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ForumsOral GLP-1 AgonistsRybelsus real-world vs clinical trial efficacy — what worked for you? Page 2

Rybelsus real-world vs clinical trial efficacy — what worked for you?

B12Beth Sun, May 4, 2025 at 2:53 AM 15 replies 1,558 viewsPage 2 of 3
ingrid_STO
Member
345
1,456
Jul 2024
Stockholm, SE
May 4, 2025 at 5:43 AM#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: May 4, 2025 at 8:43 AM
47 2VendorMark, COA_Karl, MikeFit_NJ and 44 others
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PurityPaulOR
Senior Member
1,890
7,890
Mar 2024
Oregon
May 4, 2025 at 6:00 AM#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.
33 13MikeNYC_runner and 30 others
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AttorneyGrant
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Apr 2024
Washington, DC
May 4, 2025 at 6:17 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! 🙏

13 14JenMemphis, pat_auckland, Dr.GastroMayo and 10 others
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quinn_sf
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489
2,123
Jun 2024
San Francisco, CA
May 4, 2025 at 6:34 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
23 10andrew_nyc, Dr.EndoEP, GraceAZ_72 and 20 others
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