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In some instances, people may experience mild symptoms, such as nausea, rashes, or itching

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Because oral bioavailability of semaglutide is low (~1%), Rybelsus requires strict dosing conditions empty stomach, no more than 4 oz (120 mL) of plain water, at least 30 minutes before the first food or drink of the day

Therefore, its not surprising that most people eventually go off their diets and soon regain any weight they may have lost. The Mayo Clinic, on the other hand, isnt an on-again-off-again diet, as the book notes

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