This failure mode is most common when vials are stored above 8C, subjected to freeze-thaw cycles, or punctured with non-sterile needles
thaliana resulted in the stimulation of plant growth and increased resistance against Alternaria brassicae infection
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Prescribers are reminded of the importance of this drug being taken exactly as directed: swallowed whole, first thing in the morning, with a sip (up to 120 mL) of water and with no food, drink or other medication for at least 30 minutes to ensure absorption and, therefore, efficacy (note that, although the Summary of Product Characteristics states that Rybelsus can be taken at any time of day provided it is taken on an empty stomach, since GLP-1 RAs delay gastric emptying it is likely that the best time to ensure the stomach is empty is first-thing in the morning, and this is usually recommended)
Documented localized shortage rare but conceivable as supply chains rebalance
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