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Message: <blockquote data-quote="Lamont D" data-source="post: 2710887" data-attributes="member: 85785">My wife has started rybelsus last month.As I do her drugs daily, it was stressed that the rybelsus should be taken on an empty stomach, at least four hours previous without food or drink. And taken with water with no other tablets or food or anything else but water for at least half an hour.It might be the metformin itself causing the issues, or it could be you need the SR version of metformin.Are you restricting your carbs and sugars?It could be you do need further reductions to help with your BG levels.If you get your meds changed, then someone can give you more advice.Best wishes.</blockquote>

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