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About one in three patients lost 25% or more of their starting body weight

More serious but less common risks include pancreatitis, gallbladder disease, and in people with type 2 diabetes potential worsening of diabetic retinopathy

Its also not uncommon for dosage adjustments to reflect your lifestyle or changes in your clinical status

Why Alcohol is Tricky on GLP-1s GLP-1s slow gastric emptyingalcohol may hit you harder and faster Alcohol on an empty stomach is worse on GLP-1s Many users report significantly worsened nausea Alcohol lowers inhibitions (may lead to poor food choices) Empty calories without nutrition If You Choose to Drink Stick to these guidelines: Limit to 1 drink maximum Always drink with food (never on empty stomach) Choose lower-calorie options: Wine (5 oz), light beer, spirits with soda water and lime Avoid: Sugary cocktails, margaritas, pia coladas, multiple drinks Drink slowly (sip over 45-60 minutes) Hydrate: Drink water before, during, and after Monitor your response (if you feel worse, skip alcohol entirely going forward) Best Choices if Drinking Dry wine (red or white): ~120 calories per 5 oz Light beer: ~100 calories per 12 oz Vodka/gin + soda water + lime: ~100 calories Champagne/prosecco: ~90 calories per 4 oz Social Pressure to Drink If you prefer to skip alcohol but feel social pressure: Order sparkling water with lime (looks like a cocktail) Say "I'm taking a break from alcohol" Say "Mixing badly with medication I'm on" Hold a non-alcoholic drink so people don't keep offering Real friends respect your choices

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