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The LactMed database explicitly warns that some brands of oral semaglutide contain the absorption enhancer salcaprozate sodium, which may enter milk and accumulate in infants

This is higher than the doses used for diabetes because the digestive system breaks down some of the medication before it enters the bloodstream

Common ingredients include: caffeine-related compounds bitter orange extract(a source of synephrine) Some research from 2024 suggests that stimulant ingredients may have small, short-term effects on metabolism when taken orally

However, Rybelsus is a once-daily oral medication rather than a weekly injection

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