Serious and Potentially Dangerous Side Effects More severe side effects reported with Rybelsus and other semaglutide drugs include: Severe Gastrointestinal Injury persistent vomiting inability to tolerate food gastroparesis (stomach paralysis) bowel shutdown or ileus intestinal obstruction Related: Motility Disorders Dehydration & Kidney Injury Prolonged vomiting or diarrhea can lead to: dehydration electrolyte imbalance acute kidney injury (AKI) worsening chronic kidney disease Related: Dehydration and Kidney Damage Gallbladder Disease Rapid weight loss and digestive disruption may contribute to: gallstones gallbladder inflammation gallbladder removal surgery Related: Gallbladder Removal Pancreatitis Some patients report: severe abdominal pain elevated pancreatic enzymes hospitalization for pancreatitis Related: Pancreatitis Vision Problems / NAION Reports of sudden vision loss, including Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION) , have emerged across the GLP-1 drug class

People may experience some common side effects like nausea and diarrhea, while more serious side effects could include allergic reactions
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Gastric emptying is the physiological process by which food leaves the stomach and enters the small intestine
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