Case reports have documented severe B12 deficiency in GLP-1 users, including cases progressing to neurological symptoms
GSK: glycogen synthase kinase-3
According to the Rybelsus SmPC (Summary of Product Characteristics), other oral medicines should be taken at least 30 minutes after Rybelsus
GLP-1 also slows down the movement of food from the stomach to the small intestine hence a feeling of fullness and increases insulin production, lowering blood sugar
This is where Ozempic could play an important role
Practical timing examples: If you sleep at 10 PM, finish your last meal by 6-7 PM If you sleep at 11 PM, finish your last meal by 7-8 PM If you sleep at midnight, finish your last meal by 8-9 PM After your last meal, the only acceptable items are water, non-caffeinated herbal tea (chamomile and passionflower are excellent options), or a very small handful of berries if blood sugar maintenance requires it