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They look identical in the vial, but they behave very differently the moment you start using them

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So eventually we looked at the effects of GLP-1 on food intake, saying that this was a possible effect of it, and yes, it worked

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If you notice any changes in vision or eye problems while taking Rybelsus, speak with your doctor, as rapid improvements to your blood sugar can sometimes temporarily worsen diabetic eye disease

This keeps an opened vial usable for repeated withdrawals over several days to weeks unlike plain sterile water, which is intended for single use only