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Enteroendocrine cells (EECs), the microbiota, and metabolites produced by the microbiota constitute a complex signaling system [13] that involves the enteric plexus, CNS afferents and efferents, and the modulation of numerous brain nuclei like the nucleus tractus solitarius, hypothalamus, thalamus, and many others directly involved in the control of glucose and energy homeostasis [14]

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Do not take Rybelsus if you: Are allergic to semaglutide or any other ingredients in the medication Are pregnant or breastfeeding Have medullary thyroid cancer (MTC) Have multiple Endocrine Neoplasia syndrome type 2 (MEN 2) Before taking Rybelsus, inform your doctor if you: Are pregnant or breastfeeding Ever had pancreatitis Have medullary thyroid cancer (MTC) or multiple Endocrine Neoplasia syndrome type 2 (MEN 2) Have type 1 diabetes, develop ketoacidosis (increased ketones in blood or urine) Have a high heart rate Have end-stage renal disease or liver disease Have diabetic retinopathy Have digestive problems like vomiting, diarrhea or dehydration Drug interactions Tell your doctor, nurse, or pharmacist about all the medicines you take, including drugs prescribed by other doctors, vitamins, minerals, natural supplements, or alternative medicines

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