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While Rybelsus is not directly known to cause NAION, its effects on blood sugar and potential impacts on vascular health in diabetic patients may contribute to an increased risk

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The absence of a proven link does not eliminate the need for clinical vigilance when new or worsening gastrointestinal symptoms develop during treatment

Individuals taking other diabetes medications, particularly other GLP-1 agonists or insulin, should discuss combination therapy carefully with their healthcare provider before starting semaglutide