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The references of the included studies were searched manually as literature supplements

So were talking about anecdotes, social media posts, unpublished observations

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Rarely reported side effects include: Before you take this supplement, tell your healthcare provider if you: Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements

Practical Guidance If you choose to drink on a GLP-1 medication: Keep intake to 1 standard drink (5 oz wine, 12 oz beer, 1.5 oz spirits) maximum on any given day Never drink on an empty stomach pair alcohol with a protein-containing meal Drink water before, during, and after 1:1 ratio Never combine alcohol with insulin or sulfonylurea medications without extra caution Avoid sweetened cocktails (double impact: alcohol + sugar) Do not drink on the day of a dose increase side effects are worst that week The safest recommendation is to eliminate alcohol entirely during active weight loss on a GLP-1