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Ouch, being that miserable is not good. Follow itissteve's advice and get back with your doctor.

You can do more research on Rybelsus and other meds at places like drugs.com
Side effects requiring immediate medical attention
Along with its needed effects, semaglutide (the active ingredient contained in Rybelsus) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking semaglutide:
You can see the info by clicking on the link above.
 
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