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The UK SmPC specifically recommends monitoring thyroid function when starting or stopping Rybelsus in patients who are taking levothyroxine

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Faster dose escalation schedules, higher baseline weight, prior GI sensitivity, and concurrent use of other medications affecting motility increase diarrhea likelihood

Off-label prescriptions for example, for weight loss or prediabetes must be paid out of pocket

Starting with lower doses and increasing gradually prevents any initial stimulating effects from feeling excessive