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ForumsOral GLP-1 AgonistsRybelsus 14mg real-world experience thread — need advice Page 2

Rybelsus 14mg real-world experience thread — need advice

Dr.EndoEP Fri, Aug 1, 2025 at 8:45 PM 9 replies 1,162 viewsPage 2 of 2
cory_ATX
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Jul 2024
Austin, TX
Aug 1, 2025 at 11:35 PM#6

Wait there's going to be a 50mg oral version?? That would be a game changer honestly. I would switch in a heartbeat if the efficacy matched injectable.

Last edited: Aug 2, 2025 at 1:35 AM
44 10Dr.EndoEP, GraceAZ_72, carl_compliance and 41 others
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james_edin
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Sep 2024
Edinburgh, UK
Aug 1, 2025 at 11:52 PM#7

For the travel issue specifically — a few tips that helped me keep using injectable while traveling constantly:

  • FRIO insulin cooling wallets — no refrigeration needed, just soak in water. Keeps pens cool for 48-72 hours.
  • TSA has NEVER given me an actual problem with my Wegovy pens. I keep them in a clear bag with the prescription label visible. Just tell them it's medication.
  • Most hotels will put medication in their kitchen fridge if you ask the front desk.
  • Wegovy pens are actually stable at room temperature (up to 86°F/30°C) for up to 28 days, so for short trips you might not even need refrigeration.
12 13Dr.PathRoch, mona_PHX, andrew_nyc and 9 others
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jim_asheville
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Aug 2024
Asheville, NC
Aug 2, 2025 at 12:09 AM#8

Ok this is all super helpful. It sounds like switching to oral at my current dose (1.7mg injectable) would be a downgrade in efficacy, and the daily fasting requirement might actually be MORE of a hassle than weekly injections.

I think I'll stick with injectable and try the FRIO wallet for travel. And keep my eye out for when/if the higher-dose oral formulation gets approved.

Thanks everyone — saved me from making a mistake! 🙏

25 9NurseAsh_DET, BenResearch_OR, MikeKY_noInsulin and 22 others
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Dr.NateNeph
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Dec 2023
Houston, TX
Aug 2, 2025 at 12:26 AM#9

Smart decision. One more data point: the oral 50mg formulation from OASIS 1 also had higher rates of GI side effects compared to injectable 2.4mg in cross-trial comparisons. The 50mg pill delivers a LOT of semaglutide to the stomach lining even if only 1% is absorbed systemically, and that local GI exposure may cause more nausea/vomiting. Something to factor in if/when it becomes available.

— pharma_data_guy | PharmD | GLP-1 pharmacology nerd
36 18B12Beth, RickReta_CO, PharmHunterJen and 33 others
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