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I was ill after the first [injection]

This increases the risk of liver damage when using acetaminophen along with chronic alcohol consumption adding to the damage to the liver from alcohol.[ref] Glutathione System Overwhelmed : Under normal circumstances, NAPQI is quickly neutralized by conjugation with glutathione, a powerful antioxidan t found in liver cells, and then excreted from the body

"The glucagon-like peptide-1 (GLP-1) analogue semaglutide reduces alcohol drinking and modulates central GABA neurotransmission." JCI Insight, 8(12), e170671

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Side effects often begin when treatment first starts and during dose increases

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