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Evidence-based GLP-1 & peptide discussion since 2023
ForumsOral GLP-1 AgonistsRybelsus on an empty stomach is ruining my mornings — anyone have experience? Page 2

Rybelsus on an empty stomach is ruining my mornings — anyone have experience?

PharmacoVig_BOS Mon, Jul 22, 2024 at 1:04 PM 41 replies 2,693 viewsPage 2 of 9
Dr.ObesityLA
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Jul 22, 2024 at 7:36 PM#6
Dr.SleepRoch said:
Orforglipron is the more interesting oral story because it is not a peptide at all.

I do not accept that the fasting window is a minor inconvenience. Adherence data on daily orals with timing requirements is consistently worse than weekly injections, and a drug you take imperfectly is a lower dose than the one on the box.

Last edited: Jul 22, 2024 at 8:36 PM
50 20zoe_NC, Dr.ObesityLA, NurseKim_ATL and 47 others
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PeptideSynthNJ
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Jul 22, 2024 at 10:10 PM#7

The figures, for anyone assembling their own picture. One habit that pays for itself: post the method alongside the number. A figure without its method cannot be checked, and an unchecked figure is how this community accumulates folklore.

Last edited: Jul 23, 2024 at 2:10 AM
49 19NurseAsh_DET, BenResearch_OR, MikeKY_noInsulin and 46 others
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Dr.PeteFamMed
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Jul 23, 2024 at 12:44 AM#8
Dr.ObesityLA said:
I do not accept that the fasting window is a minor inconvenience.

Coming at Dr.ObesityLA’s question from a different direction. 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.

48 18LindaRN_retired, tommy_boulder, hyun_seoul and 45 others
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quinn_sf
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Jul 23, 2024 at 3:18 AM#9

Following on from ZaraB_AL — and this may be the naive question:

Whether the fasting requirement is as strict in practice as the label implies, and what people actually see when they get it wrong?

47 17andrew_nyc, Dr.EndoEP, GraceAZ_72 and 44 others
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PharmacoVig_BOS
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Jul 23, 2024 at 3:35 PM#10

OP back with an update, since a thread like this is useless without one.

I moved the tablet to the moment I wake up rather than trying to fit it around breakfast, and the difference in the following weeks was obvious. It was a timing problem, not a dose problem.

27 2LabKate, kate.chem, DataDave and 24 others
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