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According to Duah, Dexterity and vision can also play a role in a persons comfort with using a pen, and people with issues in those realms may want to opt to take a pill. Alternatively, Duah noted, If the patient already suffers from gastrointestinal issues like nausea, heartburn, diarrhea, or constipation, [licensed physicians] would [consider] injected Victoza or Ozempic over oral Rybelsus as the oral formulation has a higher risk of side effects. While Rybelsus is an effective treatment for type 2 diabetes, its not suitable for everyone

10.1007/s00702-018-1898-9 J