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The prescribing information for phentermine specifically warns against combining alcohol with this medicine

What is Normal

Hypoglycemia: While GLP-1 medications themselves rarely cause hypoglycemia (low blood sugar) when used as monotherapy, combining them with a mechanism of action that causes hypoglycemia such as insulin or sulfonylureas can increase the risk of hypoglycemia

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Many cases involve patients who required hospitalization, emergency medical treatment, surgery, specialist care, or long-term treatment after developing digestive disorders or sudden vision problems