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Both tirzepatide and alcohol independently affect blood glucose regulation, gastrointestinal function, and metabolic processes

2019;47(W1):W81-7

Eat slowly and only when you feel hungry, be conscious of portion sizes, avoid distractions while eating, and stop eating when you begin to feel full

A 2013 review in World Journal of Diabetes explains that these stomach side effects "result in decreased fluid intake and a significant loss of fluids," which can lead to a drop in blood volume