switching from semaglutide to tirzepatide results Weight loss after 8 months on Switch from Semaglutide to Tirzepatide:
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[1] [4] Hypoglycemia Symptoms : Although tirzepatide has a low intrinsic risk of hypoglycemia, patients taking concurrent insulin or sulfonylureas may experience low blood sugar

And the calories from alcohol are particularly wasteful when your total caloric intake is already limited