significantly lowered a1c better than a leading branded pill. rybelsus® isn t for people with type 1 diabetes. don t take rybelsus® if you or your family ever had medullary thyroid cancer, or have multiple endocrine neoplasia syndrome type 2, or if allergic to it. stop rybelsus® and get medical help right away if you get a lump or swelling in your neck, severe stomach pain, or an allergic reaction. serious side effects may include pancreatitis. tell your provider about vision problems or changes. taking rybelsus® with a sulfonylurea or insulin increases low blood sugar risk. side effects like nausea, vomiting, and diarrhea may lead to dehydration, which may worsen kidney problems. need to get your a1c down? ( ) ask your healthcare provider about rybelsus® today. carley: a second bus carrying migrants from texas to washington arrivin an hour ago, afterthe first one ark arrived