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Before starting Rybelsus , contact your GP if you have a history of: Pancreatitis (inflammation of the pancreas) GLP-1 receptor agonists have been associated with pancreatitis in rare cases [1] [5] Severe gastrointestinal disease , including gastroparesis or inflammatory bowel disease Diabetic retinopathy rapid improvements in glucose control may temporarily worsen this condition [1] [2] Thyroid disease while the UK product information notes rodent C-cell tumours with uncertain human relevance, discuss any thyroid conditions with your doctor [1] [4] During treatment , seek medical advice if you experience: Severe, persistent abdominal pain that may radiate to the back if pancreatitis is suspected, stop taking Rybelsus immediately and seek urgent medical assessment

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This should include clear conflict of interest policies, information management, and exposure when corporations try to shape their evidence base or discredit research that would be supportive of public health policies

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