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For gastrointestinal symptoms such as nausea, vomiting, or abdominal discomfort: Eat smaller, more frequent meals rather than large portions, which can help reduce nausea and bloating Avoid fatty, fried, or spicy foods that may exacerbate stomach upset Stay well hydrated , especially if experiencing vomiting or diarrhoea, to prevent dehydration Take Rybelsus correctly always on an empty stomach with no more than 120ml of water, at least 30 minutes before eating, drinking, or taking other medications Swallow tablets whole do not split, crush or chew them as this may affect how the medicine works Allow time for adjustment many gastrointestinal side effects improve within the first few weeks as your body adapts If you are experiencing hypoglycaemia (low blood sugar), particularly if taking Rybelsus with other diabetes medications, ensure you: Carry fast-acting glucose (such as glucose tablets or sugary drinks) with you at all times Monitor your blood glucose levels regularly, especially when starting treatment or changing doses Discuss dose adjustments of sulphonylureas or insulin with your GP or diabetes specialist if hypoglycaemia becomes frequent If you miss a dose of Rybelsus, skip the missed dose and take your next dose the following day as usual

"My stock answer is that we just don't have enough data to support their use."