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Short-term effects: Alcohol can initially raise blood sugar Later, it may lead to hypoglycemia, especially in patients taking diabetes medications Long-term effects: Regular heavy drinking can decrease insulin sensitivity This may lead to difficulty managing blood sugar levels Patients on semaglutide should be particularly cautious, as the medication already affects glucose metabolism

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thus a reduced level of L-carnitine may lead to oxidative damage [33,34]

These variants define possible contributions in AD from genes that regulate endocytosis, inflammation and the brain's innate immune system, and cholesterol/sterol metabolism (Karch and Goate, 2015)

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Tiwari et al