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The most common side effects of Mounjaro that may overlap with alcohol include: Nausea Vomiting Diarrhea Constipation Decreased appetite Abdominal pain Mounjaro may also cause serious side effects that may overlap with those of alcohol or be worsened by alcohol, such as: Inflammation of the pancreas (pancreatitis) Severe allergic reactions Low blood sugar (hypoglycemia) Kidney problems, including kidney damage and failure Vision problems Gallbladder problems Its important to note that Mounjaro has a boxed warning, the most serious warning issued by the FDA, indicating an increased risk of thyroid cancer