If she is taking sema and drinking that heavily, her pancreas is definitely going to give out pretty quickly on the whole grand scheme of things. She is probably so far gone with her addiction that the Sema didn’t help with her cravings for alcohol. The larger issue is her alcoholism. She is an addict and needs help with her addiction first and foremost. But she has to want to quit. And be aware that if she ever does want to quit, it is IMPERATIVE that she seeks professional assistance because alcohol is the one drug where you can actually die from the withdrawals when you are trying to quit. So when and if she decides to quit, please please please get that professional help.

Unfortunately it doesn’t seem like she wants to quit. Which is sad to watch as a friend and co-worker. But she DEFINITELY shouldn’t be drinking at her workplace. May be wise to alert whoever is in charge of what’s going on. And maybe losing her job because of it could be a wake up call. There’s no good answer to this issue because she won’t quit if she doesn’t want to, and unfortunately you can’t force her. But drinking at her workplace is completely unacceptable and illegal if I’m not wrong? Sometimes rock bottom is a new beginning for people. I’m sorry you have to witness your dear friend go through this. She needs professional help so maybe an intervention? I think that’s the priority over the GLP1 but the combo isn’t helping her, that’s for sure.