No, hearing loss is not listed as a recognised adverse effect in the official Summary of Product Characteristics for Ozempic (semaglutide), and there is no established causal link according to MHRA or EMA guidance

Women should contact their GP or specialist if they develop severe or persistent symptoms potentially related to oestrogen changes, including: Significant worsening of menopausal symptoms (hot flushes, night sweats, mood changes) Vaginal dryness or discomfort affecting quality of life Unexplained changes in libido or sexual function Symptoms suggestive of bone health concerns (unexplained fractures, significant height loss) Mood disturbances or depressive symptoms Seek urgent medical attention if you experience: Severe, persistent abdominal pain (especially radiating to the back) with or without vomiting, which could indicate pancreatitis Upper right abdominal pain, fever, or yellowing of the skin/eyes, which might suggest gallbladder disease Signs of dehydration (extreme thirst, dry mouth, reduced urination, dizziness) Suspected pregnancy while taking semaglutide Routine monitoring during semaglutide treatment should follow NICE guidance for diabetes management or weight management programmes

Schuppe ER, Miles MC, Fuxjager MJ
It also functions as a precursor to glutathione peroxidase, a key antioxidant enzyme, which protects against lipid peroxidation (fats turning rancid).*
Meal timing and side effect management Beyond the injection itself, how you time your meals in the days following injection can significantly affect your side effect experience
Managing and treating the underlying medical conditions is crucial in addressing leg cramps