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This should include: Increased frequency of blood glucose monitoring check your levels more regularly for at least 46 weeks after stopping to identify any deterioration early Optimisation of other diabetes medications your doctor may need to adjust doses of metformin, SGLT2 inhibitors, or other agents Reinforcement of lifestyle interventions commit to maintaining or intensifying dietary modifications, physical activity (aim for 150 minutes of moderate activity weekly), and weight management strategies Scheduled follow-up appointments arrange to have your HbA1c rechecked 3 months after discontinuation If you become unwell after stopping Rybelsus , follow sick day rules: stay hydrated, continue taking your diabetes medications, and monitor your blood glucose more frequently

Leptin resistance also makes exercise less worthwhile