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Holt RT, Majd ME, Isaza JE, Blumenthal SL, McAfee PC, Guyer RD, Hochschuler SH: Complications of Lumbar Artificial Disc Replacement vs

B12 deficiency can distort HbA1c results, but the direction is variable results may be spuriously low or high depending on the degree of anaemia, red cell changes, and the assay used

The short answer is that ibuprofen can generally be taken alongside Rybelsus (semaglutide), as there is no direct pharmacological interaction between these two medications