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Precautions, Contraindications, and Important Warnings About Rybelsus (Semaglutide) While Rybelsus (semaglutide) is widely trusted by Canadian endocrinologists and primary care providers, there are some important safety considerations: Not for Type 1 diabetes: Rybelsus is only indicated for adults with Type 2 diabetes, not Type 1 or diabetic ketoacidosis

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