This trial formed part of the regulatory submission underpinning the 2023 weight-management assessment

Stop medication immediately if: Persistent vomiting (more than 3 episodes per day for more than 3 days) Inability to keep down liquids Unintentional weight loss exceeding 2% of body weight per week Signs of dehydration (dark urine, dizziness, reduced urination) Severe abdominal pain Vomiting blood or coffee-ground material Consider dose reduction (rather than stopping) if: Mild to moderate nausea that improves between doses Early satiety but able to maintain nutrition with smaller meals Symptoms that started or worsened with recent dose escalation Weight loss goals are being met and you want to continue treatment Continue current dose with dietary modification if: Mild intermittent nausea Bloating or fullness that resolves within 2-3 hours after meals Symptoms present but not interfering with daily activities No weight loss beyond expected The dose-reduction protocol: If reducing dose rather than stopping: Drop to the previous tolerated dose (if you're at 2 mg semaglutide and symptoms started after escalation from 1 mg, return to 1 mg) Stay at reduced dose for 4 to 6 weeks to assess symptom improvement If symptoms resolve, continue at that dose indefinitely If symptoms persist at reduced dose, discontinue entirely About 40% of patients with mild gastroparesis symptoms can continue treatment at a reduced dose without progression to severe gastroparesis (Acosta et al., Clinical Gastroenterology and Hepatology , 2024)

4 to 5 weeks Steady-state exposure is achieved following 4 to 5 weeks of administration Following oral administration, maximum concentration of RYBELSUS is reached after 1 hour Watch to learn more about the RYBELSUS method of absorption You may also be interested in: Important Safety Information for RYBELSUS WARNING: RISK OF THYROID C-CELL TUMORS In rodents, semaglutide causes dose-dependent and treatment-duration-dependent thyroid C-cell tumors at clinically relevant exposures
TB-500 is thought to enhance cell migration and tissue regeneration, supporting muscle recovery, flexibility and injury repair