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GLP-1 Decoder

Rybelsus Liver: How Common, How Long It Lasts, What Helps

The Rybelsus label does not list liver effects as a side effect. What people mean by it: changes in liver blood tests or liver problems.

In the label
Not listed
Most common in the label
Nausea 20%

Rybelsus: a quick overview

How long it stays in the body
100%50%25%0%07 d14 d21 d28 d35 d50%25%12.5%time after the dose

After five half-lives (35 d), about 3% remains; its half-life is about 1 week, so half is gone after 7 d.

Weight lost in its main trial
Rybelsus (PIONEER 1)3.7 kgPlacebo1.4 kg

In PIONEER 1, people with type 2 diabetes lost 3.7 kg over 26 weeks, compared with 1.4 kg on placebo.

Price over time
20262027$1,027.51$0List priceSelf-pay

Each month’s prices are shown in US dollars. They cover list price and self-pay offers read from the manufacturer's price page.

Sources: FDA label (DailyMed), healthsystemtracker.org, Novo Nordisk pricing, Novo Nordisk.

What the Rybelsus label lists instead

The Rybelsus label does not list liver effects. These five side effects appear most often on the label.

Table 2. Placebo-Controlled Trials Reported Adverse Reactions in ≥5% of Semaglutide Tablets-Treated Patients who have Type 2 Diabetes Mellitus
Side effectPlaceboRybelsus 7 mgRybelsus 14 mgMore than placebo, 14 mg
Nausea6%11%20%+14 points
Abdominal Pain4%10%11%+7 points
Diarrhea4%9%10%+6 points
Decreased appetite1%6%9%+8 points
Vomiting3%6%8%+5 points

Source: Rybelsus label (DailyMed).

Source: FDA label (DailyMed).