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However, gastrointestinal side effects such as vomiting and diarrhoea can cause dehydration, which may lead to acute kidney injury, particularly in patients with pre-existing renal impairment or those taking other medications affecting kidney function

Patients have to take the drug on an empty stomach first thing in the morning with a sip of water and must then wait 30 minutes before they can eat or drink, similar to the directions for Rybelsus, a spokeswoman for Novo Nordisk tells TODAY.com

Trexler ET, Smith-Ryan AE, Stout JR, et al

A fiber supplement may help if dietary adjustments are not enough

Keep both doctors updated about all your medications, symptoms, and health changes