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[Google Scholar] 15.Wongtrakul W, Charoenngam N, Ungprasert P
doi: 10.1073/pnas.1916539117 [DOI] [PMC free article] [PubMed] [Google Scholar] 122
Metformin remains the American Diabetes Associations recommended first-line diabetes medication for most adults with type 2 diabetes, while Rybelsus may be added when metformin alone does not achieve adequate blood sugar control

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Report severe nausea, vomiting lasting more than a few hours, severe abdominal pain, persistent constipation, or signs of pancreatitis (upper abdominal pain radiating to back, elevated amylase)

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