There is no absolute contraindication to consuming alcohol while taking semaglutide (marketed as Ozempic, Wegovy, and Rybelsus)
There isnt a single straightforward answer, but one contributing factor is something called leaky gut
However, the triagonist failed to enhance insulin secretion in islets lacking both Glp-1r and Gipr and upon treatment with the GLP-1 receptor-specific antagonist exendin-3 (939)
That way a very specific gut microbiome community is established in the human milk fed infant: Bifidobacterium and lactobacillus
If you also take insulin or sulfonylureas in addition to GLP-1 medications, your risk of alcohol-related hypoglycemia is even higher
Bakbak E, Verma S, Krishnaraj A, Quan A, Wang CH, Pan Y, Puar P, Mason T, Verma R, Terenzi DC, et al