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Concern Why alcohol can make it worse Nausea Alcohol can irritate the stomach and worsen queasiness Vomiting Vomiting plus alcohol can raise dehydration risk Heartburn Alcohol, carbonation, and late meals can worsen reflux Dizziness Alcohol, dehydration, low intake, and blood sugar changes can overlap Low blood sugar symptoms Higher concern in diabetes or with insulin/sulfonylureas Poor sleep Alcohol may disrupt sleep quality and next-day cravings Dehydration Nausea, vomiting, diarrhea, and alcohol can compound fluid loss Weight-loss stalls Alcohol adds calories and can lower food-choice consistency NIAAA also notes that alcohol can alter medication metabolism, and medications can influence alcohol absorption and metabolism, potentially producing higher blood alcohol concentrations or other adverse effects