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ForumsOral GLP-1 AgonistsHas anyone dealt with oral semaglutide 50mg (rybelsus hd)? Page 3

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

Dr.SleepRoch Wed, Apr 16, 2025 at 7:41 AM 33 replies 1,762 viewsPage 3 of 7
ben_calgary
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Apr 18, 2025 at 10:38 PM#11
Dr.SportsMedIN said:
Oral semaglutide is absorbed in the stomach with the help of SNAC, which locally raises pH and protects the peptide long enough to cross.

This answered a question I did not know how to ask. Adding it to my notes with a link back to this thread.

43 16KetoKyle, CanadaChris, ZaraB_AL and 40 others
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JenPlateau
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Apr 19, 2025 at 12:42 AM#12

From the other side of the consultation, briefly. Most of what circulates confidently in this community traces back to one summary of one study, and the qualifier was dropped somewhere in the third retelling.

44 17TrialNerd_Beth, HPLC_Greg, LibrarianMeg and 41 others
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HPLC_Greg
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Apr 19, 2025 at 2:46 AM#13
PedsEndoPhilly said:
The mechanism that matters here is not stomach emptying, it is central.

I will push back on the "any working dose is fine" framing. The maintenance evidence sits overwhelmingly at the top studied dose, and the extension data shows regain tracking dose reduction rather than tracking stopping. Holding low is reasonable; pretending it is evidentially equivalent is not.

45 18RetaRick_CA, JenPlateau, SallyK_inj and 42 others
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Dr.PeteFamMed
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Apr 19, 2025 at 4:50 AM#14

One concrete data point for the thread. If you are going to change something, change one thing and give it long enough to express itself. Four weeks is the usual minimum for anything pharmacological on this board, and two weeks of data has told you almost nothing.

Worth separating that from semaglutide, which this thread keeps folding into the same question. They behave differently and the advice does not transfer.

46 19Dr.BariatricHTX, LindaRN_retired, tommy_boulder and 43 others
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mike_mod
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Apr 19, 2025 at 6:54 AM#15

Moderator note: the sourcing question belongs in the vendor section and has been split out. Carry on.

Last edited: Apr 19, 2025 at 8:54 AM
47 20PurityPaulOR, MaxMetOK, MounjBrad and 44 others
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