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Oral medications and absorption: Because Rybelsus must be taken on an empty stomach with up to 120 mL of water and requires at least 30 minutes before other oral medications, there is potential for altered absorption of other drugs if timing instructions are not followed

Wang Z, Deng Q, Gu Y, Li M, Chen Y, Wang J, et al

These patients, seeking primarily cosmetic benefits, may have been inadequately counseled about the potential for developing conditions like pancreatitis that can trigger cascading gastrointestinal complications including gastroparesis