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Weight Management
Weight Management

Can You Drink Alcohol on Ozempic?

Renae Khalil RD, LDN
Author: 
Medical Reviewer: 
Renae Khalil RD, LDN
|
Author: 
Sarah Glinski, RD
Published:
November 20, 2023
Updated on
#
min read
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Table of Contents

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Weight Management

Key Takeaways

  • Ozempic is a once-weekly injectable medication used to manage type 2 diabetes. It works by regulating blood sugar levels and reducing appetite. In some cases, people taking Ozempic lose weight.
  • While there are no specific recommendations around combining Ozempic and alcohol, doing so may result in side effects such as hypoglycemia (low blood sugar), reduced weight loss, liver damage, and impaired decision-making.
  • If you plan on drinking alcohol while taking Ozempic, have a plan for monitoring your blood sugar, treating hypoglycemia, and staying hydrated.

If you’re taking Ozempic to manage your type 2 diabetes, you may be wondering about whether you can combine Ozempic and alcohol.

Ozempic is an injectable medication that helps regulate blood sugar levels by mimicking the action of a hormone called glucagon-like peptide 1 (GLP-1).

It may also promote weight loss because it reduces appetite.

Read on to learn about how Ozempic affects the body, possible interactions between Ozempic and alcohol, and tips for enjoying alcohol safely while taking Ozempic.

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How Ozempic Affects the Body

Ozempic (semaglutide) is a once-weekly injectable medication used to lower blood sugar and A1C (a blood test that measures your average blood sugar over the past three months) in adults with type 2 diabetes.

It mimics the action of glucagon-like peptide-1 (GLP-1), a hormone that helps regulate your blood sugar.

Ozempic works by:

  • Helping your pancreas produce more insulin (which lowers your blood sugar levels).
  • Preventing your liver from releasing too much sugar.
  • Slowing down food leaving your stomach (which can help you feel fuller for longer after meals).

When used in combination with diet and exercise, Ozempic also helps reduce the risk of stroke, heart attack, and death in people with type 2 diabetes and known heart disease.

While it’s not a weight loss drug, some people lose weight when they take Ozempic.

Interactions Between Ozempic and Alcohol

Currently, there is no research looking at interactions between Ozempic and alcohol.

However, alcohol intake may be associated with the following risks.

Increased Risk of Hypoglycemia

Drinking alcohol while taking certain diabetes medications can lead to the development of hypoglycemia (low blood sugar).

Since Ozempic also reduces blood sugar levels, combining alcohol with Ozempic, especially if you haven’t eaten enough, could increase the risk of developing hypoglycemia. 

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Worsening Side Effects

Some of the most common side effects of taking Ozempic include stomach pain, nausea, vomiting, diarrhea, and constipation.

Since alcohol intake can also cause stomach pain, bloating, and diarrhea, it could worsen the side effects of Ozempic.

Alcohol is also dehydrating, which could worsen the dehydration caused by Ozempic side effects. 

Negative Effect on Weight Loss Goals

While Ozempic is not a weight loss medication, many people taking this medication lose weight.

Alcohol can negatively impact weight loss in several ways.

Alcohol itself is high in calories, and many alcoholic drinks are high in sugar.

You may also make poor food choices when you’re drinking alcohol, which could hinder your weight loss efforts. 

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Liver Damage

Excessive alcohol consumption can lead to liver damage.

In the United States, alcohol consumption is the leading cause of liver disease.

The first stage of alcoholic liver disease is the accumulation of fat in the liver.

This is followed by inflammation of the liver, which can lead to irreversible liver damage if excessive alcohol intake continues.

Impaired Decision Making and Coordination

Even small amounts of alcohol can impair decision-making and coordination.

Alcohol slows the chemical pathways used to control your body, which can lead to changes in mood, slowed reflexes, and balance issues.

Tips for Safe Alcohol Consumption While Taking Ozempic

If you choose to drink alcohol while taking Ozempic, there are several steps you can take to minimize the risks associated with alcohol consumption. 

Talk to Your Doctor

Before drinking alcohol while you’re taking Ozempic, it’s important to discuss it with your doctor.

Your doctor can provide personalized recommendations based on your family and health history. 

If you have certain diabetes complications (like nerve, eye, or kidney damage), your doctor may recommend that you do not consume any alcohol, as it may worsen these conditions.

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Monitor Your Blood Sugar Levels

If you start to feel dizzy, light-headed, or confused while drinking, it’s important to test your blood sugar levels.

These symptoms of low blood sugar can mimic being drunk. 

Drinking alcohol can affect your blood sugar for up to 12 hours, so it’s important to also test your blood sugar before going to bed after drinking.

If your blood sugar is low, eat a snack containing carbohydrates and a small amount of protein before sleeping (such as cheese with crackers or cereal with milk). 

Limit Alcohol Intake

To help prevent adverse side effects, limit your alcohol intake to one drink a day for women and up to two drinks a day for men.

A drink is five ounces of wine, 12 ounces of beer, or one and a half ounces of spirits.

Choose Lower Calorie and Low-Sugar Drink Options

Many alcoholic beverages are high in sugar and calorie-dense, which can lead to high blood sugar and trouble losing weight.

If you choose to drink alcohol, consider choosing lower-calorie and lower-sugar drink options such as:

  • Vodka soda with lemon (vodka combined with unflavored club soda and fresh lemon juice).
  • Mojito (muddled mint leaves, soda water, rum, and simple syrup. Reduce the amount of simple syrup or use a no-calorie sweetener like Stevia to reduce the calorie and sugar content).
  • Paloma (fresh grapefruit juice, fresh lime juice, club soda, and tequila).
  • Rum and diet cola.
  • Light beer.
  • Dry white wine.

Don’t Drink on an Empty Stomach

Alcohol is absorbed into your bloodstream more quickly if your stomach is empty.

When drinking alcohol, your liver stops releasing glucose so it can process the alcohol.

This means your blood sugar can drop quickly, especially with an empty stomach.

If you plan on drinking alcohol, have a meal or snack containing carbohydrates, which slows the absorption of alcohol. 

Have a Plan for Managing Hypoglycemia

If you’re drinking alcohol, it’s important to test your blood sugar regularly to identify potential hypoglycemia.

Before drinking, ensure you have a hypoglycemia management plan in place.

A helpful tool to manage hypoglycemia is the 15-15 rule.

If your blood sugar is between 55 and 69 mg/dL, consume 15 grams of carbohydrates and recheck your blood sugar after 15 minutes.

If it’s still below target, have another serving of carbohydrates.

Repeat these steps until your blood sugar is in your target range. Once in range, eat a meal or snack to ensure it doesn’t go too low again.

The following foods have approximately 15 grams of carbohydrates:

  • Half a cup of juice or regular soda.
  • Three to four glucose tablets.
  • One tablespoon of sugar, honey, or syrup.

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Stay Hydrated and Pace Yourself

Alcohol suppresses the release of hormones that tell your kidneys to retain fluids.

As a result, drinking alcohol leads to more frequent urination and excess fluid loss.

This can lead to dehydration. 

To prevent dehydration, alternate between alcoholic beverages and glasses of water to keep your hydration levels in check.

This also helps you pace your alcohol consumption so it does not affect you too quickly.

Takeaway

While there are no specific recommendations regarding combining Ozempic and alcohol, there are potential side effects to be aware of.

People who drink alcohol while taking Ozempic may be more prone to hypoglycemia.

Drinking alcohol while taking Ozempic may also worsen Ozempic’s side effects and hinder weight loss efforts.

If you plan on drinking alcohol while taking Ozempic, talk to your doctor.

They can provide personalized recommendations and strategies for safely consuming alcohol while taking Ozempic.

How a Dietitian Can Help

A Nourish dietitian can help you with your weight management goals and develop an individualized, sustainable plan. Nourish services are covered by most insurance providers and are 100% remote.

Consider booking an appointment with a weight loss dietitian.

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Frequently Asked Questions

Can you drink alcohol while using Ozempic?

You can drink alcohol while using Ozempic.

However, doing so may increase your risk of hypoglycemia (low blood sugar), worsen Ozempic’s side effects and hinder weight loss efforts.

Does Ozempic make you dislike alcohol?

There are several reports of people taking Ozempic seeing a reduction in alcohol consumption. 

While there are currently human studies looking at the relationship between semaglutide (the active ingredient in Ozempic) and people’s drinking habits, the results of the studies have not yet been published. 

All the information we have about the relationship between Ozempic and alcohol intake is anecdotal, meaning we cannot say with certainty that Ozempic makes you dislike alcohol.

‍

What happens if you drink alcohol while taking semaglutide?

If you drink alcohol while taking semaglutide, you may be more prone to hypoglycemia (low blood sugar).

You may also experience worse side effects from semaglutide and have trouble losing weight.

References

View all references
  1. Ozempic. How Ozempic Works. Retrieved October 5, 2023, from https://www.ozempic.com/why-ozempic/how-ozempic-works.html
  2. Centers for Disease Control and Prevention. All About Your A1C. Retrieved October 5, 2023, from https://www.cdc.gov/diabetes/managing/managing-blood-sugar/a1c.html
  3. Ozempic. What is Ozempic (semaglutide) Injection? Retrieved October 5, 2023, from https://www.ozempic.com/why-ozempic/what-is-ozempic.html
  4. Ozempic. Frequently Asked Questions. Retrieved October 5, 2023, from https://www.ozempic.com/faqs.html
  5. American Diabetes Association. Alcohol and Diabetes. Retrieved October 19, 2023, from https://diabetes.org/health-wellness/alcohol-and-diabetes
  6. Ozempic. Common side effects. Retrieved October 19, 2023, from https://www.ozempic.com/how-to-take/side-effects.html
  7. American Addiction Centers. Risks, Dangers, and Effects of Alcohol on the Body. Retrieved October 19, 2023, from https://americanaddictioncenters.org/alcoholism-treatment/body-effects
  8. MedlinePlus. Weight loss and alcohol. Retrieved October 19, 2023, from https://medlineplus.gov/ency/patientinstructions/000889.htm
  9. National Library of Medicine. Alcoholic Liver Disease. Retrieved October 19, 2023, from https://www.ncbi.nlm.nih.gov/books/NBK546632/
  10. Mount Sinai. Diabetes and alcohol. Retrieved October 19, 2023, from https://www.mountsinai.org/health-library/selfcare-instructions/diabetes-and-alcohol#:~:text=If%20you%20take%20insulin%20or,you%20take%20your%20last%20drink.
  11. Johns Hopkins Medicine. Mixing Alcohol with Your Diabetes. Retrieved October 5, 2023, from https://www.hopkinsmedicine.org/-/media/general-internal-medicine/documents/faculty-resource/mixing-alcohol-with-your-diabetes.pdf
  12. American Diabetes Association. Alcohol and Diabetes. Retrieved October 5, 2023, from https://diabetes.org/health-wellness/alcohol-and-diabetes
  13. National Library of Medicine. Alcohol in the body. Retrieved October 19, 2023, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC543875/
  14. Centers for Disease Control and Prevention. How To Treat Low Blood Sugar (Hypoglycemia). Retrieved October 19, 2023, from https://www.cdc.gov/diabetes/basics/low-blood-sugar-treatment.html
  15. National Institute on Alcohol Abuse and Alcoholism. Hangovers. Retrieved October 19, 2023, from https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/hangovers
  16. NPR. Ozempic seems to curb cravings for alcohol. Here’s what scientists think is going on. Retrieved October 5, 2023, from https://www.npr.org/sections/health-shots/2023/08/28/1194526119/ozempic-wegovy-drinking-alcohol-cravings-semaglutide

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Nourish has strict sourcing policies and prioritizes primary sources, including medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about our medical review process and editorial guidelines.

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36.7183708, -76.2466798
Birmingham
, 
AL
Alabama
33.5206824, -86.8024326
Scottsdale
, 
AZ
Arizona
33.501324, -111.925278
Cincinnati
, 
OH
Ohio
39.103700, -84.513610
North Las Vegas
, 
NV
Nevada
36.201946, -115.120216
Riverside
, 
CA
California
33.980602, -117.375496
Plano
, 
TX
Texas
33.019844, -96.698883
Minneapolis
, 
MN
Minnesota
44.977753, -93.265015
Salinas
, 
CA
California
,
Anaheim
, 
CA
California
33.836594, -117.914299
Springfield
, 
MO
Missouri
37.208958, -93.292297
Fort Wayne
, 
IN
Indiana
41.077469, -85.137489
Phoenix
, 
AZ
Arizona
33.448376, -112.074036
Bakersfield
, 
CA
California
35.3738712, -119.0194639
Garden Grove
, 
CA
California
33.774269, -117.937996
Anchorage
, 
AK
Alaska
61.2163129, -149.894852
Indianapolis
, 
IN
Indiana
39.768402, -86.158066
Nashville
, 
TN
Tennessee
36.162663, -86.781601
Tempe
, 
AZ
Arizona
33.425522, -111.941254
Mobile
, 
AL
Alabama
30.695366, -88.039894
New Orleans
, 
LA
Louisiana
29.951065, -90.071533
Knoxville
, 
TN
Tennessee
35.960636, -83.920738
Grand Rapids
, 
MI
Michigan
42.963360, -85.668083
Fontana
, 
CA
California
34.102890, -117.435760
Elk Grove
, 
CA
California
38.418129, -121.393257
Miami
, 
FL
Florida
25.7825389, -80.3118603
Grand Prairie
, 
TX
Texas
32.745499, -97.003532
Fort Collins
, 
CO
Colorado
40.588970, -105.082458
Killeen
, 
TX
Texas
31.117119, -97.727798
Modesto
, 
CA
California
37.639095, -120.996880
Oklahoma City
, 
OK
Oklahoma
35.468491, -97.521263
Santa Ana
, 
CA
California
33.745571, -117.867836
Ontario
, 
CA
California
34.063343, -117.650887
Brownsville
, 
TX
Texas
25.9015688, -97.4984005
Montgomery
, 
AL
Alabama
32.379223, -86.307739
Hialeah
, 
FL
Florida
25.857595, -80.278107
Springfield
, 
MA
Massachusetts
42.102051, -72.585762
Toledo
, 
OH
Ohio
41.652805, -83.537865
Pembroke Pines
, 
FL
Florida
26.007765, -80.296257
Overland Park
, 
KS
Kansas
38.974819, -94.683601
Little Rock
, 
AR
Arkansas
34.746483, -92.289597
Glendale
, 
CA
California
34.142509, -118.255074
Roseville
, 
CA
California
38.752125, -121.288010
Rancho Cucamonga
, 
CA
California
,
Wichita
, 
KS
Kansas
37.687176, -97.330055
Huntington Beach
, 
CA
California
33.659485, -117.998802
Augusta
, 
GA
Georgia
33.4709714, -81.9748429
Worcester
, 
MA
Massachusetts
42.271389, -71.798889
Virginia Beach
, 
VA
Virginia
36.852924, -75.977982
Oceanside
, 
CA
California
33.1958696, -117.3794834
Santa Clarita
, 
CA
California
34.456043, -118.571335
Philadelphia
, 
PA
Pennsylvania
39.952583, -75.165222
Corpus Christi
, 
TX
Texas
27.800583, -97.396378
Portland
, 
OR
Oregon
45.512230, -122.658722
Denver
, 
CO
Colorado
39.739235, -104.990250
Boston
, 
MA
Massachusetts
42.3554334, -71.060511
Atlanta
, 
GA
Georgia
33.7489924, -84.3902644
Chicago
, 
IL
Illinois
41.8755616, -87.6244212
Orlando
, 
FL
Florida
28.538336, -81.379234
Jacksonville
, 
FL
Florida
30.332184, -81.655647
Tampa
, 
FL
Florida
27.950575, -82.457176
Long Island
, 
NY
New York
40.757801, -73.940033
Queens
, 
NY
New York
40.728226, -73.794853
Bronx
, 
NY
New York
40.8466508, -73.8785937
Staten Island
, 
NY
New York
40.643501, -74.076202
Brooklyn
, 
NY
New York
40.6526006, -73.9497211
New York
, 
NY
New York
40.712776, -74.005974
San Jose
, 
CA
California
37.342205, -121.851990
San Francisco
, 
CA
California
37.774929, -122.419418
San Diego
, 
CA
California
32.834686, -117.130775
Los Angeles
, 
CA
California
34.052235, -118.243683
El Paso
, 
TX
Texas
31.761877, -106.485023
San Antonio
, 
TX
Texas
29.387428, -98.496574
Dallas
, 
TX
Texas
32.776665, -96.796989
Fort Worth
, 
TX
Texas
32.755489, -97.330765
Houston
, 
TX
Texas
29.760427, -95.369804
Austin
, 
TX
Texas
30.2711286, -97.7436995
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