However, it's important to note that oral semaglutide (Rybelsus) must be taken on waking, in a fasting state, with a small amount of water, and at least 30 minutes before food, drink or other medications, as per its SmPC
You may want to cut back on raw vegetables, nuts, and whole grains
"For a patient who needs to achieve more weight loss and who doesn't experience many side effects, perhaps this higher dose will help them achieve it," she says
& Kim, Y
Rapid weight loss can alter hormone levels and bone turnover, so providers may slow titration if weight loss occurs faster than expected
In this case, patients were fed highly processed and prepared meals that would be extremely difficult to replicate and maintain in daily life outside of the study