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Patients should temporarily stop taking metformin: Before surgery or medical procedures using iodinated contrast During severe infections or dehydration When experiencing severe vomiting or diarrhea Excessive alcohol consumption increases the risk of lactic acidosis in patients taking metformin [23]

Losurdo G, Principi M, Iannone A, et al

Activation of these pathways has several results: Increased insulin secretion when blood sugar climbs too high, especially after meals this lowers high blood glucose Slowed stomach emptying and digestion to prevent spikes after eating Suppressed appetite driven by effects on the brain people tend to eat less without trying Together, the effects of Tirzepatide curb rising blood sugar, both by direct insulin stimulation and by slowing food absorption

A balanced diet rich in whole foods, fruits, and vegetables can help maintain urinary tract health

Sep 16 2002;2(1):3

If you experience any suspected side effects from Wegovy, with or without alcohol consumption, report them through the MHRA Yellow Card scheme