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Oral semaglutide (Rybelsus) must be taken on an empty stomach upon waking with a small sip of water, waiting at least 30 minutes before eating
The problem: the physiological adaptations that drove weight gain (elevated ghrelin, reduced peptide YY, increased hunger drive) return in parallel
Always follow the expiration date provided by the compounding pharmacy and store it in the refrigerator for best results
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