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Patients should contact their GP or seek urgent care if they experience: Severe, persistent abdominal pain (which may indicate pancreatitis) Signs of hypoglycaemia (particularly if taking Rybelsus with insulin or sulfonylureas) Neck lump, hoarseness, difficulty swallowing, or breathing difficulties Severe dehydration due to gastrointestinal side effects Visual changes or eye symptoms When stopping Rybelsus , whether due to side effects, inadequate response, or treatment goals being met, patients should be aware that the medication will remain in their system for several weeks

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