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Alcohol can worsen the dizziness and cognitive fog associated with topiramate and can increase the risk of gastrointestinal issues and low blood sugar when combined with Ozempic

They may recommend adjusting your semaglutide dosage or tirzepatide dosage or potentially changing the medication

Retrieved 17 April 2025

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[1] [3] The injections work by bypassing the digestive system entirely, delivering B12 directly into muscle tissue where it can be absorbed into the bloodstream