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However, these common side effects of Rybelsus do occur and can be exacerbated by the foods above: Nausea Vomiting Diarrhea Stomach pain Constipation Decreased appetite Serious side effects, which require medical attention, include: Pancreatitis (inflammation of the pancreas) Changes in vision Hypoglycemia (low blood sugar) Gallbladder problems Kidney problems, including kidney failure Severe stomach problems Serious allergic reactions You can manage mild side effects by adjusting your diet and staying hydrated