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No, back pain is not listed among the common or very common adverse reactions in the MHRA-approved Summary of Product Characteristics for Rybelsus

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10.1172/JCI7456 107

3 Foundayo lowered A1C by an average of 1.9% (9 mg) and 2.2% (17.2 mg) compared to 1.1% (7 mg) and 1.4% (14 mg) with oral semaglutide at 52 weeks, a 57.1% greater relative reduction at the highest dose comparison

Lactobacillus has been proven to protect TH17 cells and support their barrier integrity by secreting IL-22 and IL-17