I notice you have been around for about a year and were prescribed metformin and you were making some dietary changes, were these not successful at bringing down your HbA1C.
The criteria for prescribing the Ryebelus are quite specific so I wonder why the change.
This link may help you identify why the change and highlight any things you may need to consider.
https://www.diabetes.org.uk/about-d...s/tablets-and-medication/semaglutide/rybelsus
I know several people are taking that type of medication.