As I see it there are two ways, power through the 1mg dose you have been on for 2 weeks. It gets better every week. Or ask about backing off and increasing in smaller amounts, as the side effects reduce. Given you have had 2 weeks on 1mg, you have done the hard part. I'd be tempted to power through the next week or 2. I took a single tablet of pantoprazole a week for a month, it resolved my issues. I would ask about an antacid, if needed. I assume the over the counter ones aren't do much for you? I don't think Ozempic replaces a low carb diet for T2 diabetes.