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You can read side effect reviews of Rybelsus on the manufacturers website

In people with obesity and type 2 diabetes, that gut-to-brain signal is often blunted

The result is predictable and unpleasant: severe nausea, vomiting, diarrhea, and potential dehydration

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The main difference is the level of risk

Food sits in your stomach much longer than youre accustomed to, creating ideal conditions for sulfur gas production