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ForumsOral GLP-1 AgonistsDropped my Rybelsus in the toilet this morning - worst day — what worked for you? Page 2

Dropped my Rybelsus in the toilet this morning - worst day — what worked for you?

paul_denver Tue, Feb 18, 2025 at 9:29 AM 18 replies 1,694 viewsPage 2 of 4
tampaLisa73
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1,456
Oct 2024
Tampa, FL
Feb 18, 2025 at 12:19 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: Feb 18, 2025 at 1:19 PM
5 18RunnerRach, TrialNerd_Beth, HPLC_Greg and 2 others
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DoseLogDan
Member
201
567
Feb 2025
Montana
Feb 18, 2025 at 12:36 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.
10 19Dr.AddMedPHL, newstart_MO, mia_MS2 and 7 others
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SallyK_inj
Member
567
2,345
Jul 2024
Iowa
Feb 18, 2025 at 12:53 PM#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! 🙏

Last edited: Feb 18, 2025 at 1:53 PM
7 20oliver_london, tane_welly, Dr.PathRoch and 4 others
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labquiet_amy
Senior Member
1,234
6,789
Mar 2024
Cambridge, MA
Feb 18, 2025 at 1:10 PM#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
37 14bri_stats, pete_manc_UK, anna.melb_AU and 34 others
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