5,6 Along with lifestyle changes, oral medications, such as metformin, may be prescribed
Multi-dose vials are punctured multiple times, and each puncture is an opportunity for microbial introduction
In terms of its effects, it appears to impact drinking in ways (though not necessarily mechanisms) similar to naltrexone (FDA-approved) and topiramate (prescribed off label for alcohol use disorder), which have a greater effect in reducing intensity of drinking on drinking days relative to their effects on whether someone drinks at all (i.e., abstinent days) although all of them do increase abstinent days to some degree on average)
But also strength, muscle retention, movement quality, recovery capacity, balance, force production, training tolerance, tissue capacity, and long-term functional health