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Increased nausea and digestive discomfort Greater risk of dehydration Dizziness or fatigue Blood sugar fluctuations Increased likelihood of unpleasant post-drinking symptoms Possible next-day anxiety or hangxiety Heavy drinking can also undermine many of the health and wellness goals that lead people to start GLP-1 medications in the first place

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The GLP-1 maintenance dose approach may be preferable to complete discontinuation