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The right choice depends on what is actually driving your weight gain, which is why a functional medicine workup comes before any prescription

Patients who have undergone Roux-en-Y gastric bypass may experience post-bariatric hypoglycemia, which requires separate evaluation

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Together, these effects help improve blood sugar management and may contribute to reduced food intake and weight loss

If youre using Rybelsus alongside levothyroxine (a medicine for an underactive thyroid), or warfarin (an anticoagulant to treat blood clots), you might need a bit of extra monitoring from a doctor