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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

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If possible, get a body composition assessment (DEXA scan or bioelectrical impedance)

pii: bcr-2017-222092