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ForumsOral GLP-1 AgonistsHas anyone dealt with dropped my rybelsus in the toilet this morning - worst day? Page 2

Has anyone dealt with dropped my rybelsus in the toilet this morning - worst day?

MASHdoc_SA Sat, Apr 13, 2024 at 9:49 AM 41 replies 2,586 viewsPage 2 of 9
denise_HTX
Member
145
678
Jan 2025
Houston, TX
Apr 13, 2024 at 12:39 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: Apr 13, 2024 at 2:39 PM
30 19sarah.morrison, NeuroNate, JessicaH_TX and 27 others
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MikeKY_noInsulin
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267
1,234
Oct 2024
Louisville, KY
Apr 13, 2024 at 12:56 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.
23 14hannah_MT, Dr.SportsMedIN, amy_econ_NJ and 20 others
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PharmHunterJen
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567
2,345
Jul 2024
Illinois
Apr 13, 2024 at 1:13 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! 🙏

11 11kevin_tulsa, Dr.PainCLE, mike_mealprep and 8 others
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NicoleRaleigh
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356
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Aug 2024
Raleigh, NC
Apr 13, 2024 at 1:30 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
Last edited: Apr 13, 2024 at 2:30 PM
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