and their case is transferred back to its original court for trial if it does not settle during the MDL process. The primary goal of an MDL is to handle complex cases involving many plaintiffs and common factual issues more efficiently.

In the context of the Ozempic MDL, multiple individual cases related to the drug are consolidated for pretrial procedures. This allows for coordinated discovery and judicial efficiency but retains the individuality of each plaintiff’s claim. Unlike a class action, the outcomes in an MDL can vary for each plaintiff based on the specifics of their case.

Estimated Settlement Amounts for an Ozempic Lawsuit

Estimating the potential settlement value of new product liability cases like this is almost impossible to do with any real accuracy. That is particularly true with the Ozempic gastroparesis lawsuits because they are very new. At this point, we don’t know how the scientific evidence behind these cases is going to hold up in court. That is a major variable in any defective drug case.

Still, victims want to know how much the Ozempic lawsuit is going to pay out? So what our lawyers can do, however, is provide an educated guess as to the possible settlement compensation payout range of Ozempic cases based on various assumptions about the causation evidence. Based on these significant assumptions, our attorneys believe that a successful Ozempic lawsuit could have a settlement value range of $200,000 to $500,000. This is the settlement value estimate for the “top tier” Ozempic cases, which would be those in which the plaintiff suffered severe gastroparesis or death.

Some involve injuries that these drugs cause heal relatively quickly, and those cases will likely not see settlement payouts close to the larger figures. However, cases involving severe and permanent injuries may have significant value.

Practical Reasons That May Drive Settlement

The financial dynamics of the pharmaceutical market suggest significant potential payouts in the Ozempic-related litigation. These defendants are getting ridiculous profits from Ozempic, Rybelsus, Wegovy, Trulicity, and Mounjaro. These companies  are in a position to handle extensive settlement costs without crippling their financial standing.

Drug companies typically like to fight and drag out litigation as long as possible.  They also do not care as much as you would think about besmirching the name of the company with adverse publicity of big verdicts against them. But this is different – they are worried about the drug’s reputation and their ability to sell more of it.

It is the profits these drugs are bringing in that may change the calculus.  It may make it more likely that these companies will prefer settling claims out of court more quickly to protect their profits and avoid the public relations disaster of a verdict and the additional scrutiny that adverse verdicts on these drugs could bring.

The thinking is that these defendants might opt to offer substantial settlement payouts to quickly resolve the litigation and mitigate any negative publicity that could arise during a trial. Such a strategy not only helps maintain the brand’s market position but also potentially avoids the exposure of additional harmful evidence that could lead to even higher compensation claims or punitive damages.

So the expectation hope is that defendants will issue significant compensation to claimants sooner rather than later to circumvent the reputational damage and financial unpredictability associated with jury verdicts.

Weight Loss Lawsuits May Have Higher Values than for Diabetes

We think injury lawsuits for patients taking Ozempic and related drugs for diabetes will receive real compensation if the claims are viable.  Still, settlement amounts for Ozempic in weight loss cases may be higher than those for diabetes claims due to several factors.
First, the use of Ozempic for weight loss can involve a different patient demographic, potentially including younger individuals who may experience longer-term or more severe impacts from side effects, thereby increasing the perceived damages. Younger patients generally get higher settlement payouts than older patients in mass tort lawsuits.
Secondly, the expectations and marketing surrounding weight loss medications can create a higher perceived duty of care from pharmaceutical companies to disclose potential risks, which, if not adequately communicated, could lead to greater liability and thus higher settlements. The thinking is that weight loss is far more optional than diabetes so failure to warn those patients is somehow worse. Jurors may view the failure to warn of side effects in a medication used for lifestyle or cosmetic reasons as more egregious than one used for managing a chronic health condition like diabetes, potentially leading to not only a greater chance of winning a failure to warn claim, it could lead to a large punitive damages award.
Additionally, weight loss patients may not have the same underlying health issues as those with diabetes, making it easier to attribute certain side effects directly to the medication rather than pre-existing conditions.  Defense lawyers in this litigation know that juries look for reasons to blame the patient.  Good lawyering can solve most of this problem.  But it is still a thing and this perceived clearer causation can strengthen claims and influence settlement outcomes.

When Will the Ozempic Lawsuit Be Settled?

The timeline for when the Ozempic gastroparesis lawsuit for NAION claims will be settled remains uncertain. It is still in the early innings of the litigation.  We have not begun case-specific discovery.  The Ozempic MDL is now progressing through pretrial proceedings, with a focus on establishing general causation of the severe gastrointestinal risks associated with GLP-1 receptor agonists.  We do not think you will see any early Ozempic settlements, much less a large-scale resolution, for years.  That is not the news you want to hear, but we can give it to you straight.

So, for those wondering, when will the Ozempic lawsuit be settled? The reality is that mass tort litigation is unpredictable.  As the Ozempic class action lawsuit progresses, factors like bellwether trials—early test cases that gauge jury reactions—will shape potential payouts. But we are still, again, years away from that. . For now, those affected should stay updated as more lawsuits against Ozempic continue to be filed and hope that our legal strategies continue to evolve so that we can hold manufacturers accountable.

Hiring an Ozempic Lawyer

If you have an Ozempic gastroparesis lawsuit, call our Ozempic lawsuit lawyers today at 800-553-8082 or reach out to us online for a free consultation.

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