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GLP-1 Decoder

Rybelsus Muscle Loss: How Common, How Long It Lasts

The Rybelsus label does not list muscle loss as a side effect. What people mean by it: losing muscle along with fat while losing weight.

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

Rybelsus in brief

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

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

Main trial weight loss
Rybelsus (PIONEER 1)3.7 kgPlacebo1.4 kg

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

How the price changes
20262027$1,027.51$0List priceSelf-pay

Prices by month in US dollars cover the list price and self-pay offers, each taken from the maker'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 muscle loss. Here, you can see the five side effects listed most often.

Table 2. Among Semaglutide Tablets-Treated Patients with Type 2 Diabetes Mellitus, Adverse Reactions in Placebo-Controlled Trials Reported in ≥5% were recorded
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 details: FDA label (DailyMed).