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Regular Social Drinkers (1-2 Times Weekly) If you drink weekly at dinner, social gatherings, or as part of regular routines: Reduce your typical consumption by 40-50%: If you usually had 2-3 drinks, limit to 1-2 Establish a maximum of 2 drinks per session: Regardless of previous tolerance Take 2-3 days between drinking occasions: Give your liver adequate recovery time Monitor for persistent GI issues: If nausea or reflux becomes chronic, reassess alcohol frequency Get liver function tests every 6 months: Track ALT, AST, GGT to ensure no cumulative effects Consider your weight loss goals: Regular alcohol consumption can slow retatrutides effectiveness At this frequency, both acute intoxication risks and potential cumulative liver effects become relevant considerations

It is typically worst during the first few weeks and during dose escalations

2019;36(Suppl 2):59-71

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However, weight loss may eventually lower your levothyroxine requirement, so TSH monitoring every 68 weeks during the first three months is important