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ForumsOral GLP-1 AgonistsHas anyone dealt with oral semaglutide 50mg (rybelsus hd)? Page 2

Has anyone dealt with oral semaglutide 50mg (rybelsus hd)?

Dr.SleepRoch Sun, Jan 19, 2025 at 7:41 AM 33 replies 1,762 viewsPage 2 of 7
Dr.RaviCardio
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Jan 19, 2025 at 10:31 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: Jan 19, 2025 at 11:31 AM
21 11pete_manc_UK, anna.melb_AU, mark_tokyo and 18 others
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DadBodDave
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Jan 19, 2025 at 10:48 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.
7 16JenMemphis, pat_auckland, Dr.GastroMayo and 4 others
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Dr.MetabolicMD
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Jan 19, 2025 at 11:05 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! 🙏

21 18HealthEcon_DC, PedsEndoPhilly, SleepDoc_PDX and 18 others
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SleepDoc_PDX
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Jan 19, 2025 at 11:22 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
Last edited: Jan 19, 2025 at 2:22 PM
22 17sophie_paris, mel_PDX, Dr.AddMedPHL and 19 others
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