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ForumsOral GLP-1 AgonistsRybelsus on an empty stomach is ruining my mornings — May 2025 Page 2

Rybelsus on an empty stomach is ruining my mornings — May 2025

jason_sac26 Fri, Feb 28, 2025 at 4:06 AM 7 replies 1,468 viewsPage 2 of 2
Dr.ObesityLA
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Feb 28, 2025 at 6:56 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.

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AmyNC_wife
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Jun 2024
North Carolina
Feb 28, 2025 at 7:13 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.
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SteveThurs
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Sep 2024
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Feb 28, 2025 at 7:30 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! 🙏

39 3SleepFixSam, PurityPaulOR, MaxMetOK and 36 others
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stefan_berlin
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Berlin, DE
Feb 28, 2025 at 7:47 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
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