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The heart rate increase from retatrutide is a real concern for anyone with an existing arrhythmia

In its oral form (Rybelsus), it should be taken 30 minutes before meals to get maximum results

[1] Your GP can coordinate with your mental health team to ensure integrated care

However, Nowicki notes that many meals are high in sodium, which may not be suitable for everyoneso if that's a concern, it's best to check with your doctor