After years of restrictive diets, calorie counting apps, and cutting out everything I loved, learning to track my macros with the IIFYM flexible dieting approach finally felt like something I could actually live with
GLP-1 injections (like Wegovy) About 90% bioavailable (The ability of a drug to be absorbed and used by the body) Weekly dosing More predictable absorption GLP-1 pill form (oral GLP or oral semaglutide) Only 12% bioavailable Daily dosing required Absorption can vary from person to person This means that even though the oral dose may look much higher on paper, your body actually absorbs far less of the medication compared to injections
We dont know what the exact risk is, Henderson says
The FDA label uses a stepup approach (starting dose, then escalation, then maintenance) to improve tolerability, and it emphasizes that how you take the tablet affects absorption (FDA Rybelsus label, 2025)
10.1038/s41591-018-0092-9 132 YuK.HuangZ
Most patients start with a lower dose and gradually increase to higher doses for optimal blood sugar control and weight loss benefits