The alcohol is probably superfluous. Dying from alcohol poisoning is rare, you're more likely to die from choking on your vomit when you're blackout drunk. The way Ozempic & insulin would potentially kill you is hypoglycemia. Death from severe hypoglycemia is rare and unpleasant. Pens says nothing about dosage, but I can't give you a ballpark dosage that would cause severe hypoglycemia because everyone's body processes differently. For example, I was severely hypoglycemic in the hospital with my blood sugar at 27 but physically felt almost no symptoms while my grandmother had a seizure when her blood sugar was 40. Anything below 40 is considered life threatening hypoglycemia, but it isn't reliably a cause of death