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These outcomes are identical whether the medication is paid for by insurance or self-pay what matters clinically is consistent physician supervision and adherence

Never take more than your prescribed dose

Sema and tirz too big to be absorbed across the oral mucosa and are rapidly and completely broken down in the stomach (unless theres a special patented absorption enhancer called SNAC technology in the case of Rybelsus, which allows a small fraction to be absorbed directly across the stomach wall)

Diet and exercise are helpful for sure, but human biology is strongly against most people at every turn

Coverage varies by state