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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
carlos_SATX
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Apr 18, 2025 at 10:38 PM#11
traveltech_sara 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 is exactly what I could not find anywhere else. I will report back once I have actually tried it.

Last edited: Apr 19, 2025 at 12:38 AM
43 16james_edin, FranDenver, Dr.BariatricHTX and 40 others
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NurseAsh_DET
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Apr 19, 2025 at 12:42 AM#12

Clinical perspective, offered as context rather than as advice. Take it one variable at a time. Almost every unanswerable question in these threads is unanswerable because three things changed in the same fortnight, and no amount of subsequent argument can untangle them after the fact.

Happy to go further on any of that.

44 17ricardo_MIA, BrianDallas92, labquiet_amy and 41 others
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BenResearch_OR
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Apr 19, 2025 at 2:46 AM#13
Dr.RheumBOS said:
Albumin binding above 99% is the whole reason weekly dosing works, and it is also why the trough matters more than the peak.

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.

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

45 18Dr.NateNeph, PharmD_Rodriguez, julia.endo and 42 others
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Dr.PeteFamMed
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Apr 19, 2025 at 4:50 AM#14

Adding the numbers, since they settle part of this. If you are comparing against somebody else’s result, check that you are comparing the same measurement taken the same way. Most of the apparent contradictions in these threads dissolve at that step.

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: reminder that nothing in this thread is medical advice, and that clinical claims need a source. Thread quality here is what the rules are for. Keep it up.

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