While there is no absolute contraindication, alcohol can: Increase nausea and gastrointestinal distress Contribute empty calories that undermine weight management efforts Potentially increase the risk of hypoglycemia in patients also taking diabetes medications Impair judgment regarding portion control and food choices Potentially increase pancreatitis risk, especially with heavy consumption Patients should discuss alcohol use with their healthcare provider and, if consuming alcohol, do so in moderation (defined as up to one drink per day for women and up to two drinks per day for men)
According to FDA prescribing information, a slower dose escalation schedule may reduce gastrointestinal symptoms
Going below 1,500 risks nutrient deficiency, excessive fatigue, and metabolic adaptation that will ultimately slow weight loss
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Acute telogen effluvium is usually nonscarring and potentially reversible
Immunocompromised patients or those on multiple interacting drugs may experience unusual side effects or different drug levels