Dr. Singh explains that Rybelsus 14mg, made by Novo Nordisk India and priced at $21.50 for 30 tablets, is the highest oral dose available for managing type 2 diabetes. While 14mg may seem like a strong dose, it's typically prescribed to patients who have already worked up from lower doses like 3mg and 7mg for better control of their condition. Though effective, some patients may experience side effects such as nausea or digestive issues, especially when increasing to this higher dose. Dr. Singh emphasizes that 14mg is not excessive when carefully monitored and prescribed by a healthcare provider, as it allows for more consistent glucose regulation in those who need stronger treatment.