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5B) could be an interference of GLP-1RA treatment with the interdigestive migrating motor complex (MMC), particularly phase 3 of this complex, which is composed of pressure waves often originating in the stomach and propagated segment by segment toward the duodenum and jejunum (108), which is thought to clear the remnants of the preceding meal including indigestible gastric content from the stomach (108, 109)

For patients requiring diabetes management following gastric bypass, several evidence-based alternatives to Rybelsus are available, many of which may be more suitable given the altered gastrointestinal anatomy

It's important to note that the frequency and severity of side effects can vary depending on the specific medication you have been prescribed, as well as the dose you are on

doi:10.1016/j.amjmed.2025.01.021 Meloni AR, DeYoung MB, Lowe C, Parkes DG