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Many users report feeling full after eating very small portions, and some experience acid reflux or heartburn as the stomach contents remain in place longer than usual

Hydration and electrolytes Adequate hydration supports metabolism, digestion, and energy levels

Sulfur burps are not officially listed in the Rybelsus Summary of Product Characteristics, though some patients report them

Temporary Intestinal Paralysis (Ileus) Stomach paralysis isnt the only severe gastrointestinal side effect that users have reported

Source: FDA Approves New Drug Treatment for Chronic Weight Management, First Since 2014

Patients also experienced a significant reduction of total and LDL cholesterol levels and triglycerides (respectively, p = 0.04, p = 0.007 and p = 0.02) (Fig