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ForumsOral GLP-1 AgonistsHas anyone dealt with rybelsus real-world vs clinical trial efficacy? Page 2

Has anyone dealt with rybelsus real-world vs clinical trial efficacy?

NeuroNate Wed, Jul 24, 2024 at 12:13 AM 31 replies 2,377 viewsPage 2 of 7
claudia_zurich
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Zurich, CH
Jul 24, 2024 at 3:03 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: Jul 24, 2024 at 9:03 AM
31 18emma_london, tammy_FL, Dr.LipidDallas and 28 others
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Dr.SportsMedIN
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Feb 2024
Indianapolis, IN
Jul 24, 2024 at 3:20 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.
24 11lisa_labSD, adam_van, Dr.SurgeonPGH and 21 others
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TirzTom
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Florida
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Jul 24, 2024 at 3:37 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! 🙏

15 5Dr.EndoIndy, tom_AK, josh_phd_bmore and 12 others
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DoseLogDan
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567
Feb 2025
Montana
Jul 24, 2024 at 3:54 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
48 0sophie_paris, mel_PDX, Dr.AddMedPHL and 45 others
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