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Latest Articles
2024-06-01 9:00
Alcohol and Health
How Does Alcohol Affect the Lungs
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Can alcohol cause breathing problems? As it turns out, it can! Find out about alcoholic cough and other lung problems related to booze in our latest blog.

24 min read

Learn About the Harms of Excessive Drinking on the Reframe App!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app today!

Read Full Article  →

We’ve all heard of smoker’s lung — that characteristic hacking, wheezing cough that’s enough to scare many of us from ever trying a cigarette. But a drinker’s cough? Is that a thing? If you wake up with a nagging cough that doesn’t seem to ease up and gets more persistent over time, that glass (or bottle) of Chardonnay you’ve been downing on a regular basis probably won’t be your first suspect. And yet, “alcoholic cough,” shortness of breath after drinking alcohol, and even signs of lung failure can all be signs of alcoholic lung disease. Let’s explore this lesser-known respiratory problem in more detail.

Can Alcohol Cause Breathing Problems?

Sick Asian man with a cold, sneezing

It’s no secret that alcohol harms many systems of the body. It wreaks havoc on the liver, crosses the blood-brain barrier, suppresses neural activity, and even disrupts our sleep. But what about breathing?

As it turns out, alcohol has both direct and indirect effects on our lungs. Let’s explore the direct ones first.

The Lungs: A Brief Tour

Our lungs are about as advanced as any piece of fancy technology. Here’s how they work.

According to the National Heart, Lung, and Blood Institute, the lungs are a “pair of spongy, pinkish-gray organs in [our] chest.” Acting as the “centerpiece of [our] respiratory system,” they filter incoming air, delivering oxygen to the blood and removing carbon dioxide with each exhale. Inside the lungs, tubes known as bronchi that carry the air in branch off into smaller bronchioles, which are topped off by tiny air sacs called alveoli. It's in these microscopic alveoli that the magic of gas exchange happens.

The alveoli are tiny, balloon-like structures surrounded by a network of capillaries. These capillaries are so small that blood cells have to pass through them in a single file. When air reaches the alveoli, oxygen from the air passes through their thin walls and into the blood in the capillaries. At the same time, carbon dioxide, a waste product of metabolism, moves from the blood into the alveoli. This gas exchange process is crucial to life: as all of us who tried to hold our breath underwater know, it’s a matter of minutes before we desperately need air.

In addition to the lungs, the respiratory system includes the trachea (or windpipe), chest wall and diaphragm muscles, blood vessels, and more. Our brain is the central hub in charge of regulating breathing rates by keeping tabs on oxygen and carbon dioxide levels in our body.

Alcohol and the Lungs

Alcohol wreaks havoc on the body, and the lungs are no exception. Emory University pulmonologist David Guidot has made it his life’s work to study the effects of AUD on the lungs. As he explains in an Emory Medicine press release, “The lungs are especially vulnerable because chronic drinking depletes them of glutathione, and the alveoli and small airways are very dependent on it. Normally, they have 1,000 times more glutathione than other parts of the body. Chronic alcoholics have extremely low levels of glutathione in the lungs.” While the alcohol itself isn’t the direct cause of the changes, the oxidative stress that it causes leads to glutathione depletion.

Why is glutathione important? It’s an antioxidant that plays a vital role in keeping the lungs healthy and free from harmful substances. It also helps create and maintain T-cells, which are vital for immune function.

The Long-Term Respiratory Effects of Drinking

Chronic alcohol abuse and the glutathione depletion that happens as a result can damage the cells lining the respiratory tract, leading to a condition known as acute respiratory distress syndrome (ARDS). This severe form of lung failure can be life-threatening and happens when chronic inflammation leads fluids and inflammatory cells to accumulate in the alveolar spaces. The result? Our airways get clogged, making gas exchange less efficient. 

Over time, the lack of oxygen can take a toll on our health. If not addressed in time, it can lead to organ failure and other life-threatening complications. Other factors might make the situation worse: for example, infections, injuries, or breathing in stomach contents (something that can happen in severe intoxication) can all play a role.

The Link Between AUD and ARDS

The connection between ARDS and alcohol was first discovered in 1996 by a University of Colorado team led by Marc Moss. With the help of some lab rats who “drank for science” and demonstrated the link between alcohol and glutathione levels, Moss and his colleagues were able to see just how drastic the effect of booze on our lungs is. 

Today, scientists like Emory’s Guidot and his colleagues continue to uncover new details of what’s often referred to as “alcoholic lung disease.” One of his studies tracked alcoholic patients in hospitals around Atlanta, Denver, and Seattle who were admitted for various reasons, including septic shock and blood pressure problems. Guidot and his team found that the correlation between AUD and ARDS was even higher than previously thought. As Guidot explains, “We followed the alcoholic patients to see how many developed ARDS, and it turned out that the relative risk of ARDS for those with alcohol abuse was closer to 4 to 1 than the 2 to 1 risk that was identified in the original 1996 study … The results were dramatic.”

Another recent study is relevant to an even wider audience and is certainly food for thought when it comes to evaluating our drinking habits. Guidot and his team looked at the effect of alcohol on glutathione levels in “relatively functional alcoholics” — young folks who were treated for AUD in an inpatient facility, but were otherwise medically stable, healthy, and well-nourished. They found that glutathione levels in the lungs of the subjects were 80% to 90% lower compared with their non-drinking counterparts at the 2-3 day mark after their last drink and remained low for at least a week. 

An Indirect Attack: Alcohol and Respiratory Infections

In addition to messing with their ability to deliver oxygen to the cells of our body, alcohol interferes with another important function of the lungs — their role in the immune system. The respiratory tract is lined with cilia, tiny hair-like structures that help keep the airways clean by sweeping our pathogens and harmful particles along with mucus. 

Alcohol can impair the function of these tiny sweepers, making us more susceptible to diseases — especially those that target the lungs in particular, such as pneumonia or tuberculosis. The result? An indirect (albeit equally devastating) attack on the lungs.

For a closer look at other effects of alcohol on the immune system, check out our blog, “Alcohol's Impact on the Immune System.”

Alcoholic Pneumonia

Bacterial pneumonia, also known as “alcoholic pneumonia” (when related to AUD), is one of the most common and serious complications. According to the NIH, pneumonia is an inflammation of the lung caused by infection by bacteria. That said, it can also be caused by fungi, viruses, and parasites. The name itself comes from the Greek “pneumon” (meaning lung), underscoring pneumonia’s prominence as the classic “lung disease.” 

Pneumonia can be serious (especially for sensitive populations), and with alcohol in the picture, things get even more gnarly. The first link between alcohol abuse and pneumonia dates back over two centuries when Surgeon General Benjamin Rush described the link between the two. Today, the CDC is still on board with Rush, describing pneumonia as being four times more likely to be deadly to people who abuse alcohol.

Tuberculosis and AUD

In addition to bacterial pneumonia, lung infections with Mycobacterium tuberculosis (the pathogen that causes TB) are also a particular threat for people with AUD. According to the WHO, TB is the second leading cause of death around the world, taking over a million lives every year. Spread through the air from one infected person to another, it often remains dormant and doesn’t necessarily make everyone who contracts it sick. That said, those with a compromised immune system — including one weakened by alcohol — are more likely to develop serious symptoms. 

RSV and AUD

While bacterial infections tend to be in the spotlight when it comes to alcohol-related lung complications, viral infections are also a concern. RSV is a common viral infection that affects the lower part of the respiratory tract and is very common in children, older people, and folks with AUD. Because alcohol affects the cilia that act as the “first line” defense force against invading pathogens, RSV has an easier way into the respiratory tract.

Signs of Alcoholic Lung Disease

Now that we know a bit about what we’re dealing with, let’s take a look at the signs to look out for if we suspect alcoholic lung disease might be a problem. Most of these signs are more relevant to ARDS, but some could be symptoms of respiratory infections that result from an immune system weakened by alcohol:

  • Shortness of breath. We might have trouble breathing, especially during exercise or activities that require exertion, like climbing the stairs. While shortness of breath can be a sign of many things (after all, who hasn’t gotten a bit winded climbing up several flights when the elevator is broken), any changes from the norm could be a sign of a problem. If we’ve been drinking a lot, it’s not a symptom we want to ignore, since it could be one of the early signs of alcoholic lung disease.
  • Chronic cough and wheezing. If we keep coughing for days or weeks, it could be another sign our drinking is interfering with our lung function. The “alcoholic cough” might be dry or could produce phlegm. A wheezing sound could be a sign of obstruction or narrowing of the air passages in the lungs.
  • Weakness and fatigue. If we’re feeling more tired than usual, compromised lung function might be to blame. Our body and brain might not be getting the oxygen needed to function properly.
  • Changes in weight. If we see that scale going down without changing anything in our habits, it might initially come as a pleasant surprise. Not so fast! Unintended weight loss is cause for concern and could be a sign of chronic lung disease related to alcohol use. 
  • Pain in the chest. Severe lung conditions or infections could get painful and definitely warrant a trip to the doctor.
  • Frequent infections. As our lung condition progresses, we could find ourselves getting frequent infections, especially ones that affect the respiratory system.

As with all serious conditions, signs of alcoholic lung disease are not something to take lightly. If you suspect you’re having symptoms, it’s always best to get checked out as early as possible.

Can “Alcohol Lung” Be Reversed?

It depends. If caught early enough, sometimes the damage can be reversed. In other cases, the damage might be quite extensive — however, treatment will still make a difference, so it’s crucial to seek medical help.

If we’re talking about acute respiratory conditions that were worsened by alcohol (such as pneumonia), recovery is usually possible as long as treatment is prompt. It includes a few key steps:

  • Stop drinking to let our immune system recover.
  • Take medication (usually antibiotics) as prescribed. If necessary, we may be put on a ventilator to help with breathing issues.
  • Receive appropriate aftercare and rehabilitation.

If our condition is chronic or we’ve had repeated bouts of ARDS, the damage might be hard to reverse completely. Still, quitting or cutting back on alcohol and receiving proper medical care can help us manage our symptoms or slow their progression.

The common denominator in all of these cases is changing our relationship with alcohol. Especially if it has landed us in the hospital with a serious infection, it’s time to reassess things. (If that’s you, stay positive — many people have been where you are and have found a way out, and you can, too! Reframe is here to help you every step of the way.)

Tips To Breathe Easy and Stay Safe

Tips To Breathe Easy and Stay Safe

As for some general ways to keep respiratory issues at bay, here are some handy tips:

  1. Load up on antioxidants. Many plant foods, such as fruits and vegetables, are great sources of antioxidants that can help keep your lungs healthy. Leeks, onions, and garlic are great sources of allium sulfur compounds. Eggplant, grapes, and berries contain anthocyanins. Apples, onions, and citrus fruits are loaded with flavonoids. 
  2. Make exercise a habit. One of the best ways to increase lung capacity? Aerobic exercise. Whether you walk, jog, swim, or dance in your living room, pick an activity you enjoy and stick with it.
  3. Don’t smoke. Those scary pictures and warnings on cigarette boxes are true. According to the CDC, “More than 16 million Americans are living with a disease caused by smoking. For every person who dies because of smoking, at least 30 people live with a serious smoking-related illness.” These illnesses include cancer, heart disease, stroke, lung diseases, diabetes, and chronic obstructive pulmonary disease (COPD), as well as emphysema and chronic bronchitis. 

    Secondhand smoke is a known culprit, too, and contributes to around “41,000 deaths among nonsmoking adults and 400 deaths in infants each year.”
  4. Steer clear of outdoor pollutants. Keep tabs on air quality alerts on your watch, phone, or online. If your area is in the danger zone, limit outdoor time and opt for indoor exercise options. Also, try not to jog near high-traffic areas and avoid burning wood or trash in your backyard (or anywhere else, for that matter).
  5. Avoid indoor air pollutants. We sometimes forget about indoor air quality, but it matters! After all, most of us spend a good chunk of the day indoors. Stay safe by sticking to no-smoking policies indoors, avoid using harsh chemicals, and invest in an air purifier if you are sensitive to pollutants.

With these tips, you can keep respiratory issues at bay and breathe easier as your lung function improves. And if you need extra support to change your relationship with alcohol to make sure your lungs stay as healthy as possible for years to come, Reframe is here to help!

We’ve all heard of smoker’s lung — that characteristic hacking, wheezing cough that’s enough to scare many of us from ever trying a cigarette. But a drinker’s cough? Is that a thing? If you wake up with a nagging cough that doesn’t seem to ease up and gets more persistent over time, that glass (or bottle) of Chardonnay you’ve been downing on a regular basis probably won’t be your first suspect. And yet, “alcoholic cough,” shortness of breath after drinking alcohol, and even signs of lung failure can all be signs of alcoholic lung disease. Let’s explore this lesser-known respiratory problem in more detail.

Can Alcohol Cause Breathing Problems?

Sick Asian man with a cold, sneezing

It’s no secret that alcohol harms many systems of the body. It wreaks havoc on the liver, crosses the blood-brain barrier, suppresses neural activity, and even disrupts our sleep. But what about breathing?

As it turns out, alcohol has both direct and indirect effects on our lungs. Let’s explore the direct ones first.

The Lungs: A Brief Tour

Our lungs are about as advanced as any piece of fancy technology. Here’s how they work.

According to the National Heart, Lung, and Blood Institute, the lungs are a “pair of spongy, pinkish-gray organs in [our] chest.” Acting as the “centerpiece of [our] respiratory system,” they filter incoming air, delivering oxygen to the blood and removing carbon dioxide with each exhale. Inside the lungs, tubes known as bronchi that carry the air in branch off into smaller bronchioles, which are topped off by tiny air sacs called alveoli. It's in these microscopic alveoli that the magic of gas exchange happens.

The alveoli are tiny, balloon-like structures surrounded by a network of capillaries. These capillaries are so small that blood cells have to pass through them in a single file. When air reaches the alveoli, oxygen from the air passes through their thin walls and into the blood in the capillaries. At the same time, carbon dioxide, a waste product of metabolism, moves from the blood into the alveoli. This gas exchange process is crucial to life: as all of us who tried to hold our breath underwater know, it’s a matter of minutes before we desperately need air.

In addition to the lungs, the respiratory system includes the trachea (or windpipe), chest wall and diaphragm muscles, blood vessels, and more. Our brain is the central hub in charge of regulating breathing rates by keeping tabs on oxygen and carbon dioxide levels in our body.

Alcohol and the Lungs

Alcohol wreaks havoc on the body, and the lungs are no exception. Emory University pulmonologist David Guidot has made it his life’s work to study the effects of AUD on the lungs. As he explains in an Emory Medicine press release, “The lungs are especially vulnerable because chronic drinking depletes them of glutathione, and the alveoli and small airways are very dependent on it. Normally, they have 1,000 times more glutathione than other parts of the body. Chronic alcoholics have extremely low levels of glutathione in the lungs.” While the alcohol itself isn’t the direct cause of the changes, the oxidative stress that it causes leads to glutathione depletion.

Why is glutathione important? It’s an antioxidant that plays a vital role in keeping the lungs healthy and free from harmful substances. It also helps create and maintain T-cells, which are vital for immune function.

The Long-Term Respiratory Effects of Drinking

Chronic alcohol abuse and the glutathione depletion that happens as a result can damage the cells lining the respiratory tract, leading to a condition known as acute respiratory distress syndrome (ARDS). This severe form of lung failure can be life-threatening and happens when chronic inflammation leads fluids and inflammatory cells to accumulate in the alveolar spaces. The result? Our airways get clogged, making gas exchange less efficient. 

Over time, the lack of oxygen can take a toll on our health. If not addressed in time, it can lead to organ failure and other life-threatening complications. Other factors might make the situation worse: for example, infections, injuries, or breathing in stomach contents (something that can happen in severe intoxication) can all play a role.

The Link Between AUD and ARDS

The connection between ARDS and alcohol was first discovered in 1996 by a University of Colorado team led by Marc Moss. With the help of some lab rats who “drank for science” and demonstrated the link between alcohol and glutathione levels, Moss and his colleagues were able to see just how drastic the effect of booze on our lungs is. 

Today, scientists like Emory’s Guidot and his colleagues continue to uncover new details of what’s often referred to as “alcoholic lung disease.” One of his studies tracked alcoholic patients in hospitals around Atlanta, Denver, and Seattle who were admitted for various reasons, including septic shock and blood pressure problems. Guidot and his team found that the correlation between AUD and ARDS was even higher than previously thought. As Guidot explains, “We followed the alcoholic patients to see how many developed ARDS, and it turned out that the relative risk of ARDS for those with alcohol abuse was closer to 4 to 1 than the 2 to 1 risk that was identified in the original 1996 study … The results were dramatic.”

Another recent study is relevant to an even wider audience and is certainly food for thought when it comes to evaluating our drinking habits. Guidot and his team looked at the effect of alcohol on glutathione levels in “relatively functional alcoholics” — young folks who were treated for AUD in an inpatient facility, but were otherwise medically stable, healthy, and well-nourished. They found that glutathione levels in the lungs of the subjects were 80% to 90% lower compared with their non-drinking counterparts at the 2-3 day mark after their last drink and remained low for at least a week. 

An Indirect Attack: Alcohol and Respiratory Infections

In addition to messing with their ability to deliver oxygen to the cells of our body, alcohol interferes with another important function of the lungs — their role in the immune system. The respiratory tract is lined with cilia, tiny hair-like structures that help keep the airways clean by sweeping our pathogens and harmful particles along with mucus. 

Alcohol can impair the function of these tiny sweepers, making us more susceptible to diseases — especially those that target the lungs in particular, such as pneumonia or tuberculosis. The result? An indirect (albeit equally devastating) attack on the lungs.

For a closer look at other effects of alcohol on the immune system, check out our blog, “Alcohol's Impact on the Immune System.”

Alcoholic Pneumonia

Bacterial pneumonia, also known as “alcoholic pneumonia” (when related to AUD), is one of the most common and serious complications. According to the NIH, pneumonia is an inflammation of the lung caused by infection by bacteria. That said, it can also be caused by fungi, viruses, and parasites. The name itself comes from the Greek “pneumon” (meaning lung), underscoring pneumonia’s prominence as the classic “lung disease.” 

Pneumonia can be serious (especially for sensitive populations), and with alcohol in the picture, things get even more gnarly. The first link between alcohol abuse and pneumonia dates back over two centuries when Surgeon General Benjamin Rush described the link between the two. Today, the CDC is still on board with Rush, describing pneumonia as being four times more likely to be deadly to people who abuse alcohol.

Tuberculosis and AUD

In addition to bacterial pneumonia, lung infections with Mycobacterium tuberculosis (the pathogen that causes TB) are also a particular threat for people with AUD. According to the WHO, TB is the second leading cause of death around the world, taking over a million lives every year. Spread through the air from one infected person to another, it often remains dormant and doesn’t necessarily make everyone who contracts it sick. That said, those with a compromised immune system — including one weakened by alcohol — are more likely to develop serious symptoms. 

RSV and AUD

While bacterial infections tend to be in the spotlight when it comes to alcohol-related lung complications, viral infections are also a concern. RSV is a common viral infection that affects the lower part of the respiratory tract and is very common in children, older people, and folks with AUD. Because alcohol affects the cilia that act as the “first line” defense force against invading pathogens, RSV has an easier way into the respiratory tract.

Signs of Alcoholic Lung Disease

Now that we know a bit about what we’re dealing with, let’s take a look at the signs to look out for if we suspect alcoholic lung disease might be a problem. Most of these signs are more relevant to ARDS, but some could be symptoms of respiratory infections that result from an immune system weakened by alcohol:

  • Shortness of breath. We might have trouble breathing, especially during exercise or activities that require exertion, like climbing the stairs. While shortness of breath can be a sign of many things (after all, who hasn’t gotten a bit winded climbing up several flights when the elevator is broken), any changes from the norm could be a sign of a problem. If we’ve been drinking a lot, it’s not a symptom we want to ignore, since it could be one of the early signs of alcoholic lung disease.
  • Chronic cough and wheezing. If we keep coughing for days or weeks, it could be another sign our drinking is interfering with our lung function. The “alcoholic cough” might be dry or could produce phlegm. A wheezing sound could be a sign of obstruction or narrowing of the air passages in the lungs.
  • Weakness and fatigue. If we’re feeling more tired than usual, compromised lung function might be to blame. Our body and brain might not be getting the oxygen needed to function properly.
  • Changes in weight. If we see that scale going down without changing anything in our habits, it might initially come as a pleasant surprise. Not so fast! Unintended weight loss is cause for concern and could be a sign of chronic lung disease related to alcohol use. 
  • Pain in the chest. Severe lung conditions or infections could get painful and definitely warrant a trip to the doctor.
  • Frequent infections. As our lung condition progresses, we could find ourselves getting frequent infections, especially ones that affect the respiratory system.

As with all serious conditions, signs of alcoholic lung disease are not something to take lightly. If you suspect you’re having symptoms, it’s always best to get checked out as early as possible.

Can “Alcohol Lung” Be Reversed?

It depends. If caught early enough, sometimes the damage can be reversed. In other cases, the damage might be quite extensive — however, treatment will still make a difference, so it’s crucial to seek medical help.

If we’re talking about acute respiratory conditions that were worsened by alcohol (such as pneumonia), recovery is usually possible as long as treatment is prompt. It includes a few key steps:

  • Stop drinking to let our immune system recover.
  • Take medication (usually antibiotics) as prescribed. If necessary, we may be put on a ventilator to help with breathing issues.
  • Receive appropriate aftercare and rehabilitation.

If our condition is chronic or we’ve had repeated bouts of ARDS, the damage might be hard to reverse completely. Still, quitting or cutting back on alcohol and receiving proper medical care can help us manage our symptoms or slow their progression.

The common denominator in all of these cases is changing our relationship with alcohol. Especially if it has landed us in the hospital with a serious infection, it’s time to reassess things. (If that’s you, stay positive — many people have been where you are and have found a way out, and you can, too! Reframe is here to help you every step of the way.)

Tips To Breathe Easy and Stay Safe

Tips To Breathe Easy and Stay Safe

As for some general ways to keep respiratory issues at bay, here are some handy tips:

  1. Load up on antioxidants. Many plant foods, such as fruits and vegetables, are great sources of antioxidants that can help keep your lungs healthy. Leeks, onions, and garlic are great sources of allium sulfur compounds. Eggplant, grapes, and berries contain anthocyanins. Apples, onions, and citrus fruits are loaded with flavonoids. 
  2. Make exercise a habit. One of the best ways to increase lung capacity? Aerobic exercise. Whether you walk, jog, swim, or dance in your living room, pick an activity you enjoy and stick with it.
  3. Don’t smoke. Those scary pictures and warnings on cigarette boxes are true. According to the CDC, “More than 16 million Americans are living with a disease caused by smoking. For every person who dies because of smoking, at least 30 people live with a serious smoking-related illness.” These illnesses include cancer, heart disease, stroke, lung diseases, diabetes, and chronic obstructive pulmonary disease (COPD), as well as emphysema and chronic bronchitis. 

    Secondhand smoke is a known culprit, too, and contributes to around “41,000 deaths among nonsmoking adults and 400 deaths in infants each year.”
  4. Steer clear of outdoor pollutants. Keep tabs on air quality alerts on your watch, phone, or online. If your area is in the danger zone, limit outdoor time and opt for indoor exercise options. Also, try not to jog near high-traffic areas and avoid burning wood or trash in your backyard (or anywhere else, for that matter).
  5. Avoid indoor air pollutants. We sometimes forget about indoor air quality, but it matters! After all, most of us spend a good chunk of the day indoors. Stay safe by sticking to no-smoking policies indoors, avoid using harsh chemicals, and invest in an air purifier if you are sensitive to pollutants.

With these tips, you can keep respiratory issues at bay and breathe easier as your lung function improves. And if you need extra support to change your relationship with alcohol to make sure your lungs stay as healthy as possible for years to come, Reframe is here to help!

Alcohol and Health
2024-05-30 9:00
Alcohol and Health
The Risks of Big Soda’s Alcohol Drinks
This is some text inside of a div block.

Big Soda entering the alcohol industry may not seem like a big deal. Health experts say otherwise. Check out our latest blog to learn more about the risks of hard sodas.

17 min read

Think Before You Drink With Support from Reframe

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app today!

Read Full Article  →

Health experts constantly warn against excess consumption of soda, due to its negative effects on our health. Big Soda has consistently worked to get around changing trends. First through its development of zero-sugar and diet sodas and now with its debut into alcoholic sodas. 

While hard sodas may be the latest buzz within the alcohol industry, health experts have started to raise a red flag due to preliminary assessments of its risks. Let’s delve into how Big Soda has so much power and the specific risks associated with its new alcoholic lines.

The Power of Big Soda

A row of cola glasses filled with refreshing cola beverages

Big Soda refers to major soft drink companies as a whole. It includes the giants such as Coca-Cola, Pepsi, Dr. Pepper, and more. The name Big Soda comes from these brands not only dominating the soft drink market but also their significant lobbying and political power. 

Since large corporations like the ones that make up Big Soda are involved with a majority of the revenue in the beverage industry, they have the financial power to control politicians — influencing public policy. Although sugary drinks continue to be a detriment to our public health, Big Soda has manipulated politicians and prevented tax on sugary drinks — which can significantly affect consumption. 

Keeping prices low is a primary way that Big Soda keeps consumption going, despite the health warnings. According to a report from the World Population Review, almost 1 out of 5 people report having a soda at least once a day in the US. Despite the strikingly high consumption of soda, overall consumption has waned over the years. To keep up, Big Soda has entered a new market — the alcohol industry. 

Recent Shifts in Big Soda to Hard Soda

Although soda consumption remains high, health warnings have played a part in decreasing overall consumption. With consumers being more mindful of their health, we’ve seen a rise in alternative and wellness drinks. 

Big Soda has attempted to keep up with health trends with new zero-sugar and sugar-free options. While that has kept Big Soda still dominating the market, warnings against artificial sweeteners may be causing these companies to take a hit. Recently, it was exposed that Big Soda paid dietitian influencers to produce content that helps convince the audience that harm from artificial sweeteners is minimal. 

In an attempt to continue to drive consumption, major companies have developed a new strategy — entering the market of alcoholic beverages. A relatively recent shift, it seems as if major companies are testing the waters by debuting alcoholic beverages in the US market. Let’s see what they’ve come out with. 

Examples of Big Soda’s Alcohol Drinks

Big Soda has partnered with major alcohol companies in the past. In previous years, we’ve seen soda companies dabble in the alcohol market. Coca-Cola and Coors had developed alcohol versions of Topo Chico and Fresco. 

While these beverages are nothing new, these initial partnerships between Big Soda and alcohol companies put a greater emphasis on the alcohol portion of the drinks — clearly promoting them as new alcoholic drinks.

However, Big Soda’s more recent shift into alcoholic beverages seems to lean more on the non-alcoholic drink aspect of the beverage (we'll explain). The three most recent releases include:

  • Jack and Coke. Coca-Cola has partnered with the whiskey company Jack Daniel’s to produce a ready-to-drink (RTD) version of the popular cocktail that mixes whiskey and Coke.
  • Hard Mountain Dew. Pepsi and alcohol giant, Boston Beer, has recently developed an alcoholic version of the popular soda, Mountain Dew. Containing 5% alcohol, Mountain Dew alcoholic drinks come in several different flavors. 
  • The Beast Unleashed. Monster, the energy drink company, has developed The Beast Unleashed, introducing alcohol to their highly-popular energy drinks. 

We can see through these newer hard sodas that they stay synonymous with the non-alcoholic version in their names and appearance. This differs from previous partnerships such as Topo Chico, which is clearly marketed as a distinct product as a seltzer rather than sparkling water. Big Soda’s newer strategy aims to blur the lines between non-alcoholic and alcoholic beverages and targets the consumer’s familiarity with household names such as Coca-Cola and Mountain Dew. Let’s see why this may be alarming. 

Specific Concerns With Big Soda’s Alcohol Drinks

Experts have raised concerns specifically regarding Big Soda’s alcoholic drinks for good reason. With The COVID-19 pandemic boosting the popularity of ready-to-drink (RTD) beverages, a new rise in hard sodas may increase alcohol consumption even more. 

Traditionally, the three main categories of alcohol include beers, wines, and spirits. The RTD category complicates the distinction between alcoholic beverages and non-alcoholic drinks, as it has characteristics that appeal to consumers in both groups. 

Hard sodas produced by major soft drink companies fall into the RTD category and are arguably even more dangerous than ones produced solely by alcohol brands. This is due to the added familiarity of the brand names of major soft drink companies. Research shows that humans are more likely to choose something they are more familiar with. This added familiarity not only helps drive sales for these major corporations but can also negatively influence younger drinkers.

Young adults of drinking age may be drawn towards these drinks with familiar names and packaging. While hard sodas have a lower alcohol by volume (ABV) than some other beers, wines, and spirits, regular consumption can certainly serve as a gateway for young drinkers to begin consuming other alcoholic beverages. What does this mean for our public health?

Public Health Impacts of Hard Soda

Alcohol has detrimental impacts on our public health. Even more so, as alcohol consumption has increased dramatically within recent years. The pandemic created a need for convenience and RTD beverages are speculated to play a factor in our declining public health. As hard soda falls under the RTD category, some negative public health impacts of excess consumption include the following:

  • Increased alcohol consumption. While lower-ABV beverages are commonly marketed as a better alternative to higher-alcohol drinks, hard sodas or other RTD beverages can increase the normalization of drinking. Lower-alcohol beverages can also serve as a gateway to other alcoholic drinks — increasing overall alcohol consumption.
  • Rise in alcohol-related harms. Increased consumption also means an increase in alcohol-related harms. This can include acute effects such as intoxication and alcohol-related accidents. It can also include long-term effects such as alcohol-related health conditions and impacted mental health. 
  • The toll on the economy. Alcohol-related harms also take a significant toll on our economy. According to the CDC, excessive drinking cost the US $249 billion in 2010 due to decreased workplace productivity, healthcare expenses, and motor vehicle crashes.
  • Youth exposure. Hard sodas or other flavored alcoholic beverages known as alcopops can attract young drinkers whether it’s intended to or not. The added flavor and low alcohol content can appeal to younger drinks who may not be accustomed to the taste of alcohol. Increased alcohol consumption in young adults can have an impact on their risk of developing long-term health conditions and dependence.

Excessive consumption of alcohol, not just with hard sodas, is harmful to our public health. To get a better idea of why hard sodas are getting a bad rap, let’s see how they compare to other alcoholic beverages.

Hard Sodas Vs. Other Alcohol Drinks

Hard sodas are most comparable to other flavored malt beverages such as hard lemonades and seltzers. They are similar in taste to their non-alcoholic counterparts with a slight taste of alcohol that typically makes them more palatable. Studies have found that sweeter tastes are more popular among younger drinkers and females.

In addition to the taste, the ABV of hard sodas is also in line with other flavored malt beverages typically ranging from 5-8%. This is similar to lower-alcohol beers. However, some craft beers can go up to 15% ABV. Hard sodas are also lower in ABV than most wines and spirits which range from 5-20% and 35% and above respectively.

On the lower end of alcohol content, hard sodas are often marketed as a better alternative. However, excess consumption of alcohol (no matter the type) can be a serious problem.

Risks of Excessive Consumption of Hard Sodas

Excess consumption of alcohol is associated with many risks on its own. On top of that, hard sodas have specific hazards that add to their potential consequences. Some risks that excessive consumption of hard sodas causes include the following:

1. Alcohol-Related Health Impacts. Excessive consumption of alcohol has lasting impacts on our health. Alcohol is a toxin that damages our cell and organ function — increasing the risk of developing different diseases and cancers. Some health conditions associated with excessive drinking include the following:

  • Liver damage
  • Diabetes
  • Hypertension
  • Cardiovascular disease
  • Risk of developing cancer
  • Mental health impacts 

2. Soda-Related Health Issues. Sugary drinks like soda are also associated with a number of health concerns. Excess consumption of sugar can affect our blood sugar and insulin response — leading to conditions such as diabetes, obesity, and cardiovascular diseases. 

3. Target Population. While ads for hard sodas don’t explicitly promote underage drinking, RTD beverages such as hard sodas are notably appealing to younger drinkers. Research shows that drinking at a young age can not only affect development but also increase the risk of developing alcohol use disorder.

4. Alcohol-Related Mortalities. Excessive drinking causes about 178,000 deaths in the US per year, as reported by the Centers for Disease Control and Prevention (CDC).

The lower alcohol content of hard sodas may cause the misconception that it is associated with fewer consequences. However, the nature of alcoholic sodas creates specific risks that make them just as dangerous (if not more) than other alcoholic beverages.

Taking a Stand Against Big Soda’s Alcoholic Beverages

Standing Up To Big Soda’s Alcoholic Beverages

Big Soda has a lot of power and we can take some of that away by choosing not to consume. Some ways we can stand up to Big Soda’s shift to alcohol include the following methods:

  • Quit/cut back on alcohol. Avoiding Big Soda’s alcohol drinks and alcohol in general lowers sales and shows companies that there is less demand for these drinks. This can indirectly lead companies to produce less of these harmful products and shift their focus elsewhere.
  • Find alternatives. In addition to exploring zero-alcohol drinks, alcohol-free activities can serve as healthy distractions. Who knows? Maybe we’ll find a new hobby or a secret talent.
  • Support local businesses. Big Soda only has power if we give it to them by paying for their products. It’s true that sometimes local products can be more expensive, but by supporting small businesses, we give major corporations less power and dominance over the market.
  • Spread the wealth of knowledge. While we don’t need to give a TED Talk on the harms of hard sodas at every social gathering, helping spread awareness about the potential risks can help others consume more intentionally as well. 
  • Reach out for support. If we’re concerned about our consumption habits, we can explore different support options to help us make more mindful decisions. Different types of support such as social support through family and friends or treatment options such as alcohol-reduction apps and traditional treatment programs can be explored to suit our individual needs.

Large soft drinks companies stepping into the alcohol industry have severe consequences that we may not see at first glance. However, uncovering the slippery slope that Big Soda’s alcohol drinks helps us not fall trap. 

Breaking It Down

There’s a reason that brands continue to come out with new products and flavors. Take the cookie company Crumbl Cookies for example. The rotating menu of weekly flavors keeps everyone talking about it — helping keep their sales high. We see the same with Big Soda which has debuted new alcoholic versions of popular soft drinks. While this may seem like another trend, the detrimental effects of the growing popularity of RTD drinks have health experts worried. The familiarity of major soft drink brands may further drive alcohol consumption, especially among younger drinkers.

Big Soda can seem impossible to take down, but choosing to avoid their drinks can go a long way in reducing some of their hold. Stand up to Big Soda by preventing them from meeting their sales quota!

Health experts constantly warn against excess consumption of soda, due to its negative effects on our health. Big Soda has consistently worked to get around changing trends. First through its development of zero-sugar and diet sodas and now with its debut into alcoholic sodas. 

While hard sodas may be the latest buzz within the alcohol industry, health experts have started to raise a red flag due to preliminary assessments of its risks. Let’s delve into how Big Soda has so much power and the specific risks associated with its new alcoholic lines.

The Power of Big Soda

A row of cola glasses filled with refreshing cola beverages

Big Soda refers to major soft drink companies as a whole. It includes the giants such as Coca-Cola, Pepsi, Dr. Pepper, and more. The name Big Soda comes from these brands not only dominating the soft drink market but also their significant lobbying and political power. 

Since large corporations like the ones that make up Big Soda are involved with a majority of the revenue in the beverage industry, they have the financial power to control politicians — influencing public policy. Although sugary drinks continue to be a detriment to our public health, Big Soda has manipulated politicians and prevented tax on sugary drinks — which can significantly affect consumption. 

Keeping prices low is a primary way that Big Soda keeps consumption going, despite the health warnings. According to a report from the World Population Review, almost 1 out of 5 people report having a soda at least once a day in the US. Despite the strikingly high consumption of soda, overall consumption has waned over the years. To keep up, Big Soda has entered a new market — the alcohol industry. 

Recent Shifts in Big Soda to Hard Soda

Although soda consumption remains high, health warnings have played a part in decreasing overall consumption. With consumers being more mindful of their health, we’ve seen a rise in alternative and wellness drinks. 

Big Soda has attempted to keep up with health trends with new zero-sugar and sugar-free options. While that has kept Big Soda still dominating the market, warnings against artificial sweeteners may be causing these companies to take a hit. Recently, it was exposed that Big Soda paid dietitian influencers to produce content that helps convince the audience that harm from artificial sweeteners is minimal. 

In an attempt to continue to drive consumption, major companies have developed a new strategy — entering the market of alcoholic beverages. A relatively recent shift, it seems as if major companies are testing the waters by debuting alcoholic beverages in the US market. Let’s see what they’ve come out with. 

Examples of Big Soda’s Alcohol Drinks

Big Soda has partnered with major alcohol companies in the past. In previous years, we’ve seen soda companies dabble in the alcohol market. Coca-Cola and Coors had developed alcohol versions of Topo Chico and Fresco. 

While these beverages are nothing new, these initial partnerships between Big Soda and alcohol companies put a greater emphasis on the alcohol portion of the drinks — clearly promoting them as new alcoholic drinks.

However, Big Soda’s more recent shift into alcoholic beverages seems to lean more on the non-alcoholic drink aspect of the beverage (we'll explain). The three most recent releases include:

  • Jack and Coke. Coca-Cola has partnered with the whiskey company Jack Daniel’s to produce a ready-to-drink (RTD) version of the popular cocktail that mixes whiskey and Coke.
  • Hard Mountain Dew. Pepsi and alcohol giant, Boston Beer, has recently developed an alcoholic version of the popular soda, Mountain Dew. Containing 5% alcohol, Mountain Dew alcoholic drinks come in several different flavors. 
  • The Beast Unleashed. Monster, the energy drink company, has developed The Beast Unleashed, introducing alcohol to their highly-popular energy drinks. 

We can see through these newer hard sodas that they stay synonymous with the non-alcoholic version in their names and appearance. This differs from previous partnerships such as Topo Chico, which is clearly marketed as a distinct product as a seltzer rather than sparkling water. Big Soda’s newer strategy aims to blur the lines between non-alcoholic and alcoholic beverages and targets the consumer’s familiarity with household names such as Coca-Cola and Mountain Dew. Let’s see why this may be alarming. 

Specific Concerns With Big Soda’s Alcohol Drinks

Experts have raised concerns specifically regarding Big Soda’s alcoholic drinks for good reason. With The COVID-19 pandemic boosting the popularity of ready-to-drink (RTD) beverages, a new rise in hard sodas may increase alcohol consumption even more. 

Traditionally, the three main categories of alcohol include beers, wines, and spirits. The RTD category complicates the distinction between alcoholic beverages and non-alcoholic drinks, as it has characteristics that appeal to consumers in both groups. 

Hard sodas produced by major soft drink companies fall into the RTD category and are arguably even more dangerous than ones produced solely by alcohol brands. This is due to the added familiarity of the brand names of major soft drink companies. Research shows that humans are more likely to choose something they are more familiar with. This added familiarity not only helps drive sales for these major corporations but can also negatively influence younger drinkers.

Young adults of drinking age may be drawn towards these drinks with familiar names and packaging. While hard sodas have a lower alcohol by volume (ABV) than some other beers, wines, and spirits, regular consumption can certainly serve as a gateway for young drinkers to begin consuming other alcoholic beverages. What does this mean for our public health?

Public Health Impacts of Hard Soda

Alcohol has detrimental impacts on our public health. Even more so, as alcohol consumption has increased dramatically within recent years. The pandemic created a need for convenience and RTD beverages are speculated to play a factor in our declining public health. As hard soda falls under the RTD category, some negative public health impacts of excess consumption include the following:

  • Increased alcohol consumption. While lower-ABV beverages are commonly marketed as a better alternative to higher-alcohol drinks, hard sodas or other RTD beverages can increase the normalization of drinking. Lower-alcohol beverages can also serve as a gateway to other alcoholic drinks — increasing overall alcohol consumption.
  • Rise in alcohol-related harms. Increased consumption also means an increase in alcohol-related harms. This can include acute effects such as intoxication and alcohol-related accidents. It can also include long-term effects such as alcohol-related health conditions and impacted mental health. 
  • The toll on the economy. Alcohol-related harms also take a significant toll on our economy. According to the CDC, excessive drinking cost the US $249 billion in 2010 due to decreased workplace productivity, healthcare expenses, and motor vehicle crashes.
  • Youth exposure. Hard sodas or other flavored alcoholic beverages known as alcopops can attract young drinkers whether it’s intended to or not. The added flavor and low alcohol content can appeal to younger drinks who may not be accustomed to the taste of alcohol. Increased alcohol consumption in young adults can have an impact on their risk of developing long-term health conditions and dependence.

Excessive consumption of alcohol, not just with hard sodas, is harmful to our public health. To get a better idea of why hard sodas are getting a bad rap, let’s see how they compare to other alcoholic beverages.

Hard Sodas Vs. Other Alcohol Drinks

Hard sodas are most comparable to other flavored malt beverages such as hard lemonades and seltzers. They are similar in taste to their non-alcoholic counterparts with a slight taste of alcohol that typically makes them more palatable. Studies have found that sweeter tastes are more popular among younger drinkers and females.

In addition to the taste, the ABV of hard sodas is also in line with other flavored malt beverages typically ranging from 5-8%. This is similar to lower-alcohol beers. However, some craft beers can go up to 15% ABV. Hard sodas are also lower in ABV than most wines and spirits which range from 5-20% and 35% and above respectively.

On the lower end of alcohol content, hard sodas are often marketed as a better alternative. However, excess consumption of alcohol (no matter the type) can be a serious problem.

Risks of Excessive Consumption of Hard Sodas

Excess consumption of alcohol is associated with many risks on its own. On top of that, hard sodas have specific hazards that add to their potential consequences. Some risks that excessive consumption of hard sodas causes include the following:

1. Alcohol-Related Health Impacts. Excessive consumption of alcohol has lasting impacts on our health. Alcohol is a toxin that damages our cell and organ function — increasing the risk of developing different diseases and cancers. Some health conditions associated with excessive drinking include the following:

  • Liver damage
  • Diabetes
  • Hypertension
  • Cardiovascular disease
  • Risk of developing cancer
  • Mental health impacts 

2. Soda-Related Health Issues. Sugary drinks like soda are also associated with a number of health concerns. Excess consumption of sugar can affect our blood sugar and insulin response — leading to conditions such as diabetes, obesity, and cardiovascular diseases. 

3. Target Population. While ads for hard sodas don’t explicitly promote underage drinking, RTD beverages such as hard sodas are notably appealing to younger drinkers. Research shows that drinking at a young age can not only affect development but also increase the risk of developing alcohol use disorder.

4. Alcohol-Related Mortalities. Excessive drinking causes about 178,000 deaths in the US per year, as reported by the Centers for Disease Control and Prevention (CDC).

The lower alcohol content of hard sodas may cause the misconception that it is associated with fewer consequences. However, the nature of alcoholic sodas creates specific risks that make them just as dangerous (if not more) than other alcoholic beverages.

Taking a Stand Against Big Soda’s Alcoholic Beverages

Standing Up To Big Soda’s Alcoholic Beverages

Big Soda has a lot of power and we can take some of that away by choosing not to consume. Some ways we can stand up to Big Soda’s shift to alcohol include the following methods:

  • Quit/cut back on alcohol. Avoiding Big Soda’s alcohol drinks and alcohol in general lowers sales and shows companies that there is less demand for these drinks. This can indirectly lead companies to produce less of these harmful products and shift their focus elsewhere.
  • Find alternatives. In addition to exploring zero-alcohol drinks, alcohol-free activities can serve as healthy distractions. Who knows? Maybe we’ll find a new hobby or a secret talent.
  • Support local businesses. Big Soda only has power if we give it to them by paying for their products. It’s true that sometimes local products can be more expensive, but by supporting small businesses, we give major corporations less power and dominance over the market.
  • Spread the wealth of knowledge. While we don’t need to give a TED Talk on the harms of hard sodas at every social gathering, helping spread awareness about the potential risks can help others consume more intentionally as well. 
  • Reach out for support. If we’re concerned about our consumption habits, we can explore different support options to help us make more mindful decisions. Different types of support such as social support through family and friends or treatment options such as alcohol-reduction apps and traditional treatment programs can be explored to suit our individual needs.

Large soft drinks companies stepping into the alcohol industry have severe consequences that we may not see at first glance. However, uncovering the slippery slope that Big Soda’s alcohol drinks helps us not fall trap. 

Breaking It Down

There’s a reason that brands continue to come out with new products and flavors. Take the cookie company Crumbl Cookies for example. The rotating menu of weekly flavors keeps everyone talking about it — helping keep their sales high. We see the same with Big Soda which has debuted new alcoholic versions of popular soft drinks. While this may seem like another trend, the detrimental effects of the growing popularity of RTD drinks have health experts worried. The familiarity of major soft drink brands may further drive alcohol consumption, especially among younger drinkers.

Big Soda can seem impossible to take down, but choosing to avoid their drinks can go a long way in reducing some of their hold. Stand up to Big Soda by preventing them from meeting their sales quota!

Alcohol and Health
2024-05-29 9:00
Alcohol and Health
Vascular Effects of Alcohol
This is some text inside of a div block.

Alcohol is a vasodilator, meaning it causes blood vessels to widen, leading to a decrease in blood pressure. Excessive alcohol use in the long term increases the risk of cardiomyopathy and chronic hypertension.

17 min read

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If you’ve ever experienced your heart racing and your face getting hot after drinking alcohol, you’re not alone. The vascular system is incredibly complex, and alcohol has complex interactions with it. So take a deep breath and keep that blood pressure down, and we’ll learn how alcohol affects our vascular system — and what we can do to stay safe and keep our heart and veins healthy for years to come.

Overview of the Vascular System

Hands in blue gloves holding a bottle of beer and a human heart

If you’ve forgotten what you learned in middle school biology about the vascular system, don’t worry, we’ll go through the basics. The vascular system, also known as the cardiovascular system, is part of the circulatory system and is made up primarily of the heart and blood vessels. It is responsible for bringing oxygenated blood to all parts of our body.

The job of transporting blood sounds pretty important, right? Well, it is! That’s why it’s important to keep it healthy.

We may have heard of those “heart-healthy” diets and tips to stay away from high cholesterol or processed foods, but what about alcohol? Does alcohol affect the vascular system? And more specifically, does alcohol cause vasodilation?

How Does Alcohol Affect the Cardiovascular System?

Alcohol has complex interactions with the cardiovascular system, which at times may seem to contradict each other. Let’s dive deeper into both the short- and long-term effects of alcohol on the vascular system and learn just how complex it is.

Immediate Effects of Alcohol on the Vascular System

Let’s start off with what happens to our body while drinking or a few hours after drinking. Alcohol is a known vasodilator, which means it causes vasodilation, or the widening of the blood vessels. This is what gives us that warm feeling when we begin sipping alcohol — it’s our blood vessels widening. This also leads to lower blood pressure since the heart doesn’t have to pump so hard. 

This effect is only temporary, though, and our blood pressure rises over time with chronic alcohol use. So you may be wondering, “Is alcohol a vasodilator or a vasoconstrictor?” Well, the answer is, it’s both. To understand that, we need to look at another player: nitric oxide.

The Role of Nitric Oxide

Nitric oxide is found in the lining of the blood vessels and is the actual chemical responsible for vasodilation when it gets released. Low amounts of alcohol release nitric oxide, resulting in vasodilation. High amounts, however, damage the lining of the blood vessels and decrease the amount of nitric oxide available to be absorbed. This causes “vasoconstriction,” or a narrowing of the blood vessels, which results in increased blood pressure. When we binge drink, our blood pressure increases because we’ve consumed a very large amount of alcohol in a short time, so the vasoconstriction process is fast-forwarded a little (For more information about how alcohol affects the blood, check out our blog “What Does Alcohol Do to Your Blood?”).

Long-Term Effects of Alcohol on the Vascular System

Nitric oxide is affected by long-term alcohol use, too. Similar to high doses of alcohol, chronic exposure to alcohol damages the lining of the blood vessels (a condition known as “endothelial dysfunction,” or damage to the endothelial cells that line the blood vessels), reduces the availability of nitric oxide, and impairs its production, making it harder for the blood vessels to widen, creating adverse effects. 

  • Increased blood pressure over time. Long-term vasoconstriction can lead to high blood pressure in chronic drinkers (or hypertension). High blood pressure can lead to a whole lot of problems, including stroke, heart attack, kidney problems, and aneurysms.
  • Chronic chest pain. This occurs as a symptom of endothelial dysfunction; it happens when the arteries are closing more than they should be.

These may sound uncomfortable, but there are more serious effects that could occur from alcohol use.

  • Risk of blood clots. The constriction of the blood vessels from the decrease of nitric oxide in the blood is bad enough when talking about blood clots. But alcohol also impairs certain proteins that prevent blood clotting, giving us a recipe for a blood clot.
  • Impairment of blood cell development. Chronic excessive drinkers can develop deficiencies in certain vitamins that produce red blood cells. This condition can result in fewer healthy red blood cells in the body and cause anemia. The good news is, this is reversible if we quit drinking alcohol.
  • Increased risk of heart disease and heart attack. While alcohol wouldn’t be the direct cause of a heart attack, it raises our risk of one. Among deaths from excessive alcohol use in the United States from 2016 to 2021, death rates from heart disease were ranked the most prevalent, particularly in females. The reasons are the hormonal and physical differences between males and females that make women more susceptible to heart disease and heart attacks.
  • Risk of developing atherosclerosis. When we don’t have enough nitric oxide in our blood, our arteries can become inflamed and plaque build up. As a result, our arteries become thicker, and less blood can move through them.

With all these nasty side effects of long-term alcohol use, you can understand why chronic binge drinking in particular is bad news for our blood vessels.

Following Your Heart

We’ve talked about the vascular system, but what about the heart? Since the heart is the head honcho of the vascular system, let’s take a closer look at how alcohol affects it.

Immediate Effects of Alcohol on the Heart

We can feel some effects within a few hours of drinking.

  • Hormonal imbalance. Alcohol affects all of our hormones, but immediate alcohol use also increases the production of cortisol, which is our stress hormone. This not only throws our hormones off balance but also increases our heart rate. 
  • Rapid and irregular heartbeat. The release of cortisol is responsible for the rapid heartbeats we may feel after drinking. Alcohol use eventually causes the heart to beat irregularly as well, which puts uuneven stress on the heart.
  • Heartburn. If you’ve ever had heartburn, you know it’s no joke. Alcohol relaxes the lower esophageal sphincter (which connects the throat to the stomach), and it can cause acid to leak into the esophagus, resulting in that dreaded ring of fire in the chest.

Long-Term Effects of Alcohol on the Heart

While the immediate effects of alcohol on the heart may seem fixable, and they are, long-term alcohol use affects the heart and results in more complications:

  • Change in cardiac structure. Not only does alcohol affect the functioning of the heart, it can affect the structure. One study looked at the relationship between alcohol and the structure of the heart and found that, in older people, a history of drinking resulted in differences in cardiac structure and function compared to non-drinkers, again with women being more susceptible to these negative effects.
  • Cardiomyopathy. Cardiomyopathy is when the heart muscle becomes weaker or functions irregularly. Among the causes of cardiomyopathy, alcoholic cardiomyopathy is one of the main ones.
  • Peripheral artery disease (PAD) and peripheral vascular disease (PVD). Peripheral artery disease is the narrowing of the arteries in the extremities, particularly the legs. Excessive alcohol consumption increases the risk of developing it, which in turn can increase the risk of stroke or other complications. This is not to be confused with peripheral vascular disease, which is the narrowing of any old blood vessel outside the heart or the brain. Since chronic alcohol use causes a drop in nitric oxide leading to vasoconstriction, we are more susceptible to both these conditions.

The Indirect Association

It’s worth mentioning that it’s not just alcohol alone that leads to vascular problems. Heavy drinking or even occasional binge drinking indirectly affects our life in all ways. (When was the last time you skipped your workout the day after a night of drinking?) Add to the alcohol our decreased energy, lack of sleep, and overindulgence in salty hangover foods post-drinking, and we’ve managed to combine a bunch of bad things that together have a compounding negative effect on our heart and vascular system.

Heart-Healthy Tips

Don’t get your heart broken over these effects. The good news is, there are many things you can do to keep your heart healthy and rebuild cardiovascular strength if you’re affected by alcohol-induced vascular damage.

  • Quit or cut back on alcohol. Reducing our alcohol intake can work wonders for the health and longevity of our heart by helping its rhythm stay consistent and keeping those good old endothelial cells in shape.
  • Maintain a healthy diet. Garbage in, garbage out. Nourishing our heart with vitamin-rich foods such as vegetables helps reduce the risk of plaque buildup in the arteries, making our heart’s job easier. Healthy fats such as legumes and foods rich in omega-3 fatty acids are also beneficial for our heart.
  • Get active. Not only does being sedentary mean we’re not working our heart, but a chronic sedentary lifestyle increases our risk of blood clots.
  • Quit smoking. Smoking is terrible for our heart health. Not only that, many people tend to drink and smoke at the same time. A study found that 67% of smokers have reported smoking while drinking, so avoiding alcohol may eliminate smoking automatically.
  • Decrease stress. Stress also raises blood pressure and contributes to negative health problems besides just heart problems. Instead of having a drink at the end of a long, tough day at work, try meditating for stress relief. (To learn some meditation techniques, check out our post “The Best Meditations for Stress Relief.”)
  • Have a heart-to-heart with your doctor. It’s important to get your heart checked out by a doctor if you have heart problems (or any other health problems for that matter), and listen to their advice and adhere to restrictions they set for you.

Getting to the Heart of It

The vascular system has a pretty big job with all that blood to pump and all those organs to oxygenate, and keeping it healthy is hard enough. With all the demands and responsibilities of life and work, we may not realize how much stress we put on our body on a daily basis or how hard the vascular system is working to keep things going. Keeping our vascular system healthy will help make sure we’re around for a long time, and quitting or cutting back on alcohol is a great start to a healthier lifestyle. So listen to your heart, literally, and give it the love it deserves so it can keep pumping you through life!

If you’ve ever experienced your heart racing and your face getting hot after drinking alcohol, you’re not alone. The vascular system is incredibly complex, and alcohol has complex interactions with it. So take a deep breath and keep that blood pressure down, and we’ll learn how alcohol affects our vascular system — and what we can do to stay safe and keep our heart and veins healthy for years to come.

Overview of the Vascular System

Hands in blue gloves holding a bottle of beer and a human heart

If you’ve forgotten what you learned in middle school biology about the vascular system, don’t worry, we’ll go through the basics. The vascular system, also known as the cardiovascular system, is part of the circulatory system and is made up primarily of the heart and blood vessels. It is responsible for bringing oxygenated blood to all parts of our body.

The job of transporting blood sounds pretty important, right? Well, it is! That’s why it’s important to keep it healthy.

We may have heard of those “heart-healthy” diets and tips to stay away from high cholesterol or processed foods, but what about alcohol? Does alcohol affect the vascular system? And more specifically, does alcohol cause vasodilation?

How Does Alcohol Affect the Cardiovascular System?

Alcohol has complex interactions with the cardiovascular system, which at times may seem to contradict each other. Let’s dive deeper into both the short- and long-term effects of alcohol on the vascular system and learn just how complex it is.

Immediate Effects of Alcohol on the Vascular System

Let’s start off with what happens to our body while drinking or a few hours after drinking. Alcohol is a known vasodilator, which means it causes vasodilation, or the widening of the blood vessels. This is what gives us that warm feeling when we begin sipping alcohol — it’s our blood vessels widening. This also leads to lower blood pressure since the heart doesn’t have to pump so hard. 

This effect is only temporary, though, and our blood pressure rises over time with chronic alcohol use. So you may be wondering, “Is alcohol a vasodilator or a vasoconstrictor?” Well, the answer is, it’s both. To understand that, we need to look at another player: nitric oxide.

The Role of Nitric Oxide

Nitric oxide is found in the lining of the blood vessels and is the actual chemical responsible for vasodilation when it gets released. Low amounts of alcohol release nitric oxide, resulting in vasodilation. High amounts, however, damage the lining of the blood vessels and decrease the amount of nitric oxide available to be absorbed. This causes “vasoconstriction,” or a narrowing of the blood vessels, which results in increased blood pressure. When we binge drink, our blood pressure increases because we’ve consumed a very large amount of alcohol in a short time, so the vasoconstriction process is fast-forwarded a little (For more information about how alcohol affects the blood, check out our blog “What Does Alcohol Do to Your Blood?”).

Long-Term Effects of Alcohol on the Vascular System

Nitric oxide is affected by long-term alcohol use, too. Similar to high doses of alcohol, chronic exposure to alcohol damages the lining of the blood vessels (a condition known as “endothelial dysfunction,” or damage to the endothelial cells that line the blood vessels), reduces the availability of nitric oxide, and impairs its production, making it harder for the blood vessels to widen, creating adverse effects. 

  • Increased blood pressure over time. Long-term vasoconstriction can lead to high blood pressure in chronic drinkers (or hypertension). High blood pressure can lead to a whole lot of problems, including stroke, heart attack, kidney problems, and aneurysms.
  • Chronic chest pain. This occurs as a symptom of endothelial dysfunction; it happens when the arteries are closing more than they should be.

These may sound uncomfortable, but there are more serious effects that could occur from alcohol use.

  • Risk of blood clots. The constriction of the blood vessels from the decrease of nitric oxide in the blood is bad enough when talking about blood clots. But alcohol also impairs certain proteins that prevent blood clotting, giving us a recipe for a blood clot.
  • Impairment of blood cell development. Chronic excessive drinkers can develop deficiencies in certain vitamins that produce red blood cells. This condition can result in fewer healthy red blood cells in the body and cause anemia. The good news is, this is reversible if we quit drinking alcohol.
  • Increased risk of heart disease and heart attack. While alcohol wouldn’t be the direct cause of a heart attack, it raises our risk of one. Among deaths from excessive alcohol use in the United States from 2016 to 2021, death rates from heart disease were ranked the most prevalent, particularly in females. The reasons are the hormonal and physical differences between males and females that make women more susceptible to heart disease and heart attacks.
  • Risk of developing atherosclerosis. When we don’t have enough nitric oxide in our blood, our arteries can become inflamed and plaque build up. As a result, our arteries become thicker, and less blood can move through them.

With all these nasty side effects of long-term alcohol use, you can understand why chronic binge drinking in particular is bad news for our blood vessels.

Following Your Heart

We’ve talked about the vascular system, but what about the heart? Since the heart is the head honcho of the vascular system, let’s take a closer look at how alcohol affects it.

Immediate Effects of Alcohol on the Heart

We can feel some effects within a few hours of drinking.

  • Hormonal imbalance. Alcohol affects all of our hormones, but immediate alcohol use also increases the production of cortisol, which is our stress hormone. This not only throws our hormones off balance but also increases our heart rate. 
  • Rapid and irregular heartbeat. The release of cortisol is responsible for the rapid heartbeats we may feel after drinking. Alcohol use eventually causes the heart to beat irregularly as well, which puts uuneven stress on the heart.
  • Heartburn. If you’ve ever had heartburn, you know it’s no joke. Alcohol relaxes the lower esophageal sphincter (which connects the throat to the stomach), and it can cause acid to leak into the esophagus, resulting in that dreaded ring of fire in the chest.

Long-Term Effects of Alcohol on the Heart

While the immediate effects of alcohol on the heart may seem fixable, and they are, long-term alcohol use affects the heart and results in more complications:

  • Change in cardiac structure. Not only does alcohol affect the functioning of the heart, it can affect the structure. One study looked at the relationship between alcohol and the structure of the heart and found that, in older people, a history of drinking resulted in differences in cardiac structure and function compared to non-drinkers, again with women being more susceptible to these negative effects.
  • Cardiomyopathy. Cardiomyopathy is when the heart muscle becomes weaker or functions irregularly. Among the causes of cardiomyopathy, alcoholic cardiomyopathy is one of the main ones.
  • Peripheral artery disease (PAD) and peripheral vascular disease (PVD). Peripheral artery disease is the narrowing of the arteries in the extremities, particularly the legs. Excessive alcohol consumption increases the risk of developing it, which in turn can increase the risk of stroke or other complications. This is not to be confused with peripheral vascular disease, which is the narrowing of any old blood vessel outside the heart or the brain. Since chronic alcohol use causes a drop in nitric oxide leading to vasoconstriction, we are more susceptible to both these conditions.

The Indirect Association

It’s worth mentioning that it’s not just alcohol alone that leads to vascular problems. Heavy drinking or even occasional binge drinking indirectly affects our life in all ways. (When was the last time you skipped your workout the day after a night of drinking?) Add to the alcohol our decreased energy, lack of sleep, and overindulgence in salty hangover foods post-drinking, and we’ve managed to combine a bunch of bad things that together have a compounding negative effect on our heart and vascular system.

Heart-Healthy Tips

Don’t get your heart broken over these effects. The good news is, there are many things you can do to keep your heart healthy and rebuild cardiovascular strength if you’re affected by alcohol-induced vascular damage.

  • Quit or cut back on alcohol. Reducing our alcohol intake can work wonders for the health and longevity of our heart by helping its rhythm stay consistent and keeping those good old endothelial cells in shape.
  • Maintain a healthy diet. Garbage in, garbage out. Nourishing our heart with vitamin-rich foods such as vegetables helps reduce the risk of plaque buildup in the arteries, making our heart’s job easier. Healthy fats such as legumes and foods rich in omega-3 fatty acids are also beneficial for our heart.
  • Get active. Not only does being sedentary mean we’re not working our heart, but a chronic sedentary lifestyle increases our risk of blood clots.
  • Quit smoking. Smoking is terrible for our heart health. Not only that, many people tend to drink and smoke at the same time. A study found that 67% of smokers have reported smoking while drinking, so avoiding alcohol may eliminate smoking automatically.
  • Decrease stress. Stress also raises blood pressure and contributes to negative health problems besides just heart problems. Instead of having a drink at the end of a long, tough day at work, try meditating for stress relief. (To learn some meditation techniques, check out our post “The Best Meditations for Stress Relief.”)
  • Have a heart-to-heart with your doctor. It’s important to get your heart checked out by a doctor if you have heart problems (or any other health problems for that matter), and listen to their advice and adhere to restrictions they set for you.

Getting to the Heart of It

The vascular system has a pretty big job with all that blood to pump and all those organs to oxygenate, and keeping it healthy is hard enough. With all the demands and responsibilities of life and work, we may not realize how much stress we put on our body on a daily basis or how hard the vascular system is working to keep things going. Keeping our vascular system healthy will help make sure we’re around for a long time, and quitting or cutting back on alcohol is a great start to a healthier lifestyle. So listen to your heart, literally, and give it the love it deserves so it can keep pumping you through life!

Alcohol and Health
2024-05-27 9:00
Alcohol and Health
Does Alcohol Expire? Factors Influencing Alcohol’s Shelf Life
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Although drinking expired alcohol isn’t tied to significant dangers, it may have negative impacts. Check out our latest blog for more info on alcohol’s shelf life.

19 min read

Interested In Practicing Safe Alcohol Consumption? Reframe Can Help!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app today!

Read Full Article  →

We may be familiar with the term “aging like fine wine,” but despite what we commonly hear, alcohol doesn’t last forever. The shelf life of alcohol depends on several different factors, and proper storage plays a major role in how long it lasts. 

Let’s get a general idea of how long different types of alcohol last and what factors affect it. We’ll also delve into ways that we can identify spoiled alcohol and how it can affect our health. Since many alcoholic products don’t clearly state an expiration date, let’s first determine if alcohol does expire.

Does Alcohol Go Bad? 

Collection of alcohol bottles on glass shelf

Alcohol is commonly used as a preservative and has antimicrobial properties. However, alcohol does expire and can go bad. It may not spoil in the same way that other foods and drinks do, but alcohol doesn’t last forever as it’s commonly perceived to.

While ethanol is an approved preservative that extends the life of many foods, the specific process of developing alcoholic beverages and additives contributes to its perishability. The shelf life of alcohol depends on many different factors including whether or not it’s been opened.

Does Alcohol Expire If Unopened?

Alcohol that has been left unopened and stored correctly may have a longer shelf life. That’s because proper handling decreases the chance of exposure to factors that increase the progression of expiration. However, the shelf life of alcohol that is unopened isn’t indefinite. 

Although unopened, alcohol can still be exposed to external influences that can contribute to its spoiling. Let’s explore these factors in greater detail.

Factors That Influence Alcohol’s Shelf Life

Like all food and drink we consume, different factors can influence how long they last. An apple we keep in our car during the hot summer months will spoil much more quickly than an apple we keep in the fridge. The same goes for alcohol. Specific factors influence the alcohol’s shelf life:

  • Ethanol content. Due to its antimicrobial properties, ethyl alcohol is used as both a disinfectant and a preservative. Alcoholic beverages with a higher ethanol content typically have a longer shelf life.
  • Production process. Certain production processes give alcoholic beverages their distinct characteristics. However, certain processes and ingredients may result in a longer or shorter shelf life.
  • Additives. Flavors and mixers added after the production process can dilute ethanol and decrease the shelf life of alcohol. 
  • Storage. Exposure to oxygen, high temperatures, and light all contribute to the degradation of alcohol. Research shows that these influences create changes in the chemical compositions of alcohol. That’s why unopened alcohol typically has a longer shelf life. It’s also why wine cellars exist.

A variety of factors can influence how long different types of alcohol last, which means each kind has a different shelf life. To practice safe consumption of alcohol, we need to understand the general shelf life of each type.

Shelf Life of Different Types of Alcohol

Different types of alcohol are produced differently, have different ethanol content, and may have distinctive additives that influence their shelf life. Let’s compare three main types of alcohol — liquor, wine, and beer. 

How Long Does Liquor Last? 

Liquor encompasses distilled spirits, including gin, vodka, whiskey, tequila, and rum. Out of the three main types of alcohol, liquor is considered the most shelf stable due to its high ethanol content.

Liquor is produced through fermentation of different grains and plants. After fermentation, liquor goes through a distillation process, which separates alcohol from water and increases the alcohol concentration. Since spirits have a higher alcohol content, they typically have the longest shelf life. According to industry experts and authors of the book Aroma of Beer, Wine, and Distilled Alcoholic Beverages, liquor lasts for about 6 to 8 months after opening. 


Liqueurs, not to be confused with the general term liquor, are sweetened with other flavors, which shorten liqueurs’ shelf life to 6 months after opening. 

Generally, liquor, or spirits, should be stored in a cool, dark area. The bottles also should be stored upright to prevent the alcohol from touching the cap. This reduces the risk of corrosion, which can affect the flavor and quality of the alcohol. While some spirits may last longer than 6 – 8 months after opening without affecting the taste, it's better to err on the side of caution.

How Long Does Wine Last?

Wine is produced through fermentation of different parts of the grape. Unlike spirits, the shelf life of wine can vary greatly. While quality wines that are aged in casks for months to years can continue to last and intensify in taste if unopened, cheaper wines that don’t go through this aging process last only about 2 years after bottling. The shelf life of unopened wines is difficult to determine and can vary widely among different types of wines and brands. 

Organic wines are typically made without preservatives and should be consumed within 3 – 6 months. After opening, wine is exposed to oxygen and should be consumed within 3 – 7 days. Sparkling wines, which deteriorate fastest, should be consumed within hours (or 1 – 3 days if refrigerated and sealed with a wine stopper). More shelf-stable wines, such as fortified wines, can last 2 – 4 weeks after opening. 

As we can see, the shelf life of wine is volatile and greatly affected by light and heat. A wine cellar or another cool, dark, and dry environment (not the freezer) will help keep wine fresh for several years unopened. Unlike other alcoholic beverages, wine is meant to be stored on its side to keep the cork moist and prevent oxidation. 

How Long Does Beer Last?

Beer is produced through the fermentation of cereal grains. As the yeast converts the sugars into ethanol, CO2 is produced – causing natural carbonation. At the end of the process, hops (parts of the Humulus lupulus plant) are added to give beer its distinctive taste and help preserve and stabilize its foam. 

The shelf life of beer depends on the alcohol content and whether or not it's pasteurized or unpasteurized. Brewers typically print a “use by” date to indicate when the beer will be at peak taste. Pasteurized beers, which go through a heating process similar to pasteurizing other foods and drinks, prevent harmful pathogens and extend the shelf life for up to a year after packaging and generally 6 – 8 months past its “best by” date. Unpasteurized beers, like most craft beers, have a shorter shelf life and last about 3 months after bottling. 

Beer can be properly stored in a cool, dark area with consistent temperatures, such as the fridge. After opening, beer should be consumed within a few hours. After opening, beer will begin to lose its carbonation and taste. 

Shelf Life of Different Types of Alcohol

Signs of Expired Alcohol

Since expiration periods of alcohol are highly dependent on external factors, it’s important to know the signs of spoiled alcohol. Here are the most common indicators:

  • Changes in appearance. Expired alcohol may sometimes change the appearance of a drink. Look for changes in color or consistency.
  • Changes in odor. Spoiled alcohol can also commonly smell sour, similar to vinegar. 
  • Presence of particles. Floating particles or sediment may indicate expired alcohol — but not always. Particles can be present for several different reasons, including the growth of bacteria or the separation of proteins. They can also form naturally in some wines and spirits.
  • Mold. Mold can commonly grow in beer, wine, and liqueurs. While mold isn’t common in spirits, it can still occur. Certain types of fungi target ethanol, such as “whiskey fungus,” which thrives on the vapors released during the whiskey aging process.

While not all expired alcohol will have visible signs, it's important to be aware of how alcohol that’s gone bad can look, smell, and taste to help us avoid it. But if we’re in a dark bar or at a party with lots of different smells, it’s not always easy to recognize the signs. What if we accidentally drink alcohol that’s gone bad? Should we be worried?

What Happens If You Drink Expired Alcohol?

Expired alcohol is most commonly associated with a change in taste. While spoiled wine turns to vinegar, making it taste sour, other expired alcohol may not have a distinctly “off” taste. Alcohol past its expiration date may be described as weak or unflavored. The change in taste may not seem like a big deal. However, it can be difficult to tell for sure if bacteria or mold has grown in it.

Consuming alcohol that contains bacteria or mold increases the risk of experiencing adverse effects such as an upset stomach. Expired alcohol, however, isn’t reported to cause serious illness. Still, it isn’t a great idea to consume expired alcohol, especially if signs of decomposition are detected. It’s similar to eating the rest of an apple after cutting off a discolored piece — we may or may not get sick, but why take the chance? 

Health Effects of Alcohol vs. Expired Alcohol

Even if it’s not expired, alcohol still poses numerous risks. We can cut the discolored piece off an apple, but if the apple is poisonous, it doesn’t make a difference. Likewise, consuming any alcohol in excess — expired or not — can lead to serious health conditions:

  • Liver disease. Our liver processes over 90% of alcohol and is subjected to prolonged exposure to the toxins in alcohol. Drinking is directly linked with liver damage and disease.
  • Cardiovascular disease. Alcohol has negative effects on our blood pressure, cholesterol, and blood sugar, which all contribute to the risk of developing cardiovascular disease.
  • Pancreatitis. Excessive alcohol consumption is the leading cause of pancreatitis (inflammation of the pancreas). 
  • Cancer. When we drink, our body breaks down ethanol into acetaldehyde, a toxic compound that is classified as a carcinogen. This is why alcohol is directly tied to an increased risk of developing all types of cancers.
  • Diabetes. Alcohol raises our blood sugar, and, over time, it can increase our insulin resistance, which can develop into type 2 diabetes.

Drinking alcohol directly impacts our health and well-being in multiple ways. An expiration date doesn’t change that. Mindful drinking practices can reduce the risk of complications and limit the negative impacts of general alcohol consumption.

Tips for Safe Alcohol Consumption 

Safe alcohol consumption includes checking for signs of expiration and, more importantly, implementing mindful drinking practices:

  • Be mindful of expiration dates. Alcohol isn’t required to have expiration dates. However, based on the shelf life of different types of alcoholic beverages, we can get an idea of how long our alcohol will last. When in doubt, throw it out!
  • Adhere to proper storage recommendations. Different types of alcohol may have different storage recommendations, which helps to prolong its shelf life. Generally, alcohol should be stored in a cool, dark area.
  • Look for abnormalities. Since alcohol doesn’t always have a “best by” date, it’s always important to check for abnormalities before drinking. Check for changes in appearance, consistency, and smell. 
  • Practice moderation. Follow moderate drinking guidelines set by the Centers for Disease Control and Prevention (CDC). Limit intake to two drinks or less for men and one drink or less for women to limit the negative effects of excessive drinking.

Since alcohol, expired or not, has the same detrimental health effects, safe alcohol consumption always includes limiting intake.

Key Takeaways

While some alcohol can last for years unopened, alcohol is not indefinitely shelf stable. Storage, ethanol content, and additives can all influence alcohol’s shelf life. While expired alcohol (compared to non-expired) may not have significant health effects, it can increase the possibility of exposure to bacteria and mold. It’s important to note that alcohol, even when not expired, has detrimental health effects — accentuating the importance of quitting or cutting back on alcohol to improve our overall well-being. 

We may be familiar with the term “aging like fine wine,” but despite what we commonly hear, alcohol doesn’t last forever. The shelf life of alcohol depends on several different factors, and proper storage plays a major role in how long it lasts. 

Let’s get a general idea of how long different types of alcohol last and what factors affect it. We’ll also delve into ways that we can identify spoiled alcohol and how it can affect our health. Since many alcoholic products don’t clearly state an expiration date, let’s first determine if alcohol does expire.

Does Alcohol Go Bad? 

Collection of alcohol bottles on glass shelf

Alcohol is commonly used as a preservative and has antimicrobial properties. However, alcohol does expire and can go bad. It may not spoil in the same way that other foods and drinks do, but alcohol doesn’t last forever as it’s commonly perceived to.

While ethanol is an approved preservative that extends the life of many foods, the specific process of developing alcoholic beverages and additives contributes to its perishability. The shelf life of alcohol depends on many different factors including whether or not it’s been opened.

Does Alcohol Expire If Unopened?

Alcohol that has been left unopened and stored correctly may have a longer shelf life. That’s because proper handling decreases the chance of exposure to factors that increase the progression of expiration. However, the shelf life of alcohol that is unopened isn’t indefinite. 

Although unopened, alcohol can still be exposed to external influences that can contribute to its spoiling. Let’s explore these factors in greater detail.

Factors That Influence Alcohol’s Shelf Life

Like all food and drink we consume, different factors can influence how long they last. An apple we keep in our car during the hot summer months will spoil much more quickly than an apple we keep in the fridge. The same goes for alcohol. Specific factors influence the alcohol’s shelf life:

  • Ethanol content. Due to its antimicrobial properties, ethyl alcohol is used as both a disinfectant and a preservative. Alcoholic beverages with a higher ethanol content typically have a longer shelf life.
  • Production process. Certain production processes give alcoholic beverages their distinct characteristics. However, certain processes and ingredients may result in a longer or shorter shelf life.
  • Additives. Flavors and mixers added after the production process can dilute ethanol and decrease the shelf life of alcohol. 
  • Storage. Exposure to oxygen, high temperatures, and light all contribute to the degradation of alcohol. Research shows that these influences create changes in the chemical compositions of alcohol. That’s why unopened alcohol typically has a longer shelf life. It’s also why wine cellars exist.

A variety of factors can influence how long different types of alcohol last, which means each kind has a different shelf life. To practice safe consumption of alcohol, we need to understand the general shelf life of each type.

Shelf Life of Different Types of Alcohol

Different types of alcohol are produced differently, have different ethanol content, and may have distinctive additives that influence their shelf life. Let’s compare three main types of alcohol — liquor, wine, and beer. 

How Long Does Liquor Last? 

Liquor encompasses distilled spirits, including gin, vodka, whiskey, tequila, and rum. Out of the three main types of alcohol, liquor is considered the most shelf stable due to its high ethanol content.

Liquor is produced through fermentation of different grains and plants. After fermentation, liquor goes through a distillation process, which separates alcohol from water and increases the alcohol concentration. Since spirits have a higher alcohol content, they typically have the longest shelf life. According to industry experts and authors of the book Aroma of Beer, Wine, and Distilled Alcoholic Beverages, liquor lasts for about 6 to 8 months after opening. 


Liqueurs, not to be confused with the general term liquor, are sweetened with other flavors, which shorten liqueurs’ shelf life to 6 months after opening. 

Generally, liquor, or spirits, should be stored in a cool, dark area. The bottles also should be stored upright to prevent the alcohol from touching the cap. This reduces the risk of corrosion, which can affect the flavor and quality of the alcohol. While some spirits may last longer than 6 – 8 months after opening without affecting the taste, it's better to err on the side of caution.

How Long Does Wine Last?

Wine is produced through fermentation of different parts of the grape. Unlike spirits, the shelf life of wine can vary greatly. While quality wines that are aged in casks for months to years can continue to last and intensify in taste if unopened, cheaper wines that don’t go through this aging process last only about 2 years after bottling. The shelf life of unopened wines is difficult to determine and can vary widely among different types of wines and brands. 

Organic wines are typically made without preservatives and should be consumed within 3 – 6 months. After opening, wine is exposed to oxygen and should be consumed within 3 – 7 days. Sparkling wines, which deteriorate fastest, should be consumed within hours (or 1 – 3 days if refrigerated and sealed with a wine stopper). More shelf-stable wines, such as fortified wines, can last 2 – 4 weeks after opening. 

As we can see, the shelf life of wine is volatile and greatly affected by light and heat. A wine cellar or another cool, dark, and dry environment (not the freezer) will help keep wine fresh for several years unopened. Unlike other alcoholic beverages, wine is meant to be stored on its side to keep the cork moist and prevent oxidation. 

How Long Does Beer Last?

Beer is produced through the fermentation of cereal grains. As the yeast converts the sugars into ethanol, CO2 is produced – causing natural carbonation. At the end of the process, hops (parts of the Humulus lupulus plant) are added to give beer its distinctive taste and help preserve and stabilize its foam. 

The shelf life of beer depends on the alcohol content and whether or not it's pasteurized or unpasteurized. Brewers typically print a “use by” date to indicate when the beer will be at peak taste. Pasteurized beers, which go through a heating process similar to pasteurizing other foods and drinks, prevent harmful pathogens and extend the shelf life for up to a year after packaging and generally 6 – 8 months past its “best by” date. Unpasteurized beers, like most craft beers, have a shorter shelf life and last about 3 months after bottling. 

Beer can be properly stored in a cool, dark area with consistent temperatures, such as the fridge. After opening, beer should be consumed within a few hours. After opening, beer will begin to lose its carbonation and taste. 

Shelf Life of Different Types of Alcohol

Signs of Expired Alcohol

Since expiration periods of alcohol are highly dependent on external factors, it’s important to know the signs of spoiled alcohol. Here are the most common indicators:

  • Changes in appearance. Expired alcohol may sometimes change the appearance of a drink. Look for changes in color or consistency.
  • Changes in odor. Spoiled alcohol can also commonly smell sour, similar to vinegar. 
  • Presence of particles. Floating particles or sediment may indicate expired alcohol — but not always. Particles can be present for several different reasons, including the growth of bacteria or the separation of proteins. They can also form naturally in some wines and spirits.
  • Mold. Mold can commonly grow in beer, wine, and liqueurs. While mold isn’t common in spirits, it can still occur. Certain types of fungi target ethanol, such as “whiskey fungus,” which thrives on the vapors released during the whiskey aging process.

While not all expired alcohol will have visible signs, it's important to be aware of how alcohol that’s gone bad can look, smell, and taste to help us avoid it. But if we’re in a dark bar or at a party with lots of different smells, it’s not always easy to recognize the signs. What if we accidentally drink alcohol that’s gone bad? Should we be worried?

What Happens If You Drink Expired Alcohol?

Expired alcohol is most commonly associated with a change in taste. While spoiled wine turns to vinegar, making it taste sour, other expired alcohol may not have a distinctly “off” taste. Alcohol past its expiration date may be described as weak or unflavored. The change in taste may not seem like a big deal. However, it can be difficult to tell for sure if bacteria or mold has grown in it.

Consuming alcohol that contains bacteria or mold increases the risk of experiencing adverse effects such as an upset stomach. Expired alcohol, however, isn’t reported to cause serious illness. Still, it isn’t a great idea to consume expired alcohol, especially if signs of decomposition are detected. It’s similar to eating the rest of an apple after cutting off a discolored piece — we may or may not get sick, but why take the chance? 

Health Effects of Alcohol vs. Expired Alcohol

Even if it’s not expired, alcohol still poses numerous risks. We can cut the discolored piece off an apple, but if the apple is poisonous, it doesn’t make a difference. Likewise, consuming any alcohol in excess — expired or not — can lead to serious health conditions:

  • Liver disease. Our liver processes over 90% of alcohol and is subjected to prolonged exposure to the toxins in alcohol. Drinking is directly linked with liver damage and disease.
  • Cardiovascular disease. Alcohol has negative effects on our blood pressure, cholesterol, and blood sugar, which all contribute to the risk of developing cardiovascular disease.
  • Pancreatitis. Excessive alcohol consumption is the leading cause of pancreatitis (inflammation of the pancreas). 
  • Cancer. When we drink, our body breaks down ethanol into acetaldehyde, a toxic compound that is classified as a carcinogen. This is why alcohol is directly tied to an increased risk of developing all types of cancers.
  • Diabetes. Alcohol raises our blood sugar, and, over time, it can increase our insulin resistance, which can develop into type 2 diabetes.

Drinking alcohol directly impacts our health and well-being in multiple ways. An expiration date doesn’t change that. Mindful drinking practices can reduce the risk of complications and limit the negative impacts of general alcohol consumption.

Tips for Safe Alcohol Consumption 

Safe alcohol consumption includes checking for signs of expiration and, more importantly, implementing mindful drinking practices:

  • Be mindful of expiration dates. Alcohol isn’t required to have expiration dates. However, based on the shelf life of different types of alcoholic beverages, we can get an idea of how long our alcohol will last. When in doubt, throw it out!
  • Adhere to proper storage recommendations. Different types of alcohol may have different storage recommendations, which helps to prolong its shelf life. Generally, alcohol should be stored in a cool, dark area.
  • Look for abnormalities. Since alcohol doesn’t always have a “best by” date, it’s always important to check for abnormalities before drinking. Check for changes in appearance, consistency, and smell. 
  • Practice moderation. Follow moderate drinking guidelines set by the Centers for Disease Control and Prevention (CDC). Limit intake to two drinks or less for men and one drink or less for women to limit the negative effects of excessive drinking.

Since alcohol, expired or not, has the same detrimental health effects, safe alcohol consumption always includes limiting intake.

Key Takeaways

While some alcohol can last for years unopened, alcohol is not indefinitely shelf stable. Storage, ethanol content, and additives can all influence alcohol’s shelf life. While expired alcohol (compared to non-expired) may not have significant health effects, it can increase the possibility of exposure to bacteria and mold. It’s important to note that alcohol, even when not expired, has detrimental health effects — accentuating the importance of quitting or cutting back on alcohol to improve our overall well-being. 

Alcohol and Health
2024-05-27 9:00
Alcohol and Health
How Does Alcohol Affect Serotonin?
This is some text inside of a div block.

Curious about the interaction between alcohol and serotonin? Our blog has the answers, including important safety tips regarding serotonin syndrome.

21 min read

Ready To Tap Into True Happiness With Less Alcohol? Try Reframe!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 Forum chat and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app today!

Read Full Article  →

What is happiness? Now there’s a head-scratcher. This seemingly simple yet infinitely complex question has boggled the minds of ancient philosophers, psychologists, fantasy novel writers, and spiritual seekers alike. 

Unfortunately, it’s also a question that can lead us astray once “happiness-boosting” substances such as alcohol come into the picture. Creating joy on demand is tricky business, and we can inadvertently end up in dangerous waters, especially if we’re not careful about how we drink or what we mix with alcohol.

As far as the brain is concerned, however, it all comes down to neurochemicals, with serotonin taking center stage. How does alcohol affect serotonin? And how can it contribute to the potentially dangerous serotonin syndrome? Let’s find out!

What Is Serotonin?

Beer bottles and assorted snacks arranged on a rustic wooden table

Serotonin is a neurotransmitter — a molecule that acts as a chemical messenger, helping neurons communicate with one another. But did you know that only about 10% of serotonin is actually produced in the brain? That’s right — 90% of this essential chemical is found “downstairs,” in the gut, where it acts as a hormone.

While serotonin is best known for its role in those happy emotions we all know and love, it actually has a range of functions in the body. Here’s an overview:

  • Mood control. By far the best-known job of serotonin, the ability to regulate our mood, is what earned serotonin nicknames like “the happy chemical” or “the feel-good molecule.” While higher levels of serotonin are associated with well-being, low levels often trigger depression and anxiety. (But, as we’ll see later, there’s a catch — too much of a good thing can spell trouble, and serotonin is no exception.)
  • Digestion management. Given that most serotonin is found in the gut, it makes sense that it plays a significant role in digestion. For example, serotonin helps regulate our appetite and balance hunger and satiety cues.
  • Sleep regulation. In addition to regulating digestion, serotonin is involved in another important daily task — sleep. It helps regulate our body’s sleep cycles, telling our brain when it’s time to hit the snooze button and doze off.
  • Wound healing. Platelets in our blood release serotonin to help in the wound-healing process. Serotonin also helps slow down blood flow to allow for clotting. 
  • Pain management. As it turns out, it’s not just about the physical process of healing. Serotonin also affects how we perceive pain, making us more tolerant to it.
  • Bone health. Last but not least, serotonin affects the density of our bones. High levels can make our bones weak, leading to osteoporosis.

With so much on its task list, serotonin is one busy chemical. It’s no wonder that any disruptions to its normal functioning can wreak havoc on the body and mind. Low serotonin levels can lead to anxiety, depression, and problems with digestion and sleep. Scientists and doctors have found a number of solutions that can help, ranging from getting more sunlight and exercise to taking antidepressants that increase serotonin levels, often by keeping them from getting cleared out of nerve synapses.

Serotonin is produced from tryptophan, an essential amino acid that can’t be produced from scratch and must come from the foods we eat. Some good tryptophan sources? Animal proteins, as well as legumes, nuts, seeds, and whole grains.

But what about alcohol? How does it factor into the picture? 

Alcohol and Serotonin

Alcohol and serotonin have a complex relationship. Let’s explore it in more detail.

Alcohol and Serotonin: The Short-Term Effects

While dopamine — the “reward” neurotransmitter — usually gets mentioned first when it comes to the “happy chemicals” alcohol enhances, serotonin is an important part of the picture. Drinking boosts our levels of serotonin, with a single drinking session being enough to cause a noticeable shift. That warm, fuzzy, “I just love everyone in this room” kind of feeling? That’s serotonin in action. However, this effect is temporary. Plus, there’s often a rebound effect the next day as serotonin levels fall, contributing to that “blah” feeling of the morning-after hangover.

Alcohol and Serotonin: In the Long Term

In the long term, there’s more potential trouble when it comes to alcohol and serotonin. As the rush of pleasure-inducing neurochemicals (including serotonin) becomes the “new normal,” the brain puts the brakes on its natural production. So those feel-good movies, heart-to-heart conversations with old friends, and cuddles with our Golden Retriever don’t produce the same rush of serotonin they used to in the past. 

As a result, the stage is set for alcohol dependence, which develops in part as a response to the neurochemical shifts in the brain. Research supports this: studies show that serotonin transporter densities are reduced in people with alcohol dependence. And while the brain can certainly return to normal, it will take some time. (For a deeper look, check out “Alcohol Misuse and Depression: What’s the Connection?”)

Serotonin Syndrome: When Serotonin Gets Serious

If serotonin is a “happy chemical,” more of it should be a good thing, right? Not so. In fact, when serotonin levels get too high, we can end up with a dangerous (and potentially life-threatening) condition known as serotonin syndrome. 

While serotonin syndrome can happen from alcohol alone, it’s much more likely to be triggered by a combination of alcohol and another serotonin-boosting substance. The list of possible culprits is pretty huge. (Note: most of these substances are safe when used as directed. It’s only when we mix them with booze that we run into trouble.)

  • SSRI antidepressants. By far the most common serotonin syndrome trigger? A combo of alcohol and SSRIs — antidepressant drugs from the selective serotonin reuptake inhibitor class. Some common ones include citalopram (Celexa), fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil), and escitalopram (Lexapro).



    SSRIs can be a lifeline for those struggling with depression and anxiety. They work by inhibiting the reuptake of serotonin, which increases its availability in the brain. In addition to potentially leading to serotonin syndrome, combining SSRIs and alcohol can make them less effective. (For more information, take a look at “Alcohol and Antidepressants: A Dangerous Combo.”)
  • Other drugs that increase serotonin levels. Many other drugs also inhibit serotonin reuptake, including painkillers such as meperidine, tramadol, and pentazocine; metoclopramide (an anti-nausea drug); valproate and carbamazepine (used to treat epilepsy and bipolar disorder); dextromethorphan (an OTC cough medication); cyclobenzaprine (a muscle relaxant); and trazodone (an anti-depressant often prescribed for insomnia).
  • Dopamine-norepinephrine reuptake inhibitors. Even though medications such as bupropion work primarily on dopamine, they raise serotonin levels as well. 
  • Tricyclic antidepressants. A different class of antidepressants, these meds are also not alcohol-friendly. 
  • Monoamine oxidase inhibitors (MAOIs). Older types of antidepressants that works by inhibiting serotonin breakdown, MAOIs are some of the most dangerous meds to mix with alcohol, since the effects can be the most intense. Some examples include phenelzine, tranylcypromine, isocarboxazid, and selegiline.
  • Some supplements. Saint-John’s-wort, an innocent-looking yellow flower that’s a staple in health food stores in the form of teas and supplements, is known to increase serotonin levels. Likewise, the aforementioned tryptophan that boosts serotonin formation is often sold in supplement form and can be dangerous in the wrong combination. 
  • Other drugs. Amphetamines, cocaine, and MDMA all boost serotonin release.

While substances on this list can cause serotonin syndrome when mixed with alcohol, we should also avoid mixing them with each other. Any combination of serotonin boosters could get us in the danger zone!

The Science of Serotonin Syndrome 

So what is serotonin syndrome, scientifically speaking? In short, the serotonin receptors in our central and peripheral nervous system get overwhelmed, leading to an all-out system overload. 

Symptoms of Serotonin Syndrome

Serotonin syndrome symptoms aren’t always catastrophic, but they are important to recognize and address right away, since they can easily escalate. They tend to range from mild to severe.

  • Nervous system effects. We’re likely to feel agitated, anxious, and restless.
  • Cognitive symptoms. We might feel confused and disoriented.
  • Cardiovascular signs. Our heart rate might increase.
  • Hyperthermia. We could feel unusually warm and have flushed skin.
  • Gastrointestinal effects. We’re likely to experience nausea and vomiting. It’s important to pay attention to any extra belly rumbling, since increased bowel sounds are another sign.
  • Muscle glitches. We might feel our muscles (especially our legs) go rigid or shake.
  • Other signs. Additional symptoms include dilated pupils, dry mucous membranes, and the so-called “Babinski reflex” (an abnormal fanning out of the toes when the sole is stroked).

Never ignore these signs. If you notice them, seek medical help right away!

Treatment for Serotonin Syndrome

Treatment for serotonin syndrome symptoms will usually happen in a hospital setting. Here’s what will probably happen should we get there.

  • Tests. The doctor will run some tests, including blood work, an electrocardiogram, and possibly a brain scan (if our symptoms are really severe). These tests will rule out other issues and will help get to the root of the problem.
  • Fluids. Replenishing lost fluids and electrolytes is key, so we’ll probably receive plenty of intravenous fluids.
  • Cyproheptadine (Periactin). Cyproheptadine blocks serotonin production and is useful in treating serotonin syndrome.
  • Anxiety management. We might be treated with benzodiazepines (such as diazepam or lorazepam) to ease anxiety and seizure-like symptoms.

Serotonin syndrome is treatable, but it’s crucial to get help in time. Always err on the side of safety!

A Natural Serotonin Boost

Serotonin Safety Tips

Here are some tips to avoid the potential dangers that come with alcohol and serotonin-boosting substances.

  • Watch your intake. Avoid mixing alcohol with drugs that might increase your serotonin levels. And, if you decide to leave booze behind, keep an open mind. Be honest with yourself about how you’re feeling — you might just be surprised at the benefits and want to keep going, even when you’re no longer on an SSRI or another medication that increases serotonin.
  • Be honest with your doctor. It’s crucial to provide your doctor with the most accurate information possible, so don’t leave anything out. Remember, even some innocent-looking herbs can be dangerous if mixed with certain meds.
  • Follow the instructions. Always follow the directions your doctor gives you about how to take your medication. 

Don’t hesitate to ask your doctor or pharmacist if you have questions about medication interactions or possible reactions with alcohol. Safety is key!

A Natural Serotonin Boost

Finally, did you know that there are plenty of ways to boost serotonin naturally? Here are a few go-tos that are scientifically proven to work.

  1. Spend time with loved ones. Socializing with people we care about will boost serotonin naturally. It’s all about nurturing authentic connections!

  2. Eat a serotonin-boosting diet. This one is simple yet crucial. As you now know, serotonin is produced from the essential amino acid, tryptophan. So load up on animal proteins (go for healthy options such as lean meats or fish), legumes, whole grains, and nuts to boost your levels.

  3. Exercise. What goes hand-in-hand with diet? Exercise. Science shows that being physically active naturally promotes serotonin release (along with other “happy” chemicals, such as endorphins and dopamine). A bonus? It also keeps alcohol cravings at bay!

  4. Write it out. Putting thoughts on paper can be cathartic and is a time-tested way to boost serotonin levels and feel more at peace.

  5. Talk it out with a therapist. Sometimes identifying the root of the problem by talking to a pro can take a load off your mind, leaving you feeling more relaxed and unburdened. 

  6. Spend time outside. Exposure to natural light is a scientifically proven way to boost serotonin levels. So if the sun is out, take a few minutes (or more, if you can) to take a walk around the block. Skip public transportation and walk to work if you live in a big city. Or, just simply set aside some time to lounge on your porch or in the backyard!

There are plenty of ways to tap into the natural serotonin-producing powers of our brain. It’s designed for it!

Finding Happiness

To sum up our discussion of serotonin, let’s get philosophical again for a moment. True happiness gives life that spark that makes us excited to get up in the morning and gives us memories we can treasure when things get difficult. But it can’t be found in a substance like alcohol — at best, all that we end up with is an illusion.

As Karen Weinreb writes in The Summer Kitchen, “Happiness is the greatest paradox of nature … It comes from within … Happiness consists not of having, but of being; not of possessing, but of enjoying … Happiness is the soul's joy in the possession of the intangible. It is the warm glow of a heart at peace with itself.” So let’s let it glow the way it’s meant to, booze-free!

What is happiness? Now there’s a head-scratcher. This seemingly simple yet infinitely complex question has boggled the minds of ancient philosophers, psychologists, fantasy novel writers, and spiritual seekers alike. 

Unfortunately, it’s also a question that can lead us astray once “happiness-boosting” substances such as alcohol come into the picture. Creating joy on demand is tricky business, and we can inadvertently end up in dangerous waters, especially if we’re not careful about how we drink or what we mix with alcohol.

As far as the brain is concerned, however, it all comes down to neurochemicals, with serotonin taking center stage. How does alcohol affect serotonin? And how can it contribute to the potentially dangerous serotonin syndrome? Let’s find out!

What Is Serotonin?

Beer bottles and assorted snacks arranged on a rustic wooden table

Serotonin is a neurotransmitter — a molecule that acts as a chemical messenger, helping neurons communicate with one another. But did you know that only about 10% of serotonin is actually produced in the brain? That’s right — 90% of this essential chemical is found “downstairs,” in the gut, where it acts as a hormone.

While serotonin is best known for its role in those happy emotions we all know and love, it actually has a range of functions in the body. Here’s an overview:

  • Mood control. By far the best-known job of serotonin, the ability to regulate our mood, is what earned serotonin nicknames like “the happy chemical” or “the feel-good molecule.” While higher levels of serotonin are associated with well-being, low levels often trigger depression and anxiety. (But, as we’ll see later, there’s a catch — too much of a good thing can spell trouble, and serotonin is no exception.)
  • Digestion management. Given that most serotonin is found in the gut, it makes sense that it plays a significant role in digestion. For example, serotonin helps regulate our appetite and balance hunger and satiety cues.
  • Sleep regulation. In addition to regulating digestion, serotonin is involved in another important daily task — sleep. It helps regulate our body’s sleep cycles, telling our brain when it’s time to hit the snooze button and doze off.
  • Wound healing. Platelets in our blood release serotonin to help in the wound-healing process. Serotonin also helps slow down blood flow to allow for clotting. 
  • Pain management. As it turns out, it’s not just about the physical process of healing. Serotonin also affects how we perceive pain, making us more tolerant to it.
  • Bone health. Last but not least, serotonin affects the density of our bones. High levels can make our bones weak, leading to osteoporosis.

With so much on its task list, serotonin is one busy chemical. It’s no wonder that any disruptions to its normal functioning can wreak havoc on the body and mind. Low serotonin levels can lead to anxiety, depression, and problems with digestion and sleep. Scientists and doctors have found a number of solutions that can help, ranging from getting more sunlight and exercise to taking antidepressants that increase serotonin levels, often by keeping them from getting cleared out of nerve synapses.

Serotonin is produced from tryptophan, an essential amino acid that can’t be produced from scratch and must come from the foods we eat. Some good tryptophan sources? Animal proteins, as well as legumes, nuts, seeds, and whole grains.

But what about alcohol? How does it factor into the picture? 

Alcohol and Serotonin

Alcohol and serotonin have a complex relationship. Let’s explore it in more detail.

Alcohol and Serotonin: The Short-Term Effects

While dopamine — the “reward” neurotransmitter — usually gets mentioned first when it comes to the “happy chemicals” alcohol enhances, serotonin is an important part of the picture. Drinking boosts our levels of serotonin, with a single drinking session being enough to cause a noticeable shift. That warm, fuzzy, “I just love everyone in this room” kind of feeling? That’s serotonin in action. However, this effect is temporary. Plus, there’s often a rebound effect the next day as serotonin levels fall, contributing to that “blah” feeling of the morning-after hangover.

Alcohol and Serotonin: In the Long Term

In the long term, there’s more potential trouble when it comes to alcohol and serotonin. As the rush of pleasure-inducing neurochemicals (including serotonin) becomes the “new normal,” the brain puts the brakes on its natural production. So those feel-good movies, heart-to-heart conversations with old friends, and cuddles with our Golden Retriever don’t produce the same rush of serotonin they used to in the past. 

As a result, the stage is set for alcohol dependence, which develops in part as a response to the neurochemical shifts in the brain. Research supports this: studies show that serotonin transporter densities are reduced in people with alcohol dependence. And while the brain can certainly return to normal, it will take some time. (For a deeper look, check out “Alcohol Misuse and Depression: What’s the Connection?”)

Serotonin Syndrome: When Serotonin Gets Serious

If serotonin is a “happy chemical,” more of it should be a good thing, right? Not so. In fact, when serotonin levels get too high, we can end up with a dangerous (and potentially life-threatening) condition known as serotonin syndrome. 

While serotonin syndrome can happen from alcohol alone, it’s much more likely to be triggered by a combination of alcohol and another serotonin-boosting substance. The list of possible culprits is pretty huge. (Note: most of these substances are safe when used as directed. It’s only when we mix them with booze that we run into trouble.)

  • SSRI antidepressants. By far the most common serotonin syndrome trigger? A combo of alcohol and SSRIs — antidepressant drugs from the selective serotonin reuptake inhibitor class. Some common ones include citalopram (Celexa), fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil), and escitalopram (Lexapro).



    SSRIs can be a lifeline for those struggling with depression and anxiety. They work by inhibiting the reuptake of serotonin, which increases its availability in the brain. In addition to potentially leading to serotonin syndrome, combining SSRIs and alcohol can make them less effective. (For more information, take a look at “Alcohol and Antidepressants: A Dangerous Combo.”)
  • Other drugs that increase serotonin levels. Many other drugs also inhibit serotonin reuptake, including painkillers such as meperidine, tramadol, and pentazocine; metoclopramide (an anti-nausea drug); valproate and carbamazepine (used to treat epilepsy and bipolar disorder); dextromethorphan (an OTC cough medication); cyclobenzaprine (a muscle relaxant); and trazodone (an anti-depressant often prescribed for insomnia).
  • Dopamine-norepinephrine reuptake inhibitors. Even though medications such as bupropion work primarily on dopamine, they raise serotonin levels as well. 
  • Tricyclic antidepressants. A different class of antidepressants, these meds are also not alcohol-friendly. 
  • Monoamine oxidase inhibitors (MAOIs). Older types of antidepressants that works by inhibiting serotonin breakdown, MAOIs are some of the most dangerous meds to mix with alcohol, since the effects can be the most intense. Some examples include phenelzine, tranylcypromine, isocarboxazid, and selegiline.
  • Some supplements. Saint-John’s-wort, an innocent-looking yellow flower that’s a staple in health food stores in the form of teas and supplements, is known to increase serotonin levels. Likewise, the aforementioned tryptophan that boosts serotonin formation is often sold in supplement form and can be dangerous in the wrong combination. 
  • Other drugs. Amphetamines, cocaine, and MDMA all boost serotonin release.

While substances on this list can cause serotonin syndrome when mixed with alcohol, we should also avoid mixing them with each other. Any combination of serotonin boosters could get us in the danger zone!

The Science of Serotonin Syndrome 

So what is serotonin syndrome, scientifically speaking? In short, the serotonin receptors in our central and peripheral nervous system get overwhelmed, leading to an all-out system overload. 

Symptoms of Serotonin Syndrome

Serotonin syndrome symptoms aren’t always catastrophic, but they are important to recognize and address right away, since they can easily escalate. They tend to range from mild to severe.

  • Nervous system effects. We’re likely to feel agitated, anxious, and restless.
  • Cognitive symptoms. We might feel confused and disoriented.
  • Cardiovascular signs. Our heart rate might increase.
  • Hyperthermia. We could feel unusually warm and have flushed skin.
  • Gastrointestinal effects. We’re likely to experience nausea and vomiting. It’s important to pay attention to any extra belly rumbling, since increased bowel sounds are another sign.
  • Muscle glitches. We might feel our muscles (especially our legs) go rigid or shake.
  • Other signs. Additional symptoms include dilated pupils, dry mucous membranes, and the so-called “Babinski reflex” (an abnormal fanning out of the toes when the sole is stroked).

Never ignore these signs. If you notice them, seek medical help right away!

Treatment for Serotonin Syndrome

Treatment for serotonin syndrome symptoms will usually happen in a hospital setting. Here’s what will probably happen should we get there.

  • Tests. The doctor will run some tests, including blood work, an electrocardiogram, and possibly a brain scan (if our symptoms are really severe). These tests will rule out other issues and will help get to the root of the problem.
  • Fluids. Replenishing lost fluids and electrolytes is key, so we’ll probably receive plenty of intravenous fluids.
  • Cyproheptadine (Periactin). Cyproheptadine blocks serotonin production and is useful in treating serotonin syndrome.
  • Anxiety management. We might be treated with benzodiazepines (such as diazepam or lorazepam) to ease anxiety and seizure-like symptoms.

Serotonin syndrome is treatable, but it’s crucial to get help in time. Always err on the side of safety!

A Natural Serotonin Boost

Serotonin Safety Tips

Here are some tips to avoid the potential dangers that come with alcohol and serotonin-boosting substances.

  • Watch your intake. Avoid mixing alcohol with drugs that might increase your serotonin levels. And, if you decide to leave booze behind, keep an open mind. Be honest with yourself about how you’re feeling — you might just be surprised at the benefits and want to keep going, even when you’re no longer on an SSRI or another medication that increases serotonin.
  • Be honest with your doctor. It’s crucial to provide your doctor with the most accurate information possible, so don’t leave anything out. Remember, even some innocent-looking herbs can be dangerous if mixed with certain meds.
  • Follow the instructions. Always follow the directions your doctor gives you about how to take your medication. 

Don’t hesitate to ask your doctor or pharmacist if you have questions about medication interactions or possible reactions with alcohol. Safety is key!

A Natural Serotonin Boost

Finally, did you know that there are plenty of ways to boost serotonin naturally? Here are a few go-tos that are scientifically proven to work.

  1. Spend time with loved ones. Socializing with people we care about will boost serotonin naturally. It’s all about nurturing authentic connections!

  2. Eat a serotonin-boosting diet. This one is simple yet crucial. As you now know, serotonin is produced from the essential amino acid, tryptophan. So load up on animal proteins (go for healthy options such as lean meats or fish), legumes, whole grains, and nuts to boost your levels.

  3. Exercise. What goes hand-in-hand with diet? Exercise. Science shows that being physically active naturally promotes serotonin release (along with other “happy” chemicals, such as endorphins and dopamine). A bonus? It also keeps alcohol cravings at bay!

  4. Write it out. Putting thoughts on paper can be cathartic and is a time-tested way to boost serotonin levels and feel more at peace.

  5. Talk it out with a therapist. Sometimes identifying the root of the problem by talking to a pro can take a load off your mind, leaving you feeling more relaxed and unburdened. 

  6. Spend time outside. Exposure to natural light is a scientifically proven way to boost serotonin levels. So if the sun is out, take a few minutes (or more, if you can) to take a walk around the block. Skip public transportation and walk to work if you live in a big city. Or, just simply set aside some time to lounge on your porch or in the backyard!

There are plenty of ways to tap into the natural serotonin-producing powers of our brain. It’s designed for it!

Finding Happiness

To sum up our discussion of serotonin, let’s get philosophical again for a moment. True happiness gives life that spark that makes us excited to get up in the morning and gives us memories we can treasure when things get difficult. But it can’t be found in a substance like alcohol — at best, all that we end up with is an illusion.

As Karen Weinreb writes in The Summer Kitchen, “Happiness is the greatest paradox of nature … It comes from within … Happiness consists not of having, but of being; not of possessing, but of enjoying … Happiness is the soul's joy in the possession of the intangible. It is the warm glow of a heart at peace with itself.” So let’s let it glow the way it’s meant to, booze-free!

Alcohol and Health
2024-05-27 9:00
Alcohol and Health
Does Root Beer Make You Drunk?
This is some text inside of a div block.

Despite its name, most root beer doesn’t contain alcohol. But some do. Check out our latest blog for more info on the contents of root beer and why it’s important.

17 min read

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The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

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Is root beer, beer? If so, then why are root beer floats a popular kid-friendly dessert? If not, why can we find root beer in the alcohol aisle? Turns out, root beer has evolved significantly since it was created. Today, the recipe for root beer can vary widely and so can its alcohol content. 

Most root beers are produced as soft drinks, but some are alcoholic beverages. To determine if we can get drunk off root beer, we need to distinguish between the different types. Before we can do that, we should understand how root beer came to be and how it has developed over time. 

The Origins of Root Beer

Table with three glasses of beer and a pitcher

During the 19th century, early versions of root beer were crafted using roots, barks, leaves, and flowers of certain plants. Indigenous North Americans brewed medicinal root teas from plants such as sassafras, wintergreen, and sarsaparilla for their perceived healing properties.

In the 1840s, general stores started selling root beer for medicinal use. Over time, the native recipes were adapted to make low-alcoholic drinks known as “small beers.” Various iterations spread, and carbonation — a key feature of today’s root beer — was added at some point. By the late 1870s, a pharmacist named Charles Hire debuted the first commercial brand of root beer at the Philadelphia Centennial Exposition of 1876. Soon after, he was distributing it all over the country. 

Root beer continued to grow in popularity, but Prohibition prompted the creation of non-alcoholic versions. Companies also found that these versions were less expensive to produce, which shifted root beer into the soft drink category. In the 1960s, the Federal Drug Administration (FDA) banned safrole, the compound found in sassafras that was believed to cause liver damage and certain cancers. Since then, beverage companies have adapted their recipes into what we know as root beer today. 

The ingredients in root beer can vary widely between different brands, but what are some common ones that give root beer its distinct taste?

What Is Root Beer Made Of?

Root beer is a soft drink that is made primarily from water, carbonation, sweetener, and caramel coloring. While original versions of root beer were made using different plants, there are other common flavorings found in modern root beer:

  • Vanilla
  • Caramel
  • Wintergreen
  • Black cherry bark
  • Licorice root
  • Sarsaparilla root
  • Nutmeg
  • Acacia
  • Anise
  • Cinnamon

Mass-produced root beers tend to stray further away from the original ingredients, whereas smaller producers stick to more traditional recipes. Root beer recipes vary widely, much like their predecessors, but do any of them still contain alcohol?

Does Root Beer Contain Alcohol?

Root beer that is commercially produced as a soft drink does not contain any alcohol. Despite its name, it contains 0% alcohol and will not make us drunk. However, it’s important to note that root beer can contain alcohol. 

Smaller companies that produce root beer similar to the ways it was in the past may produce low-alcohol versions of root beer. Since alcohol has to be clearly labeled in the U.S., root beer that contains alcohol will be clearly labeled as such.

In addition to traditional methods of brewing root beer, some companies have developed a “hard” root beer, which is intended to be an alcoholic beverage. Alcoholic versions of root beer can vary in alcohol by volume (ABV) but contain the same compounds found in all alcoholic beverages that can make us feel drunk. While there are different versions of root beer, the most popular one is the root beer soft drink. We’ve established that it doesn’t typically contain alcohol, but what about caffeine?

Does Root Beer Have Caffeine in It?

Root beer soda and alcoholic root beers are generally caffeine-free. However, ingredients can vary — making it important to check the specific beverage for caffeine content. Barq’s regular root beer, for example, does contain caffeine, while Mug and A&W do not. 

The FDA requires caffeine to be listed in the ingredients list but not the precise amount, so if we’re sensitive to caffeine, it’s helpful to check with the specific manufacturer if you need to know the amount. 

So, if most root beer doesn’t contain caffeine, isn’t made from roots, and doesn’t contain alcohol, why is it named root beer?

Why Is Root Beer Called Root Beer?

The original versions of root beer were made from roots and brewed in a manner similar to beer. The “root” part of its name comes from the tea made from sassafras and dandelion root. The “beer” comes from the fermentation process that produces beer. Over time, the ingredients and production process of root beer have evolved, but we didn’t bother changing the name. Today, the root beer we know is more of a soda, but the name “caramel-colored flavored soda” doesn’t exactly have the same ring.

For the root beers that do contain alcohol, does the name root beer fit? Let’s get to the root of alcoholic root beer and see how it compares to other alcoholic beverages.

Alcoholic Root Beer vs. Other Alcoholic Beverages

Alcoholic root beers range from about 5 to 8% alcohol by volume. This is similar to the ABV of other beers. Wines range from about 5 to 15% ABV and spirits range from roughly 35 to 45% ABV. 

Although most similar to beer, alcoholic root beer typically contains more sugar than beer. It's similar to flavored malt beverages such as hard lemonade or hard iced tea. Alcoholic root beers are typically in the lower ABV range in comparison to other alcoholic beverages. Does that mean it's better for us?

Comparing Alcohol Content of Root Beers and Other Alcoholic Beverages

Is Root Beer Good for You?

While we’ve determined that there are multiple versions of root beer, it’s only fair that we review their health effects separately. Let’s take a closer look at the three main options and how they can affect our health.

  • Commercial root beer soda. Despite the medicinal properties of traditional root beer, modern commercial root beer is nothing similar to the native version. Commercial root beer is made using artificial flavorings and contains a lot of sugar. A study found sugary soda consumption is linked to several key health conditions.
  • Craft root beer soda. Smaller companies may use higher quality ingredients such as natural vs. artificial flavors and cane sugar vs. high fructose corn syrup. However, excess consumption of soft drinks can still be detrimental to our health. 
  • Alcoholic root beer. Alcoholic root beer combines the negative effects of alcohol with the harmful effects of the sweeteners and additives that the drink contains. 

Although root beer was originally used as a medicinal tea, modern versions of root beer don’t have the same benefits. Let’s further examine the negative effects of alcoholic root beer.

Potential Dangers of Alcoholic Root Beer

Alcoholic root beers combine two beverages that can be harmful to our health — soft drinks and alcohol. Drinking alcoholic root beer can potentially lead to several consequences:

  • Increased alcohol consumption. High-sugar alcoholic beverages such as hard root beer can indirectly lead to increased alcohol consumption. The sweeteners and flavors in alcoholic root beer may mask the unpleasant taste of alcohol — removing bad taste as a deterrent to alcohol consumption.
  • Excess sugar consumption. Alcoholic root beers may sometimes contain even more sugar than their non-alcoholic counterparts to mask the flavor of the alcohol. This can easily lead to excessive sugar consumption. When paired with alcohol’s effects on our blood sugar and insulin response, it can be a recipe for disaster. 
  • Intoxication. Like all alcohol, alcoholic root beers can cause intoxication. Depending on individual factors and the amount of alcohol we consume, we may experience more mild, disorienting symptoms of intoxication to extremely dangerous symptoms that can lead to coma or even death. 
  • Long-term health effects. Excessive drinking is associated with many long-term health conditions including diabetes, liver disease, cardiovascular disease, cancers, and more.

Alcoholic root beer may be lower in alcohol content than spirits. However, mindful consumption of any type of alcohol is beneficial to our health. Let's explore some ways we can practice this.

Responsible Consumption of Alcoholic Root Beer

Mindful drinking practices can be used for any alcoholic beverage (or anything, with a few tweaks). However, due to the specific contents of root beer, we can implement these specific practices to limit the negative effects. 

  • Determine ABV. Since root beers can vary widely, it's important to determine the amount of alcohol we are drinking. This can help us avoid excessive drinking and keep it at the forefront of our minds, increasing awareness. 
  • Track consumption. Alcohol consumption can sometimes turn into a habit that can lead to an unhealthy relationship with alcohol. Tracking our alcohol consumption can help us identify patterns and determine if we have concerns with our intake.
  • Manage sugar intake. Since alcoholic root beer frequently has high sugar content, and alcohol can also increase our blood sugar, managing and adjusting our sugar intake can help mitigate the effects of excessive sugar consumption. 
  • Maintain a balanced diet. A healthy, balanced diet can help our body replenish lost vitamins and nutrients and fight the toxins in alcohol. We aren't able to eat our way out of the harmful effects of alcohol, but these small steps can add up.
  • Exercise regularly. Staying active can help reduce the potential weight gain and increased blood sugar caused by drinking sugary soft drinks and alcohol. It can also reduce stress and improve our overall mental health. 
  • Quit/cut back on alcohol. Quitting or cutting back on alcohol helps eliminate or minimize the harmful substances we put in our body. We can prioritize our health by identifying alcohol-free alternatives and setting alcohol limits.

Not all root beer has alcohol, but these mindful drinking practices can help us prevent excessive consumption of either kind. Like the wise Irish poet Oscar Wilde said, “Everything in moderation, including moderation.”

Getting to the Root of It

Root beer, as we know it today, is a popular soft drink. Although the soda contains no alcohol, some root beer options do contain alcohol. While somewhat lower in alcohol than other alcoholic beverages such as spirits, alcoholic root beer can make us drunk and can cause negative effects. In fact, the combination of a soft drink and alcoholic beverage can heighten the negative health effects. Root beer can vary in its recipe and alcohol content, but mindful consumption can be beneficial regardless of the type of drink. Practice moderate consumption of all root beers to steer clear of severe issues.

Is root beer, beer? If so, then why are root beer floats a popular kid-friendly dessert? If not, why can we find root beer in the alcohol aisle? Turns out, root beer has evolved significantly since it was created. Today, the recipe for root beer can vary widely and so can its alcohol content. 

Most root beers are produced as soft drinks, but some are alcoholic beverages. To determine if we can get drunk off root beer, we need to distinguish between the different types. Before we can do that, we should understand how root beer came to be and how it has developed over time. 

The Origins of Root Beer

Table with three glasses of beer and a pitcher

During the 19th century, early versions of root beer were crafted using roots, barks, leaves, and flowers of certain plants. Indigenous North Americans brewed medicinal root teas from plants such as sassafras, wintergreen, and sarsaparilla for their perceived healing properties.

In the 1840s, general stores started selling root beer for medicinal use. Over time, the native recipes were adapted to make low-alcoholic drinks known as “small beers.” Various iterations spread, and carbonation — a key feature of today’s root beer — was added at some point. By the late 1870s, a pharmacist named Charles Hire debuted the first commercial brand of root beer at the Philadelphia Centennial Exposition of 1876. Soon after, he was distributing it all over the country. 

Root beer continued to grow in popularity, but Prohibition prompted the creation of non-alcoholic versions. Companies also found that these versions were less expensive to produce, which shifted root beer into the soft drink category. In the 1960s, the Federal Drug Administration (FDA) banned safrole, the compound found in sassafras that was believed to cause liver damage and certain cancers. Since then, beverage companies have adapted their recipes into what we know as root beer today. 

The ingredients in root beer can vary widely between different brands, but what are some common ones that give root beer its distinct taste?

What Is Root Beer Made Of?

Root beer is a soft drink that is made primarily from water, carbonation, sweetener, and caramel coloring. While original versions of root beer were made using different plants, there are other common flavorings found in modern root beer:

  • Vanilla
  • Caramel
  • Wintergreen
  • Black cherry bark
  • Licorice root
  • Sarsaparilla root
  • Nutmeg
  • Acacia
  • Anise
  • Cinnamon

Mass-produced root beers tend to stray further away from the original ingredients, whereas smaller producers stick to more traditional recipes. Root beer recipes vary widely, much like their predecessors, but do any of them still contain alcohol?

Does Root Beer Contain Alcohol?

Root beer that is commercially produced as a soft drink does not contain any alcohol. Despite its name, it contains 0% alcohol and will not make us drunk. However, it’s important to note that root beer can contain alcohol. 

Smaller companies that produce root beer similar to the ways it was in the past may produce low-alcohol versions of root beer. Since alcohol has to be clearly labeled in the U.S., root beer that contains alcohol will be clearly labeled as such.

In addition to traditional methods of brewing root beer, some companies have developed a “hard” root beer, which is intended to be an alcoholic beverage. Alcoholic versions of root beer can vary in alcohol by volume (ABV) but contain the same compounds found in all alcoholic beverages that can make us feel drunk. While there are different versions of root beer, the most popular one is the root beer soft drink. We’ve established that it doesn’t typically contain alcohol, but what about caffeine?

Does Root Beer Have Caffeine in It?

Root beer soda and alcoholic root beers are generally caffeine-free. However, ingredients can vary — making it important to check the specific beverage for caffeine content. Barq’s regular root beer, for example, does contain caffeine, while Mug and A&W do not. 

The FDA requires caffeine to be listed in the ingredients list but not the precise amount, so if we’re sensitive to caffeine, it’s helpful to check with the specific manufacturer if you need to know the amount. 

So, if most root beer doesn’t contain caffeine, isn’t made from roots, and doesn’t contain alcohol, why is it named root beer?

Why Is Root Beer Called Root Beer?

The original versions of root beer were made from roots and brewed in a manner similar to beer. The “root” part of its name comes from the tea made from sassafras and dandelion root. The “beer” comes from the fermentation process that produces beer. Over time, the ingredients and production process of root beer have evolved, but we didn’t bother changing the name. Today, the root beer we know is more of a soda, but the name “caramel-colored flavored soda” doesn’t exactly have the same ring.

For the root beers that do contain alcohol, does the name root beer fit? Let’s get to the root of alcoholic root beer and see how it compares to other alcoholic beverages.

Alcoholic Root Beer vs. Other Alcoholic Beverages

Alcoholic root beers range from about 5 to 8% alcohol by volume. This is similar to the ABV of other beers. Wines range from about 5 to 15% ABV and spirits range from roughly 35 to 45% ABV. 

Although most similar to beer, alcoholic root beer typically contains more sugar than beer. It's similar to flavored malt beverages such as hard lemonade or hard iced tea. Alcoholic root beers are typically in the lower ABV range in comparison to other alcoholic beverages. Does that mean it's better for us?

Comparing Alcohol Content of Root Beers and Other Alcoholic Beverages

Is Root Beer Good for You?

While we’ve determined that there are multiple versions of root beer, it’s only fair that we review their health effects separately. Let’s take a closer look at the three main options and how they can affect our health.

  • Commercial root beer soda. Despite the medicinal properties of traditional root beer, modern commercial root beer is nothing similar to the native version. Commercial root beer is made using artificial flavorings and contains a lot of sugar. A study found sugary soda consumption is linked to several key health conditions.
  • Craft root beer soda. Smaller companies may use higher quality ingredients such as natural vs. artificial flavors and cane sugar vs. high fructose corn syrup. However, excess consumption of soft drinks can still be detrimental to our health. 
  • Alcoholic root beer. Alcoholic root beer combines the negative effects of alcohol with the harmful effects of the sweeteners and additives that the drink contains. 

Although root beer was originally used as a medicinal tea, modern versions of root beer don’t have the same benefits. Let’s further examine the negative effects of alcoholic root beer.

Potential Dangers of Alcoholic Root Beer

Alcoholic root beers combine two beverages that can be harmful to our health — soft drinks and alcohol. Drinking alcoholic root beer can potentially lead to several consequences:

  • Increased alcohol consumption. High-sugar alcoholic beverages such as hard root beer can indirectly lead to increased alcohol consumption. The sweeteners and flavors in alcoholic root beer may mask the unpleasant taste of alcohol — removing bad taste as a deterrent to alcohol consumption.
  • Excess sugar consumption. Alcoholic root beers may sometimes contain even more sugar than their non-alcoholic counterparts to mask the flavor of the alcohol. This can easily lead to excessive sugar consumption. When paired with alcohol’s effects on our blood sugar and insulin response, it can be a recipe for disaster. 
  • Intoxication. Like all alcohol, alcoholic root beers can cause intoxication. Depending on individual factors and the amount of alcohol we consume, we may experience more mild, disorienting symptoms of intoxication to extremely dangerous symptoms that can lead to coma or even death. 
  • Long-term health effects. Excessive drinking is associated with many long-term health conditions including diabetes, liver disease, cardiovascular disease, cancers, and more.

Alcoholic root beer may be lower in alcohol content than spirits. However, mindful consumption of any type of alcohol is beneficial to our health. Let's explore some ways we can practice this.

Responsible Consumption of Alcoholic Root Beer

Mindful drinking practices can be used for any alcoholic beverage (or anything, with a few tweaks). However, due to the specific contents of root beer, we can implement these specific practices to limit the negative effects. 

  • Determine ABV. Since root beers can vary widely, it's important to determine the amount of alcohol we are drinking. This can help us avoid excessive drinking and keep it at the forefront of our minds, increasing awareness. 
  • Track consumption. Alcohol consumption can sometimes turn into a habit that can lead to an unhealthy relationship with alcohol. Tracking our alcohol consumption can help us identify patterns and determine if we have concerns with our intake.
  • Manage sugar intake. Since alcoholic root beer frequently has high sugar content, and alcohol can also increase our blood sugar, managing and adjusting our sugar intake can help mitigate the effects of excessive sugar consumption. 
  • Maintain a balanced diet. A healthy, balanced diet can help our body replenish lost vitamins and nutrients and fight the toxins in alcohol. We aren't able to eat our way out of the harmful effects of alcohol, but these small steps can add up.
  • Exercise regularly. Staying active can help reduce the potential weight gain and increased blood sugar caused by drinking sugary soft drinks and alcohol. It can also reduce stress and improve our overall mental health. 
  • Quit/cut back on alcohol. Quitting or cutting back on alcohol helps eliminate or minimize the harmful substances we put in our body. We can prioritize our health by identifying alcohol-free alternatives and setting alcohol limits.

Not all root beer has alcohol, but these mindful drinking practices can help us prevent excessive consumption of either kind. Like the wise Irish poet Oscar Wilde said, “Everything in moderation, including moderation.”

Getting to the Root of It

Root beer, as we know it today, is a popular soft drink. Although the soda contains no alcohol, some root beer options do contain alcohol. While somewhat lower in alcohol than other alcoholic beverages such as spirits, alcoholic root beer can make us drunk and can cause negative effects. In fact, the combination of a soft drink and alcoholic beverage can heighten the negative health effects. Root beer can vary in its recipe and alcohol content, but mindful consumption can be beneficial regardless of the type of drink. Practice moderate consumption of all root beers to steer clear of severe issues.

Alcohol and Health
2024-05-18 9:00
Alcohol and Health
Andrew Huberman and the Physiological Effects of Alcohol on Our Brain and Body
This is some text inside of a div block.

According to Andrew Huberman’s podcast, Huberman Lab, alcohol is a potentially dangerous toxin that affects our brain and body in negative ways. Find out the details in our latest blog!

20 min read

Drink Less and Thrive With Reframe

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The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

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Read Full Article  →

Neuroscientist Andrew Huberman says that early in his career, someone gave him this piece of advice: “Don’t over-engage in any controversy unless you are willing to stake your entire reputation on it. Rather, keep focused on discovering new things, and creating, or else you become known for the controversy and nothing else; there is no going back.”

And yet, sometimes, taking a clear “no-room-for-exceptions” stance is important if the subject demands it — and Huberman is living proof of that idea. In his case, the subject is alcohol. In the face of confusing headlines touting its supposed “benefits,” Huberman wants to make one thing clear: alcohol is bad for us. Let’s explore why in more detail.

Who Is Andrew Huberman?

A man holding a paper cutout of a brain

Who in the world is Andrew Huberman, and why should we listen to him in the first place? Well, when it comes to the brain, he knows what he’s talking about. A neuroscientist and tenured professor in the department of neurobiology at the Stanford School of Medicine, Huberman has studied brain development and neuroplasticity — the ability of the brain to form new connections and rewire itself — for more than two decades. 

Huberman Lab Podcast

The Huberman Lab Podcast is all about bringing that research to the people. While the focus is neuroscience, this “lab” is one-of-a-kind: you don’t have to worry about sitting through tedious lectures on stoichiometry or the Krebs cycle. Huberman is all about making brain science (and science in general) accessible and relevant.

While his past topics include everything from the neuroscience of music to the biology of sleep, alcohol and its effects on our body and mind is what Huberman has become spokesman for.

Andrew Huberman: “Alcohol Is a Known Toxin”

“So alcohol has been used for medicinal purposes, it's been used to clean surfaces, it's used in my laboratory in order to make up so-called reagents to do our experiments, but most humans have been consuming alcohol in order to change their internal state.”

The main problem with alcohol as far as Huberman is concerned? It’s toxic. After all, it’s no wonder that some of its primary uses through the ages have been as an antiseptic. It kills bacteria — both inside and outside the body — and does such a good job of it that we still put it in everything from hand sanitizer to bathroom cleaners.

Unfortunately, when we ingest it, it doesn’t get any less harsh. As Huberman explains, “​​When you drink alcohol, it can pass into all the cells and tissues of your body. It has no trouble just passing right into those cells … The fact that it can pass into so many organs and cells so easily is really what explains its damaging effects.” (Want to learn more? Check out our blog “What Are Alcohol's Effects on the Body?”)

Huberman Lab: Alcohol and “What It Does to Your Body, Brain, and Health”

Out of the many talks Huberman has recorded about alcohol, the one that sums up his findings and views the best is Episode 86: “What Alcohol Does to Your Body, Brain, and Health.”

He starts out by saying that alcohol is “one of the most commonly consumed substances on the planet Earth” by “both humans and non-human animals” alike.

Wait, non-human animals, too? Yes! Science has shown that rats can develop a full-on addiction after getting easy access to booze in their cages. Likewise, hummingbirds sip on lightly spiked nectar just as happily as on the “virgin” kind when given the option.

Huberman goes on to talk about the many negative effects of alcohol on the body, from individual cells to organs and organ systems, as well as psychological and social effects. Here’s an overview of the main points.

1. The Dangers of Acetaldehyde

“Acetaldehyde is poison. It will kill cells. It damages and kills cells, and it is indiscriminate as to which cells it damages and kills.” 

In many ways, acetaldehyde is at the heart of the matter. The problem with acetaldehyde? Well, it’s a powerful toxin that gets produced as a byproduct of alcohol metabolism. 

As Huberman explains, when we drink, we are, in fact, “ingesting a poison, and that poison is converted into an even worse poison in [our] body.” Needless to say, this doesn’t bode well for us — and Huberman spends the rest of the episode explaining why.

2. Alcohol and the Brain

“To make it very clear, drinking a lot (3 – 4 drinks per night, every night of the week) is clearly bad for the brain.”

But so is moderate drinking. Huberman points out that chronic drinking at any level — even if it’s not every night — changes the neural circuits of the brain. Specifically, there’s a decrease in “top-down” inhibition and an increase in overall impulsivity. (Those impromptu late-night phone calls to your ex or confessions to your coworker over a happy hour that got a bit too “happy”? Your brain can make a habit of it. Those repeated behaviors are all training your brain to hold off on hitting the brakes when it comes to certain impulses.)

Ready for another buzzkill? In an Instagram post, Huberman points out the reality behind that tipsy feeling some of us chase so fondly: 

“Alcohol is one of the few substances that produces changes in the brain and body not just by causing the release of chemicals but by [its] direct poisonous effects on cells. That’s right, a lot of what we associate with the feelings of alcohol are actually due to cellular damage.”

Fortunately, Huberman adds, this is reversible (phew!). Give it 2 to 6 months without booze, and the neural circuits go back to normal. (For a deep dive into alcohol and the brain, check out “How Alcohol Affects the Brain: A Look Into the Science.”)

3. Gut Microbiome

“'People who ingest alcohol at any amount are inducing a disruption in the so-called gut microbiome, the trillions of little micro bacteria that take up residency in your gut.”

Huberman talks about the “gut-brain-liver” axis to explain the effect of alcohol on the gut. As scientists now know, the brain and the gut are connected via the vagus nerve, as well as through chemical signals. As it turns out, the liver joins the conversation as well! Alcohol disrupts the flow of this three-way communication by messing with gut bacteria while increasing inflammation in the liver, which stokes the fire even more. 

The result is a so-called two-hit model  — an attack from two fronts. The good bacteria are depleted while “leaky gut” allows toxic chemicals to seep into the bloodstream. On top of that, inflammatory chemicals from the liver reach the brain through neuroimmune signaling, causing further damage.

(Want to learn more? Check out “How Does Alcohol Affect Gut Health?”)

What Alcohol Does to Body, Brain, and Health

Alcohol and Metabolism

“The reason why alcohol is considered ’empty calories’ is because the entire process is very metabolically costly, but there’s no real nutritive value of the calories that it creates. You can use it for immediate energy, but it can’t be stored in any kind of meaningful or beneficial way.”

So what happens after alcohol is digested? Do we use any of it for energy? Sort of. When it comes to the calories in alcohol, Huberman is clear about how truly “empty” they are. In fact, he says, even sugar is a better fuel source if we’re looking at it purely from the standpoint of energy. 

Alcohol lacks vitamins, minerals, or macronutrients such as proteins. In fact, it tends to slow down the metabolism of everything else we eat. The result? Those pretzels we’re having on the side or that midnight slice of pizza is much more likely to get stored as fat. (For more information, check out “The Link Between Alcohol and Unwanted Weight Gain.”)

Alcohol and Disease

“The more alcohol people drink, the greater their increase of cancer (in particular breast cancer).”

Finally, Huberman touches on one of the most serious risks of alcohol — cancer. He starts off by addressing all those claims we hear so often about red wine being good for us because of the resveratrol found in it. Those relying on this to justify their nightly wine habit might be disappointed to hear what Huberman has to say about it, but here it goes: the negative effects of ethanol most likely offset any cancer-fighting benefits of the compounds (which are also found in grape or pomegranate juice, by the way).

Huberman discusses the mechanism through which alcohol increases cancer risk. Once again, the problem comes down to the toxic properties of acetaldehyde, which affects the DNA in cells of various body tissues and causes changes in gene expression that lead to the growth of tumors. Once again, there’s a two-hit model in action: in addition to contributing to cancer proliferation, alcohol also delivers a blow to the immune system, which works to clear the body of harmful cells. 

As he talks about the link between alcohol and cancer, Huberman comes back to one sobering statistic: a daily habit of having just one 10-gram drink increases our chances of cancer (especially breast cancer) by 4 – 13%! (To learn more about this subject, take a look at “The 7 Types of Cancer Caused By Alcohol” and “Alcohol and Breast Cancer Risk: What's the Connection?”)

Huberman’s Healthy Tips

Throughout the podcast, Huberman gives some reassuring advice to his listeners. Don’t worry, he repeats, all is not lost, even for those who've had their share of heavy drinking bouts in the past. Here’s some Huberman-inspired advice to help you on your own journey!

  1. Cut back on booze. After everything he shares, this should come as no surprise: Huberman’s advice is to lower your alcohol intake — preferably to none at all or to a couple of drinks per week at most. To make the process much easier, though, focus on everything you have to gain: a clearer mind, better sleep, a stronger immune system, and so much more. While Huberman does talk a lot about the negatives, this is not the time to dwell on what might happen if you keep drinking. Instead, think about all the perks waiting for you if you cut back!
  2. Tap into neuroplasticity. Remember, even if you drank heavily for a while, your brain has a powerful ability to adapt and overcome. Huberman reminds his listeners that within a few months of taking it easy you can expect the alcohol-related brain fog to lift.
  3. Pay attention to your gut. Taking care of your gut health is key to overall well-being! Make sure to eat plenty of fiber-rich fruits and vegetables. And to help that gut bacteria directly, go for some probiotics. As Huberman suggests, “Two to four servings of fermented foods per day … are terrific at reducing inflammatory markers and at improving the gut microbiome.”
  4. Take folate and vitamin B supplements. To lower your cancer risk (while keeping the brain healthy as well), Huberman recommends taking folate and B vitamins (especially B12). Of course, always check with your doctor first! 
  5. Lower stress. Stress amps up inflammation, and inflammation makes everything worse. The brain is a prime target for stress-induced damage, so roll out that yoga mat or put on some headphones to listen to meditative soundscapes in order to stay at the top of your game. Your neurons will thank you!

Just a few simple changes can make a world of difference. It’s all about building new habits that last!

Your Very Own Lab

Remember, cutting back on alcohol doesn’t have to be a drag. Think of it as a fun experiment in your own “lab” and get curious about the changes you observe. Start with a challenge, such as Dry January or Sober October (or any other month of the year!) and see where it takes you. Chances are, the benefits will make you want to keep going! And Reframe is here to help you along the way!

Neuroscientist Andrew Huberman says that early in his career, someone gave him this piece of advice: “Don’t over-engage in any controversy unless you are willing to stake your entire reputation on it. Rather, keep focused on discovering new things, and creating, or else you become known for the controversy and nothing else; there is no going back.”

And yet, sometimes, taking a clear “no-room-for-exceptions” stance is important if the subject demands it — and Huberman is living proof of that idea. In his case, the subject is alcohol. In the face of confusing headlines touting its supposed “benefits,” Huberman wants to make one thing clear: alcohol is bad for us. Let’s explore why in more detail.

Who Is Andrew Huberman?

A man holding a paper cutout of a brain

Who in the world is Andrew Huberman, and why should we listen to him in the first place? Well, when it comes to the brain, he knows what he’s talking about. A neuroscientist and tenured professor in the department of neurobiology at the Stanford School of Medicine, Huberman has studied brain development and neuroplasticity — the ability of the brain to form new connections and rewire itself — for more than two decades. 

Huberman Lab Podcast

The Huberman Lab Podcast is all about bringing that research to the people. While the focus is neuroscience, this “lab” is one-of-a-kind: you don’t have to worry about sitting through tedious lectures on stoichiometry or the Krebs cycle. Huberman is all about making brain science (and science in general) accessible and relevant.

While his past topics include everything from the neuroscience of music to the biology of sleep, alcohol and its effects on our body and mind is what Huberman has become spokesman for.

Andrew Huberman: “Alcohol Is a Known Toxin”

“So alcohol has been used for medicinal purposes, it's been used to clean surfaces, it's used in my laboratory in order to make up so-called reagents to do our experiments, but most humans have been consuming alcohol in order to change their internal state.”

The main problem with alcohol as far as Huberman is concerned? It’s toxic. After all, it’s no wonder that some of its primary uses through the ages have been as an antiseptic. It kills bacteria — both inside and outside the body — and does such a good job of it that we still put it in everything from hand sanitizer to bathroom cleaners.

Unfortunately, when we ingest it, it doesn’t get any less harsh. As Huberman explains, “​​When you drink alcohol, it can pass into all the cells and tissues of your body. It has no trouble just passing right into those cells … The fact that it can pass into so many organs and cells so easily is really what explains its damaging effects.” (Want to learn more? Check out our blog “What Are Alcohol's Effects on the Body?”)

Huberman Lab: Alcohol and “What It Does to Your Body, Brain, and Health”

Out of the many talks Huberman has recorded about alcohol, the one that sums up his findings and views the best is Episode 86: “What Alcohol Does to Your Body, Brain, and Health.”

He starts out by saying that alcohol is “one of the most commonly consumed substances on the planet Earth” by “both humans and non-human animals” alike.

Wait, non-human animals, too? Yes! Science has shown that rats can develop a full-on addiction after getting easy access to booze in their cages. Likewise, hummingbirds sip on lightly spiked nectar just as happily as on the “virgin” kind when given the option.

Huberman goes on to talk about the many negative effects of alcohol on the body, from individual cells to organs and organ systems, as well as psychological and social effects. Here’s an overview of the main points.

1. The Dangers of Acetaldehyde

“Acetaldehyde is poison. It will kill cells. It damages and kills cells, and it is indiscriminate as to which cells it damages and kills.” 

In many ways, acetaldehyde is at the heart of the matter. The problem with acetaldehyde? Well, it’s a powerful toxin that gets produced as a byproduct of alcohol metabolism. 

As Huberman explains, when we drink, we are, in fact, “ingesting a poison, and that poison is converted into an even worse poison in [our] body.” Needless to say, this doesn’t bode well for us — and Huberman spends the rest of the episode explaining why.

2. Alcohol and the Brain

“To make it very clear, drinking a lot (3 – 4 drinks per night, every night of the week) is clearly bad for the brain.”

But so is moderate drinking. Huberman points out that chronic drinking at any level — even if it’s not every night — changes the neural circuits of the brain. Specifically, there’s a decrease in “top-down” inhibition and an increase in overall impulsivity. (Those impromptu late-night phone calls to your ex or confessions to your coworker over a happy hour that got a bit too “happy”? Your brain can make a habit of it. Those repeated behaviors are all training your brain to hold off on hitting the brakes when it comes to certain impulses.)

Ready for another buzzkill? In an Instagram post, Huberman points out the reality behind that tipsy feeling some of us chase so fondly: 

“Alcohol is one of the few substances that produces changes in the brain and body not just by causing the release of chemicals but by [its] direct poisonous effects on cells. That’s right, a lot of what we associate with the feelings of alcohol are actually due to cellular damage.”

Fortunately, Huberman adds, this is reversible (phew!). Give it 2 to 6 months without booze, and the neural circuits go back to normal. (For a deep dive into alcohol and the brain, check out “How Alcohol Affects the Brain: A Look Into the Science.”)

3. Gut Microbiome

“'People who ingest alcohol at any amount are inducing a disruption in the so-called gut microbiome, the trillions of little micro bacteria that take up residency in your gut.”

Huberman talks about the “gut-brain-liver” axis to explain the effect of alcohol on the gut. As scientists now know, the brain and the gut are connected via the vagus nerve, as well as through chemical signals. As it turns out, the liver joins the conversation as well! Alcohol disrupts the flow of this three-way communication by messing with gut bacteria while increasing inflammation in the liver, which stokes the fire even more. 

The result is a so-called two-hit model  — an attack from two fronts. The good bacteria are depleted while “leaky gut” allows toxic chemicals to seep into the bloodstream. On top of that, inflammatory chemicals from the liver reach the brain through neuroimmune signaling, causing further damage.

(Want to learn more? Check out “How Does Alcohol Affect Gut Health?”)

What Alcohol Does to Body, Brain, and Health

Alcohol and Metabolism

“The reason why alcohol is considered ’empty calories’ is because the entire process is very metabolically costly, but there’s no real nutritive value of the calories that it creates. You can use it for immediate energy, but it can’t be stored in any kind of meaningful or beneficial way.”

So what happens after alcohol is digested? Do we use any of it for energy? Sort of. When it comes to the calories in alcohol, Huberman is clear about how truly “empty” they are. In fact, he says, even sugar is a better fuel source if we’re looking at it purely from the standpoint of energy. 

Alcohol lacks vitamins, minerals, or macronutrients such as proteins. In fact, it tends to slow down the metabolism of everything else we eat. The result? Those pretzels we’re having on the side or that midnight slice of pizza is much more likely to get stored as fat. (For more information, check out “The Link Between Alcohol and Unwanted Weight Gain.”)

Alcohol and Disease

“The more alcohol people drink, the greater their increase of cancer (in particular breast cancer).”

Finally, Huberman touches on one of the most serious risks of alcohol — cancer. He starts off by addressing all those claims we hear so often about red wine being good for us because of the resveratrol found in it. Those relying on this to justify their nightly wine habit might be disappointed to hear what Huberman has to say about it, but here it goes: the negative effects of ethanol most likely offset any cancer-fighting benefits of the compounds (which are also found in grape or pomegranate juice, by the way).

Huberman discusses the mechanism through which alcohol increases cancer risk. Once again, the problem comes down to the toxic properties of acetaldehyde, which affects the DNA in cells of various body tissues and causes changes in gene expression that lead to the growth of tumors. Once again, there’s a two-hit model in action: in addition to contributing to cancer proliferation, alcohol also delivers a blow to the immune system, which works to clear the body of harmful cells. 

As he talks about the link between alcohol and cancer, Huberman comes back to one sobering statistic: a daily habit of having just one 10-gram drink increases our chances of cancer (especially breast cancer) by 4 – 13%! (To learn more about this subject, take a look at “The 7 Types of Cancer Caused By Alcohol” and “Alcohol and Breast Cancer Risk: What's the Connection?”)

Huberman’s Healthy Tips

Throughout the podcast, Huberman gives some reassuring advice to his listeners. Don’t worry, he repeats, all is not lost, even for those who've had their share of heavy drinking bouts in the past. Here’s some Huberman-inspired advice to help you on your own journey!

  1. Cut back on booze. After everything he shares, this should come as no surprise: Huberman’s advice is to lower your alcohol intake — preferably to none at all or to a couple of drinks per week at most. To make the process much easier, though, focus on everything you have to gain: a clearer mind, better sleep, a stronger immune system, and so much more. While Huberman does talk a lot about the negatives, this is not the time to dwell on what might happen if you keep drinking. Instead, think about all the perks waiting for you if you cut back!
  2. Tap into neuroplasticity. Remember, even if you drank heavily for a while, your brain has a powerful ability to adapt and overcome. Huberman reminds his listeners that within a few months of taking it easy you can expect the alcohol-related brain fog to lift.
  3. Pay attention to your gut. Taking care of your gut health is key to overall well-being! Make sure to eat plenty of fiber-rich fruits and vegetables. And to help that gut bacteria directly, go for some probiotics. As Huberman suggests, “Two to four servings of fermented foods per day … are terrific at reducing inflammatory markers and at improving the gut microbiome.”
  4. Take folate and vitamin B supplements. To lower your cancer risk (while keeping the brain healthy as well), Huberman recommends taking folate and B vitamins (especially B12). Of course, always check with your doctor first! 
  5. Lower stress. Stress amps up inflammation, and inflammation makes everything worse. The brain is a prime target for stress-induced damage, so roll out that yoga mat or put on some headphones to listen to meditative soundscapes in order to stay at the top of your game. Your neurons will thank you!

Just a few simple changes can make a world of difference. It’s all about building new habits that last!

Your Very Own Lab

Remember, cutting back on alcohol doesn’t have to be a drag. Think of it as a fun experiment in your own “lab” and get curious about the changes you observe. Start with a challenge, such as Dry January or Sober October (or any other month of the year!) and see where it takes you. Chances are, the benefits will make you want to keep going! And Reframe is here to help you along the way!

Alcohol and Health
2024-05-13 9:00
Alcohol and Health
All You Need To Know About National Alcohol Screening Day
This is some text inside of a div block.

Wondering what National Alcohol Screening Day is all about? Learn what an alcohol screening is and find out how it can help you on your journey in our latest blog!

22 min read

Overcome Post-Alcohol Fatigue and Reach Your Alcohol Goals With Reframe!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 forum and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

Read Full Article  →

There are medical screenings of all kinds out there. They’re all about being proactive: detecting diseases early is the key to keeping them from damaging our health and preventing serious complications. You’ve probably heard of a few different kinds — a simple blood test to screen for diabetes, mammograms for breast cancer, pap smears for cervical cancer, and so forth.

But alcohol screening? Now that’s a new one. And yet, more people than ever are taking part! Let’s dig deeper to see what National Alcohol Screening Day is all about and how alcohol screening can be key to catching signs of a problem before it takes hold of your life. 

When Is “National Alcohol Day”?

The answer actually varies depending on what we mean. So to start things off, let’s untangle a few details so we don’t get confused.

A person holding a bottle of alcohol next to a sign

October 2 is “World No Alcohol Day.” Of course, saying no to booze is cool any day of the year but this date was chosen to highlight the dangers of excessive drinking, such as increased risk of heart disease, cancers, liver problems, and drunk driving accidents. 

Another important day — one that we’ll focus on as we look further into alcohol screening — comes every year on Thursday of the first full week of April. This is National Alcohol Screening Day, sponsored by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) in an effort to “educate people about alcohol use disorders, screen them for a range of problems including risky drinking, and refer those in need to treatment resources.” National Alcohol Screening Day 2024 occurred on April 11.

What Is National Alcohol Screening Day?

"What are you waiting for — last call, or a wake-up call?" reads the invitation to the multifaceted alcohol screening and education program for this year. Even if the exact date is behind us, there’s plenty we can still learn from the program’s efforts to curb the risks posed by excessive drinking.

The history of NASD goes back over two decades to the first one held in April 1999. At the time, 50,000 people participated, including an unexpectedly high number of college students, according to NIAAA Helping to run the program with NIAAA are the Substance Abuse and Mental Health Services Administration's Center for Substance Abuse Treatment (CSAT) and the nonprofit Screening for Mental Health, Inc. (SMH). 

It might come as a surprise to see young people so invested in curbing their own drinking habits. After all, college years are traditionally prime time for alcohol-fueled tailgate parties, late night beer and pizza runs, and morning cleanups of common rooms littered with red Dixie cups. The reality is, however, that binge drinking in particular has been a growing problem, and people — including college students — are becoming more aware of the dangers. Defined as consuming 5 or more drinks in one sitting for men or 4 or more for women, the CDC reports that binge drinking, the CDC reports, is “the most common and costly pattern of excessive alcohol use in the United States.”

However, the focus of National Alcohol Screening Day goes beyond what goes on at the college campus. It’s meant to address other problems related to alcohol use, such as chronic misuse, dependency, and health complications related to booze. Alcohol treatment facilities, community health centers, and hospitals alike all join in to educate the general public about alcohol and provide avenues for recovery at any stage.

What Is an Alcohol Screening?

At the heart of National Alcohol Screening Day is the actual screening process. But what is it exactly?

The screenings are held at 1,500 sites around the country and are free as well as completely anonymous. They’re meant to help us assess our alcohol habits as we learn about the impact of unhealthy drinking habits and receive guidance about where to go for follow-up help. The spirit is all-around compassionate and understanding, and NASD is all about reducing stigma around drinking while encouraging people to seek help.

The assessment itself can be done online or face-to-face with a healthcare professional. The goal is to provide feedback about drinking habits to examine our risk of developing alcohol use disorder (AUD). 

While the screenings are promoted the most during NASD, they are available any time of year! A healthcare provider can easily administer one and point to resources or follow-up options.

The Heart of the Matter: All About AUD

AUD — alcohol use disorder — may not be a familiar term, but it goes to the heart of the matter of unhealthy alcohol use: it’s a disorder, not a label or stigma.

According to NIAAA, AUD is a medical condition characterized by an impaired ability to stop or control alcohol use despite negative effects on health, social life, or occupation. It can range from mild to moderate to severe and has a few hallmark features. Most of these telltale signs would come up during the alcohol screening as questions for us to consider when evaluating our drinking habits. Let’s take a look at these signs:

  • Drinking more than we planned. We tend to drink more than we intended or for longer periods of time. That weekly glass of wine might have turned into a nightly one, in spite of the fact that we start off every Monday saying we’ll give it at least until Thursday for the “weekend” to start.
  • Trying to stop or cut back unsuccessfully. We might have tried to cut back on how much we drink (no more than two drinks, tops!), but somehow end up drinking more. Every time, there seems to be an exception — a friend’s birthday party, the two-month anniversary of the day we adopted our cat, National Hot Buttered Rum Day, and so forth. 
  • Devoting a lot of time to alcohol. Spending time on alcohol doesn’t mean just the hours we’re at the bar or the time we spend sharing a bottle of wine at the dinner table. It’s also all the time we spend nursing the morning-after hangover, planning when we’ll drink next, being sick from drinking too much, or worrying about our drinking habits.
  • Being preoccupied with the thought of a drink. If we’re so consumed with thoughts about alcohol that we can’t focus on anything else, we might be headed for trouble.
  • Having our daily life disrupted by drinking. We might find ourselves having to call in sick after having a few too many the night before. Or we might have trouble keeping up with our work or home responsibilities. Either way, if booze is getting in the way of our daily life, it’s time to reassess things.
  • Continuing to drink despite problems. Maybe our friends or family members are starting to worry, maybe our job is in danger, and maybe our health is at risk. If we don’t see any of these red flags as reasons to cut back, we might be in deeper than we realize.
  • Giving up things we enjoyed because of drinking. Life is about so much more than booze: it’s about morning walks with our partner, movie nights with the kids, and jogs in the park on a Sunday afternoon. If these simple pleasures are starting to fall by the wayside, it might be time to reconsider the role of alcohol in our life.
  • Getting into dangerous situations because of alcohol. Whether it’s driving under the influence, swimming on vacation after several drinks, walking through a dangerous part of town, or finding ourselves at risk of sexual assault due to drinking, these are all red flags. To be clear, sexual assault or any other type of abuse is never our fault. But finding ourselves at risk because of our level of intoxication could be a sign of AUD.
  • Continuing to drink despite signs it was hurting our mental and physical health. Are we feeling more depressed or anxious with alcohol in the picture? Have we had a blackout (“missing time” when we were too drunk to remember what happened)? Is our sleep suffering? Did our last blood test come back showing elevated liver enzymes? All of these are signs that booze is taking a toll on our physical and mental health.
  • Finding that we need more alcohol to get the same effect. If the same number of drinks just doesn’t seem to do it for us anymore, it might be a sign of increased tolerance — another telltale sign that we might be on the road to dependence and AUD. Tolerance increases as the brain and body adjust to the neurochemistry shifts created by booze.
  • Noticing withdrawal symptoms when we stop drinking. Feeling shaky, restless, nauseous, or having a racing heart and general malaise are all signs of withdrawal — the body’s response to a drop in alcohol levels. This is more than our regular hangover! Withdrawal could be dangerous, and the more serious symptoms could include seizures or hallucinations. If that’s our case, it’s time to seek medical help!

We can use this list to evaluate our drinking patterns any time. While NASD is a great way to access all the resources we need to explore our alcohol habits, there’s no reason to wait.

Want to dig deeper into drinking levels, troublesome patterns, and more? Check out Reframe’s blogs about alcohol drinking levels, signs you’re drinking too much, and how much alcohol is considered too much.

What Else Goes on During National Alcohol Screening Day?

The screening isn’t the only part of NASD. The day is filled with additional activities related to alcohol misuse.

  • Educational events. NASD features many educational seminars, lectures, and workshops to share information about alcohol and its effects. These events also aim to provide us with practical strategies for reducing alcohol intake. 
  • Access to experts. NIAAA makes sure to provide participants with access to experts and opportunities to ask questions and talk in private about their concerns, whether they’re about their own alcohol use or the problems a family member might be facing. Those who need additional help can receive referrals to professionals and facilities in the area. 
  • Awareness. Substance Abuse and Mental Health Services Administration (SAMHSA) representative Nelba Chavez does a good job of explaining the importance of “knowledge first” when taking action against alcohol. In her words, "Awareness and understanding — the kind of outreach provided by this program — are key to halting the tide of alcohol problems across the country. National Alcohol Screening Day is a public health and personal health investment that you can bank on."
  • Mental health education. Part of the screening program’s goal is to educate the public about the connection between alcohol use and mental health challenges, such as depression and anxiety. The idea is to help people understand that addressing one can mitigate the other, and vice versa. 
  • Decreased stigma. A major goal of NASD is decreasing the stigma in the conversation about alcohol and problem drinking. There’s nothing to be ashamed of, and talking honestly about the subject is a sign of strength.


There’s a lot to explore when it comes to alcohol misuse and mental health. The importance of open conversations is key! To learn more, take a look at Reframe’s blogs ”Alcohol Misuse and Depression: What’s the Connection?” and “Stigma and Alcoholism: Beyond the Myths.”

Tips for Making the Most of National Alcohol Screening Day

How Can National Alcohol Screening Day Help You?

Finally, here are some tips for making the most of National Alcohol Screening Day:

  1. Find a center near you. You can search for an “alcohol screening center” in your area to find local resources, whether you go for National Alcohol Screening Day or any other day of the year! Also check out the NIAAA homepage to learn about alcohol research and find additional resources.
  2. Do some prep work. If you decide to attend one of the NASD events, look through the list of signs of problems with alcohol use before you go. That way there are no surprises, and you’ll have plenty of time to think about your answers beforehand.
  3. Ask questions. Don’t hesitate to ask the experts about anything you’d like clarified. That’s what they’re there for!
  4. Stay open-minded. It’s natural to think that our problems are less serious than they might be in reality or to put off getting help before it gets really urgent. But when it comes to alcohol use, early intervention is key! Things only get more difficult with time, and you’re doing yourself a huge favor by addressing any issues early. 
  5. Talk to your support team. If you can, bring friends, family members, or others you trust for support or talk to them about the situation. Having a support team with you on your journey can make all the difference.

And remember, there’s no need to wait until next April to seek help if you think you might be headed for troubled waters! If you think alcohol is becoming a problem and you’d like to reevaluate your relationship with it, start today! Reframe is here to help kickstart your journey!

Opportunities Await

Most importantly, don’t think of reevaluating your relationship with alcohol as a limitation — it’s quite the opposite! By approaching it with a mindset of curiosity, you open yourself up to possibilities of authentic joy that quitting or cutting back could bring. There’s absolutely nothing to lose and everything to gain by facing alcohol head-on and making some powerful changes.

There are medical screenings of all kinds out there. They’re all about being proactive: detecting diseases early is the key to keeping them from damaging our health and preventing serious complications. You’ve probably heard of a few different kinds — a simple blood test to screen for diabetes, mammograms for breast cancer, pap smears for cervical cancer, and so forth.

But alcohol screening? Now that’s a new one. And yet, more people than ever are taking part! Let’s dig deeper to see what National Alcohol Screening Day is all about and how alcohol screening can be key to catching signs of a problem before it takes hold of your life. 

When Is “National Alcohol Day”?

The answer actually varies depending on what we mean. So to start things off, let’s untangle a few details so we don’t get confused.

A person holding a bottle of alcohol next to a sign

October 2 is “World No Alcohol Day.” Of course, saying no to booze is cool any day of the year but this date was chosen to highlight the dangers of excessive drinking, such as increased risk of heart disease, cancers, liver problems, and drunk driving accidents. 

Another important day — one that we’ll focus on as we look further into alcohol screening — comes every year on Thursday of the first full week of April. This is National Alcohol Screening Day, sponsored by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) in an effort to “educate people about alcohol use disorders, screen them for a range of problems including risky drinking, and refer those in need to treatment resources.” National Alcohol Screening Day 2024 occurred on April 11.

What Is National Alcohol Screening Day?

"What are you waiting for — last call, or a wake-up call?" reads the invitation to the multifaceted alcohol screening and education program for this year. Even if the exact date is behind us, there’s plenty we can still learn from the program’s efforts to curb the risks posed by excessive drinking.

The history of NASD goes back over two decades to the first one held in April 1999. At the time, 50,000 people participated, including an unexpectedly high number of college students, according to NIAAA Helping to run the program with NIAAA are the Substance Abuse and Mental Health Services Administration's Center for Substance Abuse Treatment (CSAT) and the nonprofit Screening for Mental Health, Inc. (SMH). 

It might come as a surprise to see young people so invested in curbing their own drinking habits. After all, college years are traditionally prime time for alcohol-fueled tailgate parties, late night beer and pizza runs, and morning cleanups of common rooms littered with red Dixie cups. The reality is, however, that binge drinking in particular has been a growing problem, and people — including college students — are becoming more aware of the dangers. Defined as consuming 5 or more drinks in one sitting for men or 4 or more for women, the CDC reports that binge drinking, the CDC reports, is “the most common and costly pattern of excessive alcohol use in the United States.”

However, the focus of National Alcohol Screening Day goes beyond what goes on at the college campus. It’s meant to address other problems related to alcohol use, such as chronic misuse, dependency, and health complications related to booze. Alcohol treatment facilities, community health centers, and hospitals alike all join in to educate the general public about alcohol and provide avenues for recovery at any stage.

What Is an Alcohol Screening?

At the heart of National Alcohol Screening Day is the actual screening process. But what is it exactly?

The screenings are held at 1,500 sites around the country and are free as well as completely anonymous. They’re meant to help us assess our alcohol habits as we learn about the impact of unhealthy drinking habits and receive guidance about where to go for follow-up help. The spirit is all-around compassionate and understanding, and NASD is all about reducing stigma around drinking while encouraging people to seek help.

The assessment itself can be done online or face-to-face with a healthcare professional. The goal is to provide feedback about drinking habits to examine our risk of developing alcohol use disorder (AUD). 

While the screenings are promoted the most during NASD, they are available any time of year! A healthcare provider can easily administer one and point to resources or follow-up options.

The Heart of the Matter: All About AUD

AUD — alcohol use disorder — may not be a familiar term, but it goes to the heart of the matter of unhealthy alcohol use: it’s a disorder, not a label or stigma.

According to NIAAA, AUD is a medical condition characterized by an impaired ability to stop or control alcohol use despite negative effects on health, social life, or occupation. It can range from mild to moderate to severe and has a few hallmark features. Most of these telltale signs would come up during the alcohol screening as questions for us to consider when evaluating our drinking habits. Let’s take a look at these signs:

  • Drinking more than we planned. We tend to drink more than we intended or for longer periods of time. That weekly glass of wine might have turned into a nightly one, in spite of the fact that we start off every Monday saying we’ll give it at least until Thursday for the “weekend” to start.
  • Trying to stop or cut back unsuccessfully. We might have tried to cut back on how much we drink (no more than two drinks, tops!), but somehow end up drinking more. Every time, there seems to be an exception — a friend’s birthday party, the two-month anniversary of the day we adopted our cat, National Hot Buttered Rum Day, and so forth. 
  • Devoting a lot of time to alcohol. Spending time on alcohol doesn’t mean just the hours we’re at the bar or the time we spend sharing a bottle of wine at the dinner table. It’s also all the time we spend nursing the morning-after hangover, planning when we’ll drink next, being sick from drinking too much, or worrying about our drinking habits.
  • Being preoccupied with the thought of a drink. If we’re so consumed with thoughts about alcohol that we can’t focus on anything else, we might be headed for trouble.
  • Having our daily life disrupted by drinking. We might find ourselves having to call in sick after having a few too many the night before. Or we might have trouble keeping up with our work or home responsibilities. Either way, if booze is getting in the way of our daily life, it’s time to reassess things.
  • Continuing to drink despite problems. Maybe our friends or family members are starting to worry, maybe our job is in danger, and maybe our health is at risk. If we don’t see any of these red flags as reasons to cut back, we might be in deeper than we realize.
  • Giving up things we enjoyed because of drinking. Life is about so much more than booze: it’s about morning walks with our partner, movie nights with the kids, and jogs in the park on a Sunday afternoon. If these simple pleasures are starting to fall by the wayside, it might be time to reconsider the role of alcohol in our life.
  • Getting into dangerous situations because of alcohol. Whether it’s driving under the influence, swimming on vacation after several drinks, walking through a dangerous part of town, or finding ourselves at risk of sexual assault due to drinking, these are all red flags. To be clear, sexual assault or any other type of abuse is never our fault. But finding ourselves at risk because of our level of intoxication could be a sign of AUD.
  • Continuing to drink despite signs it was hurting our mental and physical health. Are we feeling more depressed or anxious with alcohol in the picture? Have we had a blackout (“missing time” when we were too drunk to remember what happened)? Is our sleep suffering? Did our last blood test come back showing elevated liver enzymes? All of these are signs that booze is taking a toll on our physical and mental health.
  • Finding that we need more alcohol to get the same effect. If the same number of drinks just doesn’t seem to do it for us anymore, it might be a sign of increased tolerance — another telltale sign that we might be on the road to dependence and AUD. Tolerance increases as the brain and body adjust to the neurochemistry shifts created by booze.
  • Noticing withdrawal symptoms when we stop drinking. Feeling shaky, restless, nauseous, or having a racing heart and general malaise are all signs of withdrawal — the body’s response to a drop in alcohol levels. This is more than our regular hangover! Withdrawal could be dangerous, and the more serious symptoms could include seizures or hallucinations. If that’s our case, it’s time to seek medical help!

We can use this list to evaluate our drinking patterns any time. While NASD is a great way to access all the resources we need to explore our alcohol habits, there’s no reason to wait.

Want to dig deeper into drinking levels, troublesome patterns, and more? Check out Reframe’s blogs about alcohol drinking levels, signs you’re drinking too much, and how much alcohol is considered too much.

What Else Goes on During National Alcohol Screening Day?

The screening isn’t the only part of NASD. The day is filled with additional activities related to alcohol misuse.

  • Educational events. NASD features many educational seminars, lectures, and workshops to share information about alcohol and its effects. These events also aim to provide us with practical strategies for reducing alcohol intake. 
  • Access to experts. NIAAA makes sure to provide participants with access to experts and opportunities to ask questions and talk in private about their concerns, whether they’re about their own alcohol use or the problems a family member might be facing. Those who need additional help can receive referrals to professionals and facilities in the area. 
  • Awareness. Substance Abuse and Mental Health Services Administration (SAMHSA) representative Nelba Chavez does a good job of explaining the importance of “knowledge first” when taking action against alcohol. In her words, "Awareness and understanding — the kind of outreach provided by this program — are key to halting the tide of alcohol problems across the country. National Alcohol Screening Day is a public health and personal health investment that you can bank on."
  • Mental health education. Part of the screening program’s goal is to educate the public about the connection between alcohol use and mental health challenges, such as depression and anxiety. The idea is to help people understand that addressing one can mitigate the other, and vice versa. 
  • Decreased stigma. A major goal of NASD is decreasing the stigma in the conversation about alcohol and problem drinking. There’s nothing to be ashamed of, and talking honestly about the subject is a sign of strength.


There’s a lot to explore when it comes to alcohol misuse and mental health. The importance of open conversations is key! To learn more, take a look at Reframe’s blogs ”Alcohol Misuse and Depression: What’s the Connection?” and “Stigma and Alcoholism: Beyond the Myths.”

Tips for Making the Most of National Alcohol Screening Day

How Can National Alcohol Screening Day Help You?

Finally, here are some tips for making the most of National Alcohol Screening Day:

  1. Find a center near you. You can search for an “alcohol screening center” in your area to find local resources, whether you go for National Alcohol Screening Day or any other day of the year! Also check out the NIAAA homepage to learn about alcohol research and find additional resources.
  2. Do some prep work. If you decide to attend one of the NASD events, look through the list of signs of problems with alcohol use before you go. That way there are no surprises, and you’ll have plenty of time to think about your answers beforehand.
  3. Ask questions. Don’t hesitate to ask the experts about anything you’d like clarified. That’s what they’re there for!
  4. Stay open-minded. It’s natural to think that our problems are less serious than they might be in reality or to put off getting help before it gets really urgent. But when it comes to alcohol use, early intervention is key! Things only get more difficult with time, and you’re doing yourself a huge favor by addressing any issues early. 
  5. Talk to your support team. If you can, bring friends, family members, or others you trust for support or talk to them about the situation. Having a support team with you on your journey can make all the difference.

And remember, there’s no need to wait until next April to seek help if you think you might be headed for troubled waters! If you think alcohol is becoming a problem and you’d like to reevaluate your relationship with it, start today! Reframe is here to help kickstart your journey!

Opportunities Await

Most importantly, don’t think of reevaluating your relationship with alcohol as a limitation — it’s quite the opposite! By approaching it with a mindset of curiosity, you open yourself up to possibilities of authentic joy that quitting or cutting back could bring. There’s absolutely nothing to lose and everything to gain by facing alcohol head-on and making some powerful changes.

Alcohol and Health
2024-05-11 9:00
Alcohol and Health
Neck and Shoulder Pain While Drinking Alcohol
This is some text inside of a div block.

Did you know your evening of imbibing could be the culprit behind your neck and shoulder pain? If you didn’t, you’re not alone. Uncover the link between alcohol consumption and muscle pain and learn how to alleviate and avoid it in our latest blog post!

17 min read

Reduce Alcohol-Related Pain and Improve Your Health With Reframe!

Although it isn’t a treatment for alcohol use disorder (AUD), the Reframe app can help you cut back on drinking gradually with the science-backed knowledge to empower you 100% of the way. Our proven program has helped millions of people around the world drink less and live more. And we want to help you get there, too!

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge.

You’ll meet millions of fellow Reframers in our 24/7 forum and daily Zoom check-in meetings. Receive encouragement from people worldwide who know exactly what you’re going through! You’ll also have the opportunity to connect with our licensed Reframe coaches for more personalized guidance.

Plus, we’re always introducing new features to optimize your in-app experience. We recently launched our in-app chatbot, Melody, powered by the world’s most powerful AI technology. Melody is here to help as you adjust to a life with less (or no) alcohol. 

And that’s not all! Every month, we launch fun challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You won’t want to miss out on the chance to participate alongside fellow Reframers (or solo if that’s more your thing!).

The Reframe app is free for 7 days, so you don’t have anything to lose by trying it. Are you ready to feel empowered and discover life beyond alcohol? Then download our app through the App Store or Google Play today! 

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You just attended the wedding of the year. You laughed, you cried, you sipped champagne. Now you’re back home in your pajamas ready to put your achy feet up and call it a night. That’s when you start to notice how sore your neck and shoulders are. You replay the events of the evening to pinpoint the source. You didn’t do any crazy dance moves. You didn’t have to crane your neck to see. Surely it couldn’t be the champagne — or could it? 

While alcohol’s cognitive side effects are well-known and documented, some people experience more obscure effects, such as neck and shoulder pain. How could alcohol cause that? Should we be worried? We’ll explore all that and more, so put some ice or a heating pad on that shoulder while you read.

Causes of Neck and Shoulder Pain

A man with neck pain

Before we “blame it on the alcohol,” let’s take a look at some general causes of neck and shoulder pain. Here are some questions to ask yourself:

  • Did you do anything out of the ordinary? Sometimes we don’t feel a strain until much later in the day. Did you help a neighbor move a couch? Did you do extra yard work?
  • Did you sleep funny? The older we get, the less our body tolerates falling asleep on the couch or with our head tilted.
  • Could it be a pinched nerve? These are typically accompanied by some numbness or tingling. 
  • Do you have any previous injuries? Some people, athletes especially, can feel recurring pain at the site of a previous injury.
  • Is this the first time you’ve experienced this? The answer to the question can help you narrow down or rule out possible causes. 

If you can’t link your neck and shoulder pain to any of these sources, it might be time to take a closer look at alcohol as the prime suspect.

The Musculoskeletal System on Alcohol

To understand how alcohol could cause neck and shoulder pain, we have to understand its effects on our musculoskeletal system (MSK) in general.

We’re all familiar with the movie scenes when a mob of rowdy high school kids barge into a house party and leave every room in a state of disaster. Well, that’s kind of what alcohol does to our body. When alcohol enters our bloodstream, it rapidly disrupts nearly every organ in our body, including the oft-overlooked musculoskeletal system. Let’s take a look at some of the short- and long-term effects.

Short-Term Effects

When we talk about short-term effects, we’re referring to the effects of a single night of drinking. Here’s what could be causing shoulder or neck pain immediately after drinking alcohol:


  • Increased risk of injury. It’s no secret that inebriation can impair judgment and coordination, which can often lead to accidents and injury. 

  • Dehydration. As a diuretic, alcohol is known to cause dehydration, which can lead to muscle pain and weakness. This usually goes away with rest and rehydration.

  • Rhabdomyolysis. In rare instances, a night of heavy drinking may trigger a condition called rhabdomyolysis, which could cause severe muscle pain and damage.


Furthermore, some research indicates that acute alcohol use decreases muscle protein synthesis, which can impair muscle repair and affect musculoskeletal function. 

Long-Term Effects

Most long-term effects of alcohol on the musculoskeletal system are a result of long-term alcohol misuse. The onset of these conditions depends on how much, how often, and how long we drink. For example, someone who drinks heavily every day might experience these sooner than someone who only drinks heavily on the weekends. Either way, the prospects aren’t great: 


  • Muscle atrophy. Chronic alcohol consumption can cause muscle weakness and atrophy over time. 
  • Decreased bone density. Chronic alcohol use can also decrease bone density, leading to osteoporosis.
  • Inflammation. Several studies have determined that chronic alcohol use can lead to persistent inflammation throughout your body
  • Alcoholic myopathy. This condition, marked by significant loss of muscle function, is common among those with alcohol use disorder (AUD). It impairs physical function and diminishes our quality of life. The good news is that it’s reversible if we commit to abstaining from alcohol.

It’s evident that alcohol can dramatically impact our bones and muscles, but is that the cause of your neck pain?

The Musculoskeletal System on Alcohol

Does Alcohol Cause Neck and Shoulder Pain?

While there is quite a bit of research about alcohol’s effects on our muscles and bones, there’s not a lot about neck and shoulder pain specifically. Given what we know about alcohol and the musculoskeletal system, however, it’s plausible that drinking alcohol could result in neck pain. To pinpoint the cause, we need to pinpoint when the symptoms begin.

While Drinking Alcohol

If the neck and shoulder pain starts while we’re drinking, and there’s no obvious source of strain or injury, we’re likely dehydrated. This is a sign to set the champagne glass aside and start drinking water instead. Water with added electrolytes (Propel, Core, etc.) help boost hydration, but plain water also works fine.

After Drinking Alcohol

If the pain starts a while after imbibing, there are a few other possible causes: 


  • Sleeping position. Remember how sleeping in an awkward position can cause pain? Well, drinking makes us more likely to fall asleep in unusual places or positions. 

  • Alcoholic myopathy. Both acute and chronic drinking can cause alcoholic myopathy, a condition that affects muscle mass and function. Alcoholic myopathy presents as muscle pain, weakness, tenderness, swelling, cramping, or tightness, all of which could be contributing to neck and shoulder pain. Dark urine is also a telltale sign of alcoholic myopathy. 

If you have any of these symptoms, consult with your doctor. Untreated alcoholic myopathy can put you at greater risk for heart attack and stroke.

In rare (emphasis on rare) cases, neck pain while drinking alcohol might be a sign of Hodgkin’s Lymphoma (HL). The most common symptom of HL is an enlarged lymph node, often found in the neck. These usually don’t hurt, but some patients report pain after drinking alcohol. Again, these cases are extremely rare, but if you notice anything unusual about your body or are concerned about your muscle pain, the best answer is always to consult with your physician.

How To Treat Neck and Shoulder Pain After Drinking Alcohol

Regardless of the cause, neck and shoulder pain are fairly easy to treat at home: 


  • Stop drinking. If you discover you have alcoholic myopathy, the only way to reverse it is to quit drinking. People who do usually make a full recovery within a year. If that’s not the cause of the pain, quitting or cutting back on alcohol can save you pain down the road regardless.
  • Rehydrate. Whether or not dehydration is causing your pain, it’s always good to rehydrate after drinking. If it solves your neck problem, great! If not, the rest of your body will still be grateful. 

  • Stretch or self-massage. Simple neck rolls and tilts can go a long way to relax sore muscles, and they’re easy to do wherever you are. Gently rubbing the affected muscles with your hands or a massager can also help.

  • Use heat or ice packs. Heat packs can relax tight muscles. Ice packs can reduce inflammation. Some people alternate the two for maximum effect. One way or another, heat and ice packs help bring some much-needed comfort and relief. 

  • Reduce inflammation. If it’s safe for you to do so, some OTC medications like ibuprofen help reduce inflammation. Please be aware of its interactions with alcohol and other medications. You can always ask your doctor if you’re unsure. 

This may go without saying, but alcohol should not be used to treat the pain, especially if you suspect alcohol could have caused it in the first place. 

When To Seek Medical Treatment

If home treatments don’t work, and pain persists, it may be time to call a doctor. If AUD is involved, a treatment program may be in order. Otherwise, treatment may include physical therapy and strength training. If your heart is in danger, your doctor may prescribe medications like beta-blockers. If the pain is caused by something else altogether, they should be able to determine that as well. 

How To Prevent Neck and Shoulder Pain

Once we resolve this painful episode, let’s make an effort to prevent future ones. There are several ways to keep neck and shoulder pain at bay:


  • Track triggers. Anytime you experience neck or shoulder pain, think about what activities might have caused it, and write them down. You may notice a pattern that can help you and your doctor pinpoint a cause and develop a treatment plan. 
  • Stretch regularly. Muscle tension can build up throughout our daily activities and tasks. Make some time during your daily routine to move and stretch your neck and shoulders. You can even do it while you finish reading this.
  • Manage stress. Stress can be a pain in the neck, both literally and figuratively. Add some deep breathing or meditation to your stretching routine to help manage your stress.
  • Avoid alcohol. If you suspect alcohol is contributing to your pain, go without it for a week or two and see if it helps. You might discover other benefits along the way! If going without alcohol for a week seems impossible, Reframe can help get you started and motivate you along the way.

  • Maintain good posture. Poor posture can cause a lot of tension in our neck and shoulders. As you go through your daily activities, pay attention to your posture. Try to keep your shoulders back and your neck upright to reduce strain on the surrounding muscles. 

Following these tips will not only help prevent neck pain, but will improve your general well-being.

No Pain, All Gain

There are many different causes for neck and shoulder pain, but alcohol could be a contributing factor because it impacts the musculoskeletal system and could cause localized pain. If you suspect alcohol is causing neck and shoulder pain, the best thing to do is to stop drinking it. Not only could that help relieve your pain, yes, but more importantly, it can help you gain a better quality of life now and avoid long-term musculoskeletal conditions in the future.

You just attended the wedding of the year. You laughed, you cried, you sipped champagne. Now you’re back home in your pajamas ready to put your achy feet up and call it a night. That’s when you start to notice how sore your neck and shoulders are. You replay the events of the evening to pinpoint the source. You didn’t do any crazy dance moves. You didn’t have to crane your neck to see. Surely it couldn’t be the champagne — or could it? 

While alcohol’s cognitive side effects are well-known and documented, some people experience more obscure effects, such as neck and shoulder pain. How could alcohol cause that? Should we be worried? We’ll explore all that and more, so put some ice or a heating pad on that shoulder while you read.

Causes of Neck and Shoulder Pain

A man with neck pain

Before we “blame it on the alcohol,” let’s take a look at some general causes of neck and shoulder pain. Here are some questions to ask yourself:

  • Did you do anything out of the ordinary? Sometimes we don’t feel a strain until much later in the day. Did you help a neighbor move a couch? Did you do extra yard work?
  • Did you sleep funny? The older we get, the less our body tolerates falling asleep on the couch or with our head tilted.
  • Could it be a pinched nerve? These are typically accompanied by some numbness or tingling. 
  • Do you have any previous injuries? Some people, athletes especially, can feel recurring pain at the site of a previous injury.
  • Is this the first time you’ve experienced this? The answer to the question can help you narrow down or rule out possible causes. 

If you can’t link your neck and shoulder pain to any of these sources, it might be time to take a closer look at alcohol as the prime suspect.

The Musculoskeletal System on Alcohol

To understand how alcohol could cause neck and shoulder pain, we have to understand its effects on our musculoskeletal system (MSK) in general.

We’re all familiar with the movie scenes when a mob of rowdy high school kids barge into a house party and leave every room in a state of disaster. Well, that’s kind of what alcohol does to our body. When alcohol enters our bloodstream, it rapidly disrupts nearly every organ in our body, including the oft-overlooked musculoskeletal system. Let’s take a look at some of the short- and long-term effects.

Short-Term Effects

When we talk about short-term effects, we’re referring to the effects of a single night of drinking. Here’s what could be causing shoulder or neck pain immediately after drinking alcohol:


  • Increased risk of injury. It’s no secret that inebriation can impair judgment and coordination, which can often lead to accidents and injury. 

  • Dehydration. As a diuretic, alcohol is known to cause dehydration, which can lead to muscle pain and weakness. This usually goes away with rest and rehydration.

  • Rhabdomyolysis. In rare instances, a night of heavy drinking may trigger a condition called rhabdomyolysis, which could cause severe muscle pain and damage.


Furthermore, some research indicates that acute alcohol use decreases muscle protein synthesis, which can impair muscle repair and affect musculoskeletal function. 

Long-Term Effects

Most long-term effects of alcohol on the musculoskeletal system are a result of long-term alcohol misuse. The onset of these conditions depends on how much, how often, and how long we drink. For example, someone who drinks heavily every day might experience these sooner than someone who only drinks heavily on the weekends. Either way, the prospects aren’t great: 


  • Muscle atrophy. Chronic alcohol consumption can cause muscle weakness and atrophy over time. 
  • Decreased bone density. Chronic alcohol use can also decrease bone density, leading to osteoporosis.
  • Inflammation. Several studies have determined that chronic alcohol use can lead to persistent inflammation throughout your body
  • Alcoholic myopathy. This condition, marked by significant loss of muscle function, is common among those with alcohol use disorder (AUD). It impairs physical function and diminishes our quality of life. The good news is that it’s reversible if we commit to abstaining from alcohol.

It’s evident that alcohol can dramatically impact our bones and muscles, but is that the cause of your neck pain?

The Musculoskeletal System on Alcohol

Does Alcohol Cause Neck and Shoulder Pain?

While there is quite a bit of research about alcohol’s effects on our muscles and bones, there’s not a lot about neck and shoulder pain specifically. Given what we know about alcohol and the musculoskeletal system, however, it’s plausible that drinking alcohol could result in neck pain. To pinpoint the cause, we need to pinpoint when the symptoms begin.

While Drinking Alcohol

If the neck and shoulder pain starts while we’re drinking, and there’s no obvious source of strain or injury, we’re likely dehydrated. This is a sign to set the champagne glass aside and start drinking water instead. Water with added electrolytes (Propel, Core, etc.) help boost hydration, but plain water also works fine.

After Drinking Alcohol

If the pain starts a while after imbibing, there are a few other possible causes: 


  • Sleeping position. Remember how sleeping in an awkward position can cause pain? Well, drinking makes us more likely to fall asleep in unusual places or positions. 

  • Alcoholic myopathy. Both acute and chronic drinking can cause alcoholic myopathy, a condition that affects muscle mass and function. Alcoholic myopathy presents as muscle pain, weakness, tenderness, swelling, cramping, or tightness, all of which could be contributing to neck and shoulder pain. Dark urine is also a telltale sign of alcoholic myopathy. 

If you have any of these symptoms, consult with your doctor. Untreated alcoholic myopathy can put you at greater risk for heart attack and stroke.

In rare (emphasis on rare) cases, neck pain while drinking alcohol might be a sign of Hodgkin’s Lymphoma (HL). The most common symptom of HL is an enlarged lymph node, often found in the neck. These usually don’t hurt, but some patients report pain after drinking alcohol. Again, these cases are extremely rare, but if you notice anything unusual about your body or are concerned about your muscle pain, the best answer is always to consult with your physician.

How To Treat Neck and Shoulder Pain After Drinking Alcohol

Regardless of the cause, neck and shoulder pain are fairly easy to treat at home: 


  • Stop drinking. If you discover you have alcoholic myopathy, the only way to reverse it is to quit drinking. People who do usually make a full recovery within a year. If that’s not the cause of the pain, quitting or cutting back on alcohol can save you pain down the road regardless.
  • Rehydrate. Whether or not dehydration is causing your pain, it’s always good to rehydrate after drinking. If it solves your neck problem, great! If not, the rest of your body will still be grateful. 

  • Stretch or self-massage. Simple neck rolls and tilts can go a long way to relax sore muscles, and they’re easy to do wherever you are. Gently rubbing the affected muscles with your hands or a massager can also help.

  • Use heat or ice packs. Heat packs can relax tight muscles. Ice packs can reduce inflammation. Some people alternate the two for maximum effect. One way or another, heat and ice packs help bring some much-needed comfort and relief. 

  • Reduce inflammation. If it’s safe for you to do so, some OTC medications like ibuprofen help reduce inflammation. Please be aware of its interactions with alcohol and other medications. You can always ask your doctor if you’re unsure. 

This may go without saying, but alcohol should not be used to treat the pain, especially if you suspect alcohol could have caused it in the first place. 

When To Seek Medical Treatment

If home treatments don’t work, and pain persists, it may be time to call a doctor. If AUD is involved, a treatment program may be in order. Otherwise, treatment may include physical therapy and strength training. If your heart is in danger, your doctor may prescribe medications like beta-blockers. If the pain is caused by something else altogether, they should be able to determine that as well. 

How To Prevent Neck and Shoulder Pain

Once we resolve this painful episode, let’s make an effort to prevent future ones. There are several ways to keep neck and shoulder pain at bay:


  • Track triggers. Anytime you experience neck or shoulder pain, think about what activities might have caused it, and write them down. You may notice a pattern that can help you and your doctor pinpoint a cause and develop a treatment plan. 
  • Stretch regularly. Muscle tension can build up throughout our daily activities and tasks. Make some time during your daily routine to move and stretch your neck and shoulders. You can even do it while you finish reading this.
  • Manage stress. Stress can be a pain in the neck, both literally and figuratively. Add some deep breathing or meditation to your stretching routine to help manage your stress.
  • Avoid alcohol. If you suspect alcohol is contributing to your pain, go without it for a week or two and see if it helps. You might discover other benefits along the way! If going without alcohol for a week seems impossible, Reframe can help get you started and motivate you along the way.

  • Maintain good posture. Poor posture can cause a lot of tension in our neck and shoulders. As you go through your daily activities, pay attention to your posture. Try to keep your shoulders back and your neck upright to reduce strain on the surrounding muscles. 

Following these tips will not only help prevent neck pain, but will improve your general well-being.

No Pain, All Gain

There are many different causes for neck and shoulder pain, but alcohol could be a contributing factor because it impacts the musculoskeletal system and could cause localized pain. If you suspect alcohol is causing neck and shoulder pain, the best thing to do is to stop drinking it. Not only could that help relieve your pain, yes, but more importantly, it can help you gain a better quality of life now and avoid long-term musculoskeletal conditions in the future.

Alcohol and Health