More serious but rare complications include pancreatitis, gallbladder disease (particularly with rapid weight loss), and potential thyroid C-cell tumours (observed in animal studies)
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PubMed record Maquart FX, Bellon G, Chaqour B, et al
After initiation of RYBELSUS, observe patients carefully for signs and symptoms of pancreatitis, which may include persistent or severe abdominal pain (sometimes radiating to the back), and which may or may not be accompanied by nausea or vomiting