And its not just an issue in the US, the EU recently sent out a warning about a sharp rise in illegal medicine sold in the EU
Dehydration: Alcohol is a diuretic, meaning it can lead to dehydration

Seek medical advice if: Changes in libido are persistent (lasting beyond 34 months) or severe enough to cause significant distress or relationship difficulties You experience other new symptoms alongside reduced libido, such as persistent fatigue, mood changes, difficulty achieving or maintaining erections (in men), vaginal dryness or pain (in women), or changes in menstrual patterns You have concerns about your medication or are considering stopping Mounjaro due to sexual side effectsnever discontinue prescribed medication without medical guidance You develop symptoms of depression or anxiety , as mental health significantly impacts sexual function and requires appropriate assessment and support You notice signs of hormonal imbalance , such as unexpected hair loss, skin changes, or breast tenderness You experience menstrual irregularities or have concerns about contraceptive effectiveness while using Mounjaro Your GP can conduct a thorough assessment, which may include reviewing your medication regimen (as other medicines can affect libido), checking relevant blood tests (including thyroid function, HbA1c, and in men with symptoms of hypogonadism, morning testosterone levels), and screening for depression or anxiety

In many cases, the missed dose can still be taken once it is remembered, depending on the medications specific instructions
This approach, focused on individual therapies that provide both glycemic control and cardio-renal protection, has demonstrated significant potential in mitigating the severe outcomes associated with diabetic kidney disease (DKD)