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Common Rybelsus side effects may include: low blood sugar (in people with type 2 diabetes); upset stomach, heartburn, burping, gas, bloating; nausea, vomiting, stomach pain, loss of appetite; diarrhea, constipation; stomach flu symptoms; o headache, dizziness, tiredness. What other drugs will affect Rybelsus? Rybelsus can slow your digestion, and it may take longer for your body to absorb any medicines you take by mouth.