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Most specialty pharmacies ship these medications with cold packs and insulated packaging designed to maintain appropriate temperatures during transit

The box is typically white and blue, with the brand name Rybelsus clearly printed on it

It is indicated for adults with obesity (BMI 30 kg/m) or overweight (BMI 27 kg/m) with at least one weight-related comorbidity, used alongside reduced-calorie diet and increased physical activity

Often people who take these medications lose not only fat but also muscle due to insufficient protein, says Reyna Franco, a registered dietitian nutritionist and certified personal trainer with a private practice in New York

The body composition changes that started at month 2 become visible to others at month 3 to 4