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5.4 Hypoglycemia with Concomitant Use of Insulin Secretagogues or Insulin Patients receiving RYBELSUS or OZEMPIC tablets in combination with an insulin secretagogue (e.g., sulfonylurea) or insulin may have an increased risk of hypoglycemia, including severe hypoglycemia [see Adverse Reactions (6.1), Drug Interactions (7)]
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The step requirement can be waived with documented contraindication, intolerance, or insufficient response
It is important to look at the science behind this with a calm and balanced perspective
Kandel DB
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