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This is intentional, and your medication is still safe and effective to use

Combined effect is widely described as synergistic in preclinical and pharmacology literature

Its FDA-approved for weight management under the name Saxenda and is a proven option for those comfortable with daily administration

Talk with your healthcare provider to see if you need to take iron supplements as too much iron can also be bad for your health

Whilst there is no official link between Rybelsus and stomach ulcers, patients with pre-existing ulcer disease or those taking medications that increase ulcer risk (such as NSAIDs, aspirin, or corticosteroids) should inform their prescriber