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In terms of its effects, it appears to impact drinking in ways (though not necessarily mechanisms) similar to naltrexone (FDA-approved) and topiramate (prescribed off label for alcohol use disorder), which have a greater effect in reducing intensity of drinking on drinking days relative to their effects on whether someone drinks at all (i.e., abstinent days) although all of them do increase abstinent days to some degree on average)

These include direct medical costs and costs for disability, workers comp, and lost productivity

People looking to complement their existing GLP-1 protocol

Rebosio, C., Balbi, M., Passalacqua, M., Ricciarelli, R

Gastrointestinal tolerability may be challenging, as both ketogenic diets and GLP-1 agonists can cause nausea, constipation, and altered bowel habits