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Contact your GP, diabetes specialist nurse, or NHS 111 if you notice: Persistent palpitations or awareness of your heartbeat, especially if new since starting Rybelsus Unexplained fatigue or reduced exercise tolerance that progressively worsens Ankle swelling or weight gain (more than 2kg in a week), which could suggest fluid retention Persistent dizziness upon standing, which may indicate postural hypotension, particularly if taking blood pressure medications concurrently It's also important to stop taking Rybelsus and seek urgent medical advice if you experience severe, persistent abdominal pain which may radiate to your back, with or without vomiting

Understanding Selenium and Glutathione as Antiviral Factors in COVID-19: Does the Viral M(pro) Protease Target Host Selenoproteins and Glutathione Synthesis