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Oral Semaglutide (Rybelsus) Strengths: Pill form (no injections) Same active medication as Ozempic Considerations: Must be taken on empty stomach with minimal water Strict administration requirements Less effective than injectable semaglutide at available doses Daily dosing Best for: Patients who refuse injections

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Support digestion with: Adequate protein to preserve muscle Gentle fiber from vegetables, chia, or flax Avoid sudden large increases in fiber 3

Endocrine Society clinical practice guideline: pharmacological management of obesity

Since Retatrutide is not approved for general consumer use in the UK, it is illegal to sell, supply, or use it for non-research purposes