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Oral semaglutide (Rybelsus) requires specific administration instructions: it must be taken on an empty stomach with no more than 4 ounces of plain water, at least 30 minutes before eating, drinking, or taking other oral medications

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On the other hand, surgery is a one-time expense, and with the cost of weight loss surgery coming down dramatically for self pay patients over the last 20 years, these procedures can easily pay for themselves relatively quickly when you look at the significant savings patients will see in reduced food and medication expenditures