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Oral semaglutide (Rybelsus) is not recommended during breastfeeding because it contains SNAC, a substance that helps your body absorb the medicine and may pass into breast milk
Step 3: Request a Peer-to-Peer Review When the prescribers clinical judgment is the deciding factor, peer-to-peer review allows the prescribing physician to discuss the case directly with the payers medical director
However, in the draft guidance NICE that it should only be used in the 30 or over BMI bracket in "exceptional" circumstances
Aim for 1-2 cups daily during active symptoms
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