Alcohol and Health

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Latest Articles
2023-10-26 9:00
Alcohol and Health
How Does Alcohol Affect the Aging Process?
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Alcohol affects the aging process in numerous ways. From drying out our skin to weakening vital organs, research has found that drinking alcohol can accelerate the aging process, even at a cellular level.

10 min read

Protect Your Health and Longevity 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 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 through the App Store or Google Play today!

Read Full Article  →

Drinking can take a toll on our health. From increasing our risk of cancer and liver damage to worsening pre-existing conditions such as diabetes and high blood pressure, alcohol affects nearly every system in our body that impacts our health and well-being. 

There’s one particularly troubling effect of alcohol: premature aging. Perhaps unsurprisingly, alcohol can also accelerate the aging process — even at the cellular level. In fact, the more we drink, the greater our chance of damaging cells at a biological level, causing them to age prematurely. How does alcohol make you look older? And does drinking age you before your time? Let’s take a closer look at the effects of alcohol on aging.

Does Alcohol Make You Age Faster?

Does alcohol age you physically? Recent research indicates that excessive alcohol consumption can indeed speed up the aging process at a biological level. One study in particular showed that heavy alcohol drinkers and those with alcohol use disorder were significantly more likely to have shorter telomeres — an essential part of our chromosomes linked to aging and overall health. 

We can think about telomeres like the tips of shoelaces that keep them from unraveling: their role is to protect the ends of chromosomes. Whenever a cell divides, telomeres lose a part of their DNA. As we age, our telomeres get shorter and shorter until all the DNA in the telomere is lost and cells can no longer replicate. This is what causes many cells to die.

old business man sitting-sofa with whiskey glass

In short, researchers concluded that heavy alcohol use and binge drinking — defined as consuming five or more alcoholic drinks in a sitting for men, and four or more drinks in a sitting for women — can lead to premature shortening of telomeres. This essentially puts us at greater risk for developing diseases such as cancer. Some studies have also found associations between shorter telomeres and pulmonary disease and liver disease.

Interestingly, researchers also noted that shorter telomeres correlated with thiamine (vitamin B-1) deficiency. Our body needs thiamine to metabolize carbohydrates, amino acids, and fatty acids. A severe thiamine deficiency can cause beriberi, a disease that affects several organs and can lead to neurological disorders, such as Wernicke’s encephalopathy or the Wernicke-Korsakoff syndrome. 

Why Does Alcohol Make You Look Older?

While we might not notice the effect of drinking on our cells, alcohol can speed up our aging process in many other ways. One of the most visible impacts alcohol can have is on our complexion, as drinking excessively is known to cause redness and dry, wrinkly skin.

The alcohol-skin aging connection has a few sides to it. On one hand, alcohol can also cause a deficiency of nutrients like vitamin A, which helps with cell regeneration and collagen production — both of which are essential to youthful skin. Since alcohol causes dehydration, it can also dry out our skin and make wrinkles form faster. Furthermore, alcohol can cause enlarged blood vessels, which gives our skin a redder appearance.

Alcohol's impact on aging

Other Aspects of the Alcohol and Aging Dilemma

Excessive alcohol consumption can even cause us to look older. One study found that men who consumed more than 35 drinks a week were 35% more likely to display “arcus corneae” — a gray ring in the eye that often pops up in old age. Women who had 28 drinks or more per week had a 33% higher chance of developing the same syndrome. 

Here are several more ways that alcohol affects the aging process: 

  • Weakens the immune system: Alcohol can also speed up the aging process by putting extra strain on our body. For instance, drinking alcohol causes our body to release more stress hormones, such as cortisol, which is known to impact aging. Excessive cortisol in our bloodstream can lead to health problems by suppressing our immune system
  • Prevents proper nourishment: Alcohol also affects the functioning of our digestive system, making it harder for us to absorb essential nutrients (such as vitamins A, B, D, and E) and minerals (such as calcium, magnesium, iron, and zinc). Deficiencies can limit our body’s ability to maintain itself and contribute to symptoms associated with aging, such as memory loss and cognitive decline.
  • Compromises bone health: Heavy drinking also diminishes bone mass density by impeding cell growth. Decreases in bone mineral density often lead to osteoporosis, a common sign of early aging that increases fragility in the bones. 
  • Weakens vital organs: Alcohol can also affect the way some vital organs work and make them age faster. For instance, while heavy drinkers are more likely to have cirrhosis (or permanent damage to our liver), even moderate drinking can lead to problems like fatty liver disease. Alcohol can also lead to inflammation of the kidneys and a need for dialysis. These damaged organs can also harm the chemical balance in our body, leading to early aging. 
  • Shrinks brain: Heavy drinking over a long term can even shrink brain cells, leading to alcohol-related brain damage (ARBD). It may also increase our risk of developing dementia, causing memory loss and affecting our ability to complete tasks. Some studies have shown these impacts on the brains of young people who drink heavily. 
  • Causes weight gain: Alcohol can cause weight gain, which is also associated with aging. As we get older, our metabolism naturally slows down. Drinking alcohol raises our insulin levels, which makes our body store more fat in our stomach area. This can eventually lead to obesity, which has been shown to accelerate the aging process. 
  • Disrupts sleep: Alcohol also causes fragmented sleep that disrupts our sleep cycle and prevents us from getting restorative rest. Quality sleep is important for nearly every aspect of our health, including our metabolism, energy levels, mood, and immune function. In fact, research suggests that just a single night of sleep deprivation can speed up cellular aging. On the other hand, good sleep patterns have actually been shown to add years to our life.

Alcohol and Premature Aging: The Bottom Line

Heavy alcohol consumption not only causes visible changes to our body that make us look older — it actually accelerates our aging at a cellular level. This puts us at an even greater risk for prematurely developing cancer or disease. We might not notice the effects right away, but underneath the surface, alcohol damages the many bodily systems and functions that are vital for living well into old age. 

One of the best things we can do to protect our health and longevity is to drink less alcohol. Reframe has helped millions of people around the world cut back on their alcohol consumption — and helped put them on track to lead healthier, longer lives. 

Drinking can take a toll on our health. From increasing our risk of cancer and liver damage to worsening pre-existing conditions such as diabetes and high blood pressure, alcohol affects nearly every system in our body that impacts our health and well-being. 

There’s one particularly troubling effect of alcohol: premature aging. Perhaps unsurprisingly, alcohol can also accelerate the aging process — even at the cellular level. In fact, the more we drink, the greater our chance of damaging cells at a biological level, causing them to age prematurely. How does alcohol make you look older? And does drinking age you before your time? Let’s take a closer look at the effects of alcohol on aging.

Does Alcohol Make You Age Faster?

Does alcohol age you physically? Recent research indicates that excessive alcohol consumption can indeed speed up the aging process at a biological level. One study in particular showed that heavy alcohol drinkers and those with alcohol use disorder were significantly more likely to have shorter telomeres — an essential part of our chromosomes linked to aging and overall health. 

We can think about telomeres like the tips of shoelaces that keep them from unraveling: their role is to protect the ends of chromosomes. Whenever a cell divides, telomeres lose a part of their DNA. As we age, our telomeres get shorter and shorter until all the DNA in the telomere is lost and cells can no longer replicate. This is what causes many cells to die.

old business man sitting-sofa with whiskey glass

In short, researchers concluded that heavy alcohol use and binge drinking — defined as consuming five or more alcoholic drinks in a sitting for men, and four or more drinks in a sitting for women — can lead to premature shortening of telomeres. This essentially puts us at greater risk for developing diseases such as cancer. Some studies have also found associations between shorter telomeres and pulmonary disease and liver disease.

Interestingly, researchers also noted that shorter telomeres correlated with thiamine (vitamin B-1) deficiency. Our body needs thiamine to metabolize carbohydrates, amino acids, and fatty acids. A severe thiamine deficiency can cause beriberi, a disease that affects several organs and can lead to neurological disorders, such as Wernicke’s encephalopathy or the Wernicke-Korsakoff syndrome. 

Why Does Alcohol Make You Look Older?

While we might not notice the effect of drinking on our cells, alcohol can speed up our aging process in many other ways. One of the most visible impacts alcohol can have is on our complexion, as drinking excessively is known to cause redness and dry, wrinkly skin.

The alcohol-skin aging connection has a few sides to it. On one hand, alcohol can also cause a deficiency of nutrients like vitamin A, which helps with cell regeneration and collagen production — both of which are essential to youthful skin. Since alcohol causes dehydration, it can also dry out our skin and make wrinkles form faster. Furthermore, alcohol can cause enlarged blood vessels, which gives our skin a redder appearance.

Alcohol's impact on aging

Other Aspects of the Alcohol and Aging Dilemma

Excessive alcohol consumption can even cause us to look older. One study found that men who consumed more than 35 drinks a week were 35% more likely to display “arcus corneae” — a gray ring in the eye that often pops up in old age. Women who had 28 drinks or more per week had a 33% higher chance of developing the same syndrome. 

Here are several more ways that alcohol affects the aging process: 

  • Weakens the immune system: Alcohol can also speed up the aging process by putting extra strain on our body. For instance, drinking alcohol causes our body to release more stress hormones, such as cortisol, which is known to impact aging. Excessive cortisol in our bloodstream can lead to health problems by suppressing our immune system
  • Prevents proper nourishment: Alcohol also affects the functioning of our digestive system, making it harder for us to absorb essential nutrients (such as vitamins A, B, D, and E) and minerals (such as calcium, magnesium, iron, and zinc). Deficiencies can limit our body’s ability to maintain itself and contribute to symptoms associated with aging, such as memory loss and cognitive decline.
  • Compromises bone health: Heavy drinking also diminishes bone mass density by impeding cell growth. Decreases in bone mineral density often lead to osteoporosis, a common sign of early aging that increases fragility in the bones. 
  • Weakens vital organs: Alcohol can also affect the way some vital organs work and make them age faster. For instance, while heavy drinkers are more likely to have cirrhosis (or permanent damage to our liver), even moderate drinking can lead to problems like fatty liver disease. Alcohol can also lead to inflammation of the kidneys and a need for dialysis. These damaged organs can also harm the chemical balance in our body, leading to early aging. 
  • Shrinks brain: Heavy drinking over a long term can even shrink brain cells, leading to alcohol-related brain damage (ARBD). It may also increase our risk of developing dementia, causing memory loss and affecting our ability to complete tasks. Some studies have shown these impacts on the brains of young people who drink heavily. 
  • Causes weight gain: Alcohol can cause weight gain, which is also associated with aging. As we get older, our metabolism naturally slows down. Drinking alcohol raises our insulin levels, which makes our body store more fat in our stomach area. This can eventually lead to obesity, which has been shown to accelerate the aging process. 
  • Disrupts sleep: Alcohol also causes fragmented sleep that disrupts our sleep cycle and prevents us from getting restorative rest. Quality sleep is important for nearly every aspect of our health, including our metabolism, energy levels, mood, and immune function. In fact, research suggests that just a single night of sleep deprivation can speed up cellular aging. On the other hand, good sleep patterns have actually been shown to add years to our life.

Alcohol and Premature Aging: The Bottom Line

Heavy alcohol consumption not only causes visible changes to our body that make us look older — it actually accelerates our aging at a cellular level. This puts us at an even greater risk for prematurely developing cancer or disease. We might not notice the effects right away, but underneath the surface, alcohol damages the many bodily systems and functions that are vital for living well into old age. 

One of the best things we can do to protect our health and longevity is to drink less alcohol. Reframe has helped millions of people around the world cut back on their alcohol consumption — and helped put them on track to lead healthier, longer lives. 

Alcohol and Health
2023-10-26 9:00
Alcohol and Health
Does Alcohol Thin Your Blood or Affect Cholesterol Levels?
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Ever wondered if your favorite cocktail doubles as a blood thinner — and if wine is good for cholesterol levels? Perhaps, but there’s more to the story — dive into our latest blog to find out more.

8 min read

Start Your Journey to Better Health With Reframe!

Looking to give your body and mind — including your circulatory system — a little (or not so little) vacation from alcohol? The Reframe app is here and ready to be your sidekick! While it's not a cure for alcohol use disorder (AUD), it’s a handy helper that guides you to reconsider alcohol's role in your life. Hundreds of thousands of people worldwide have found our science-backed approach helpful in managing their drinking, and we're stoked you can, too!

Reframe is all about giving you the skills and tools not just to get by with less alcohol, but to thrive and feel fantastic along the way. We provide daily readings that make sense of the science behind alcohol, as well as an in-app Toolkit filled with helpful resources and activities to help you tackle any obstacles on your path.

Join our global community of Reframers on our 24/7 Forum chat. It's your chance to draw motivation from folks worldwide who get what you're going through. Plus, you can chat with our certified coaches for advice and guidance tailored to you.

We're always adding new features to enhance your experience with our app. The newest is Melody — an in-app chatbot powered by top-notch AI technology. She’s all set to support you as you journey towards a life with less booze — or even none at all. And there's more! Each month, we roll out exciting challenges like Dry/Damp January, Mental Health May, and Outdoorsy June. Join in with fellow Reframers or fly solo — it's all up to you!

Curious? Give the Reframe app a whirl with a free seven-day trial. There's nothing to lose, so why not dive in? If you’re up for discovering what life beyond alcohol looks like, download our app today!

Read Full Article  →

Most of us have heard this claim at some point: a glass of red wine a day keeps the doctor away. The science behind this has to do with resveratrol, a heart-friendly antioxidant found in red wine — well, in the grapes that are used to make it, to be exact. But when it comes to alcohol and our bodies, there's more to the story than meets the glass. So, does alcohol really thin our blood and help our cholesterol levels? Let’s find out!

The Body’s Boozy Balancing Act

Our bodies are fantastic at staying in balance, including maintaining the viscosity — or thickness — of our blood. Alcohol, however, tends to make our blood thinner — which isn’t necessarily a bad thing, at least from one perspective.

Alcohol inhibits platelet aggregation: it prevents the sticky bits in our blood from clumping together. It's like pouring a bit of oil into a jar of honey — it just makes everything slide around a bit easier. Alcohol also increases fibrinolysis, the process that breaks down clots.

Person holding glass of red liquid

So, yes, alcohol can thin our blood, but there's a catch: these effects are temporary and, worse, inconsistent. It's not a predictable, steady influence — you just never know what you're going to get.

Alcohol and Cholesterol

Cholesterol is a waxy substance that your body needs to build cells. But too much of a good thing can be detrimental. There are two types of cholesterol: low-density lipoprotein (LDL) and high-density lipoprotein (HDL). LDL is the "bad" cholesterol that can build up in the walls of your arteries, while HDL is the "good" kind that takes the bad variety back to your liver to be broken down.

Moderate alcohol consumption — particularly red wine (there's our friend resveratrol again) — has been associated with increasing levels of HDL or "good" cholesterol. But don't get too excited! While it's true that higher HDL levels can be beneficial, the rise from moderate alcohol consumption is likely not be enough to impact your heart disease risk significantly. Plus, any potential benefits must be weighed against the potential harms, including misuse, liver disease, heart disease, and more.

Excessive alcohol consumption, on the other hand, can have quite a negative impact on your cholesterol levels. It can increase both your bad LDL cholesterol and triglycerides — a type of fat in your blood. When your body has too much of these, they can build up on the inside of your arteries, narrowing them and increasing your risk for heart disease and stroke.

 An image depicting the impact of alcohol on cholesterol levels in the body

Booze and Blood: A Cautionary Tale

While all this “blood thinning” might sound like a good thing — who doesn't want free-flowing, clot-free blood? — we need to remember that our body is well-equipped to maintain balance, and disrupting its natural rhythm can lead to unpleasant side effects.

Likewise, alcohol, in moderation, might have some effects on cholesterol, but it's not a magic bullet, and overdoing it can actually cause more harm than good. And remember, there are many other, more effective ways to manage your cholesterol levels and protect your heart health — for example, a healthy diet, regular exercise, and not smoking.

Too much alcohol can lead to irregular heart rhythms, increased heart rate, and high blood pressure. It's like cranking the stereo to full blast — it might feel great for a moment, but it won't be long before the neighbors (or, in this case, our bodies) start complaining.

Moreover, chronic heavy drinking weakens the heart muscle and causes it to be less efficient in pumping blood — a condition called alcoholic cardiomyopathy. And that’s definitely not something we want.

Cutting Back?

If you're looking to cut back on alcohol, that’s fantastic! We're rooting for you! Here are some practical steps to take:

  • Understand your triggers. Understand what makes you reach for that drink — is it stress, peer pressure, or boredom? Identifying your triggers can help you find healthier alternatives.
  • Have a plan. Going into a social situation where alcohol is present? Create a plan. Decide on your drink limit before you go, and stick to it. And remember, it's okay to say no.
  • Mindful drinking. Savor your drink, and enjoy it slowly. You'll often find that you drink less when you're paying attention and consciously enjoying your beverage.
  • Healthy alternatives. Find other, healthier ways to cope with stress. Choose activities that help you unwind, such as yoga, meditation, or reading a good book.
  • Get support. Reach out to friends, family, or support groups. It's always easier when you've got a team cheering you on.

Remember, cutting back or quitting alcohol is a personal decision and can be challenging. Seek professional help if you need it. We're all in this together, and we believe in you!

Most of us have heard this claim at some point: a glass of red wine a day keeps the doctor away. The science behind this has to do with resveratrol, a heart-friendly antioxidant found in red wine — well, in the grapes that are used to make it, to be exact. But when it comes to alcohol and our bodies, there's more to the story than meets the glass. So, does alcohol really thin our blood and help our cholesterol levels? Let’s find out!

The Body’s Boozy Balancing Act

Our bodies are fantastic at staying in balance, including maintaining the viscosity — or thickness — of our blood. Alcohol, however, tends to make our blood thinner — which isn’t necessarily a bad thing, at least from one perspective.

Alcohol inhibits platelet aggregation: it prevents the sticky bits in our blood from clumping together. It's like pouring a bit of oil into a jar of honey — it just makes everything slide around a bit easier. Alcohol also increases fibrinolysis, the process that breaks down clots.

Person holding glass of red liquid

So, yes, alcohol can thin our blood, but there's a catch: these effects are temporary and, worse, inconsistent. It's not a predictable, steady influence — you just never know what you're going to get.

Alcohol and Cholesterol

Cholesterol is a waxy substance that your body needs to build cells. But too much of a good thing can be detrimental. There are two types of cholesterol: low-density lipoprotein (LDL) and high-density lipoprotein (HDL). LDL is the "bad" cholesterol that can build up in the walls of your arteries, while HDL is the "good" kind that takes the bad variety back to your liver to be broken down.

Moderate alcohol consumption — particularly red wine (there's our friend resveratrol again) — has been associated with increasing levels of HDL or "good" cholesterol. But don't get too excited! While it's true that higher HDL levels can be beneficial, the rise from moderate alcohol consumption is likely not be enough to impact your heart disease risk significantly. Plus, any potential benefits must be weighed against the potential harms, including misuse, liver disease, heart disease, and more.

Excessive alcohol consumption, on the other hand, can have quite a negative impact on your cholesterol levels. It can increase both your bad LDL cholesterol and triglycerides — a type of fat in your blood. When your body has too much of these, they can build up on the inside of your arteries, narrowing them and increasing your risk for heart disease and stroke.

 An image depicting the impact of alcohol on cholesterol levels in the body

Booze and Blood: A Cautionary Tale

While all this “blood thinning” might sound like a good thing — who doesn't want free-flowing, clot-free blood? — we need to remember that our body is well-equipped to maintain balance, and disrupting its natural rhythm can lead to unpleasant side effects.

Likewise, alcohol, in moderation, might have some effects on cholesterol, but it's not a magic bullet, and overdoing it can actually cause more harm than good. And remember, there are many other, more effective ways to manage your cholesterol levels and protect your heart health — for example, a healthy diet, regular exercise, and not smoking.

Too much alcohol can lead to irregular heart rhythms, increased heart rate, and high blood pressure. It's like cranking the stereo to full blast — it might feel great for a moment, but it won't be long before the neighbors (or, in this case, our bodies) start complaining.

Moreover, chronic heavy drinking weakens the heart muscle and causes it to be less efficient in pumping blood — a condition called alcoholic cardiomyopathy. And that’s definitely not something we want.

Cutting Back?

If you're looking to cut back on alcohol, that’s fantastic! We're rooting for you! Here are some practical steps to take:

  • Understand your triggers. Understand what makes you reach for that drink — is it stress, peer pressure, or boredom? Identifying your triggers can help you find healthier alternatives.
  • Have a plan. Going into a social situation where alcohol is present? Create a plan. Decide on your drink limit before you go, and stick to it. And remember, it's okay to say no.
  • Mindful drinking. Savor your drink, and enjoy it slowly. You'll often find that you drink less when you're paying attention and consciously enjoying your beverage.
  • Healthy alternatives. Find other, healthier ways to cope with stress. Choose activities that help you unwind, such as yoga, meditation, or reading a good book.
  • Get support. Reach out to friends, family, or support groups. It's always easier when you've got a team cheering you on.

Remember, cutting back or quitting alcohol is a personal decision and can be challenging. Seek professional help if you need it. We're all in this together, and we believe in you!

Alcohol and Health
2023-10-26 9:00
Alcohol and Health
The Dangers of Drinking Games
This is some text inside of a div block.

If we hink that drinking games are harmless fun, we should think again. Drinking games can be extremely dangerous, causing binge drinking and increasing our risk of alcohol poisoning, accidents, and other serious consequenctes.

11 min read

Rethink Your Relationship to Alcohol 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 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 through the App Store or Google Play today!

Read Full Article  →

Beer Pong. Flip Cup. Quarters. Never Have I Ever. 21. Most Likely. The Beer Pressure Game. And the list goes on. Chances are that we’re not only familiar with at least one of these drinking games, but have actually played one before.

In fact, an overwhelming majority of Americans — 95%— have played a drinking game at some point in their life, according to an American Addiction Centers online survey of more than 1,000 Americans aged 18 and older. There are even drinking games based on movies: The Hangover drinking game and the Home Alone drinking game.

While these might seem fun and innocent, they can actually be extremely detrimental to our health — and even result in hospitalization and death. In fact, several years ago, five people died from Neknominate, a drinking game that went viral on social media. What is it about drinking games that makes them so dangerous? Let’s dive in below.

The Real Point of Drinking Games

Group of friends having fun at home, playing beer pong and enjoying beer

Many people are introduced to drinking games in high school or college as a way to socialize. The idea is to have fun with others by drinking alcohol and engaging in some friendly competition. Great, right?

What’s actually happening with a drinking competition, though, is that we’re consuming large amounts of alcohol in a short period of time. And while each game has different rules of play, the intention is usually the same: to get each other drunk.

But because drinking games are often played in a social setting, it’s easy to get swept up in the peer pressure and excitement of the games — especially for young adults. In fact, research from 2019 found that 60% of 18-34 year olds believe peer pressure to drink is common, with this age group also the most likely to say they have drunk more than expected to “keep up” with others.

Avoid the risks of drinking games. Drink responsibly and stay safe

Why Drinking Games Are Dangerous

While most people think these games are harmless fun, they can be extremely dangerous. After all, they’re largely designed to facilitate inebriation by promoting the rapid consumption of large amounts of alcohol. For instance, playing the game Flip Cup, our blood alcohol concentration (BAC) can reach .05 in 10 minutes and up to .15 in just a span of 30 minutes. At this level, we can experience amnesia, vomiting, or a loss of consciousness.

While the short-term effects of intoxication are obvious, other social, health and safety risks can also occur. Here are several:

  • Causes binge drinking: We probably don’t think of them this way, but drinking games are actually a form of binge drinking. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) defines binge drinking as consuming 4 drinks in about 2 hours for women and 5 drinks in about 2 hours for men. Drinking alcohol in these amounts in that short time period can bring our blood alcohol concentration (BAC) up to 0.08, which is considered legally impaired in the U.S.
    By definition, most drinking games are binge drinking since the rules of the game encourage us to drink large amounts of alcohol quickly. Binge drinking can lead to immediate and long-term health and safety risks, including blackouts, alcohol poisoning, unsafe sexual behavior, injuries from falling, drowning, car crashes, as well as immune system dysfunction.
  • Increases risk of alcohol poisoning: Drinking too much, especially in short time spans, can lead to alcohol poisoning and hospitalization. When we’re engaged in a competitive, high-energy drinking game, we can easily lose track of how much we’re drinking. An excessive level of alcohol in our blood can lead to signs and symptoms of alcohol poisoning such as vomiting, fainting, low body temperature, irregular breathing, and seizures.

    With alcohol poisoning, our liver is simply unable to process the toxins from alcohol quickly enough. Our body continues to ingest these toxins as the drinking game progresses, and we end up exhibiting signs of extreme drunkenness as our BAC levels rise. Alcohol poisoning is a very serious condition that requires medical attention.
  • Risky behavior: Drinking games make us drunk, and whenever we’re drunk, we lose our ability to think clearly. Alcohol impairs our judgment and decision-making capabilities, and it lowers our inhibitions. As a result, we’re more likely to get involved in risky situations, whether that means getting into a fight, driving drunk, having unprotected sex, or committing (or being the victims of) sexual assault.

    Sadly, 44 percent of young men admitted their goal in playing drinking goals was to have sex. And one-fifth reported taking sexual advantage of another player after a drinking game. Long-term consequences of these risky situations can include pregnancy, STDs, arrest, jail, loss of job, or general legal problems.
  • Alcohol use disorder: While participating once or twice in a social drinking game might not be cause for alarm, if we’re frequently binge drinking, we have a higher risk of developing alcohol use disorder. In fact, according to one study, game playing appeared to increase problems related to alcohol primarily among more moderate drinkers.

    Interestingly, people who start drinking as teens (before age 15) are four times more likely to develop an alcohol/substance use disorder than those who begin drinking at age 21. Over time, excessive alcohol consumption can cause a number of health issues, such as high blood pressure, fatty liver disease, arrhythmia (irregular heart beat), stroke, and pancreatitis, among others.

Alternatives to Drinking Games

Are there alternatives for drinking games out there? You bet!

Here are a few ideas:

  • Have a board game or card game night. Anyone up for Settlers of Catan? This fun strategy game is all about collecting resources and building settlements. Or try Codenames, a word-based game where players give clues to guess specific words.
  • Host a trivia night. A booze-free trivia night is twice as fun without alcohol clouding your memory and slowing you down. 
  • Have some outdoor fun. A bean bag toss game that's perfect for outdoor gatherings. So is a game of ultimate frisbee or a scavenger hunt outdoors!
  • Organize a DIY pizza night. Remember that Seinfeld stor

With these games and other fun activities, who needs booze?

The Bottom Line

Although many of us play drinking games on our way to adulthood, they’re far from harmless fun. Their competitive nature distracts us from knowing how much we’re drinking, causing us to drink more than we intend or realize. This increases our risk of accidents, alcohol poisoning, and other harmful consequences. 

Drinking alcohol is very much embedded in our culture. At nearly every social gathering, alcohol is usually involved, which might lead to drinking games. But we can choose not to participate. At Reframe, we not only help you rethink your relationship with alcohol, but we give you the tools you need to successfully navigate social situations without drinking. Even if you’re just looking to cut back on your drinking, Reframe can help.

Beer Pong. Flip Cup. Quarters. Never Have I Ever. 21. Most Likely. The Beer Pressure Game. And the list goes on. Chances are that we’re not only familiar with at least one of these drinking games, but have actually played one before.

In fact, an overwhelming majority of Americans — 95%— have played a drinking game at some point in their life, according to an American Addiction Centers online survey of more than 1,000 Americans aged 18 and older. There are even drinking games based on movies: The Hangover drinking game and the Home Alone drinking game.

While these might seem fun and innocent, they can actually be extremely detrimental to our health — and even result in hospitalization and death. In fact, several years ago, five people died from Neknominate, a drinking game that went viral on social media. What is it about drinking games that makes them so dangerous? Let’s dive in below.

The Real Point of Drinking Games

Group of friends having fun at home, playing beer pong and enjoying beer

Many people are introduced to drinking games in high school or college as a way to socialize. The idea is to have fun with others by drinking alcohol and engaging in some friendly competition. Great, right?

What’s actually happening with a drinking competition, though, is that we’re consuming large amounts of alcohol in a short period of time. And while each game has different rules of play, the intention is usually the same: to get each other drunk.

But because drinking games are often played in a social setting, it’s easy to get swept up in the peer pressure and excitement of the games — especially for young adults. In fact, research from 2019 found that 60% of 18-34 year olds believe peer pressure to drink is common, with this age group also the most likely to say they have drunk more than expected to “keep up” with others.

Avoid the risks of drinking games. Drink responsibly and stay safe

Why Drinking Games Are Dangerous

While most people think these games are harmless fun, they can be extremely dangerous. After all, they’re largely designed to facilitate inebriation by promoting the rapid consumption of large amounts of alcohol. For instance, playing the game Flip Cup, our blood alcohol concentration (BAC) can reach .05 in 10 minutes and up to .15 in just a span of 30 minutes. At this level, we can experience amnesia, vomiting, or a loss of consciousness.

While the short-term effects of intoxication are obvious, other social, health and safety risks can also occur. Here are several:

  • Causes binge drinking: We probably don’t think of them this way, but drinking games are actually a form of binge drinking. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) defines binge drinking as consuming 4 drinks in about 2 hours for women and 5 drinks in about 2 hours for men. Drinking alcohol in these amounts in that short time period can bring our blood alcohol concentration (BAC) up to 0.08, which is considered legally impaired in the U.S.
    By definition, most drinking games are binge drinking since the rules of the game encourage us to drink large amounts of alcohol quickly. Binge drinking can lead to immediate and long-term health and safety risks, including blackouts, alcohol poisoning, unsafe sexual behavior, injuries from falling, drowning, car crashes, as well as immune system dysfunction.
  • Increases risk of alcohol poisoning: Drinking too much, especially in short time spans, can lead to alcohol poisoning and hospitalization. When we’re engaged in a competitive, high-energy drinking game, we can easily lose track of how much we’re drinking. An excessive level of alcohol in our blood can lead to signs and symptoms of alcohol poisoning such as vomiting, fainting, low body temperature, irregular breathing, and seizures.

    With alcohol poisoning, our liver is simply unable to process the toxins from alcohol quickly enough. Our body continues to ingest these toxins as the drinking game progresses, and we end up exhibiting signs of extreme drunkenness as our BAC levels rise. Alcohol poisoning is a very serious condition that requires medical attention.
  • Risky behavior: Drinking games make us drunk, and whenever we’re drunk, we lose our ability to think clearly. Alcohol impairs our judgment and decision-making capabilities, and it lowers our inhibitions. As a result, we’re more likely to get involved in risky situations, whether that means getting into a fight, driving drunk, having unprotected sex, or committing (or being the victims of) sexual assault.

    Sadly, 44 percent of young men admitted their goal in playing drinking goals was to have sex. And one-fifth reported taking sexual advantage of another player after a drinking game. Long-term consequences of these risky situations can include pregnancy, STDs, arrest, jail, loss of job, or general legal problems.
  • Alcohol use disorder: While participating once or twice in a social drinking game might not be cause for alarm, if we’re frequently binge drinking, we have a higher risk of developing alcohol use disorder. In fact, according to one study, game playing appeared to increase problems related to alcohol primarily among more moderate drinkers.

    Interestingly, people who start drinking as teens (before age 15) are four times more likely to develop an alcohol/substance use disorder than those who begin drinking at age 21. Over time, excessive alcohol consumption can cause a number of health issues, such as high blood pressure, fatty liver disease, arrhythmia (irregular heart beat), stroke, and pancreatitis, among others.

Alternatives to Drinking Games

Are there alternatives for drinking games out there? You bet!

Here are a few ideas:

  • Have a board game or card game night. Anyone up for Settlers of Catan? This fun strategy game is all about collecting resources and building settlements. Or try Codenames, a word-based game where players give clues to guess specific words.
  • Host a trivia night. A booze-free trivia night is twice as fun without alcohol clouding your memory and slowing you down. 
  • Have some outdoor fun. A bean bag toss game that's perfect for outdoor gatherings. So is a game of ultimate frisbee or a scavenger hunt outdoors!
  • Organize a DIY pizza night. Remember that Seinfeld stor

With these games and other fun activities, who needs booze?

The Bottom Line

Although many of us play drinking games on our way to adulthood, they’re far from harmless fun. Their competitive nature distracts us from knowing how much we’re drinking, causing us to drink more than we intend or realize. This increases our risk of accidents, alcohol poisoning, and other harmful consequences. 

Drinking alcohol is very much embedded in our culture. At nearly every social gathering, alcohol is usually involved, which might lead to drinking games. But we can choose not to participate. At Reframe, we not only help you rethink your relationship with alcohol, but we give you the tools you need to successfully navigate social situations without drinking. Even if you’re just looking to cut back on your drinking, Reframe can help.

Alcohol and Health
2023-10-26 9:00
Alcohol and Health
How Does Alcohol Affect Our Metabolism?
This is some text inside of a div block.

Alcohol and metabolism have a complex relationship, but balance is possible. Our guide offers seven actionable steps to make every sip a smarter choice.

15 min read

Build Better Drinking Habits 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 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 through the App Store or Google Play today!

Read Full Article  →

TGIF, right? Everyone's at the local bar, laughing, eating wings and nachos, and ordering another pitcher of beer. What a great way to kickstart the weekend! But what’s that alcohol doing to your metabolism? And is there a way to socialize and stay healthy?

In this blog post, we’ll explore the science behind alcohol and metabolism and uncover ways to support our health. 

The Science of Alcohol and Metabolism

The relationship between alcohol and metabolism is intricate. Alcohol's effects ripple through a complex metabolic network comprised of various organs, biochemical pathways, and even neurotransmitters in the brain.

The Liver Takes Center Stage

One of the most well-studied aspects of alcohol metabolism centers on the liver, the organ responsible for breaking down ethanol into less toxic substances. On a biochemical level, the liver metabolizes alcohol in a two-step process. The first step converts alcohol into acetaldehyde, a highly toxic substance that is then further metabolized to acetate, a less harmful compound.

However, the liver's processing capacity has its limits. When there's too much alcohol, the liver gets overwhelmed, leading to the accumulation of acetaldehyde in the bloodstream. This build-up can cause symptoms like flushing, nausea, and rapid heartbeat.

Pausing Normal Metabolism

While the liver is busy handling alcohol, other metabolic processes get sidelined. Among the affected processes is gluconeogenesis, where the liver synthesizes glucose from non-carbohydrate sources. When alcohol takes precedence, the liver’s ability to produce glucose diminishes, increasing the risk of low blood sugar levels (hypoglycemia). For people with diabetes, this poses an added concern as it can exacerbate blood sugar management issues.

Hormonal Havoc: More Than Just Ghrelin and Cortisol

While ghrelin and cortisol are pivotal players in alcohol's metabolic impact, they're just the tip of the iceberg. Leptin, a hormone that signals satiety, often decreases following alcohol consumption, encouraging eating.

Insulin, the hormone responsible for glucose uptake into cells, is also affected. Alcohol can increase insulin resistance, making it harder for cells to absorb sugar from the bloodstream. Over time, this may contribute to the development of type 2 diabetes.

The Neurotransmitter Connection

Alcohol's influence extends to neurotransmitters, chemicals that facilitate communication between nerve cells. Dopamine, the "feel-good" neurotransmitter, surges in response to pleasurable activities, including drinking alcohol. This surge may dampen the body's response to leptin, making us feel hungrier and promoting overeating.

The Thermogenic Paradox

Interestingly, alcohol has a thermogenic effect, meaning it temporarily increases our metabolic rate. However, this effect can’t counterbalance the caloric intake from drinking alcohol. Moreover, the thermogenic effect is often short-lived and may decline with regular drinking, eventually contributing to weight gain.

Gender Differences in Alcohol Metabolism

Gender differences in alcohol metabolism are rooted in biology, and they can significantly impact how alcohol affects men and women. While both genders face metabolic challenges when consuming alcohol, the biological differences make the experience markedly distinct for men and women. One critical enzyme involved in alcohol metabolism is alcohol dehydrogenase. Women generally have lower levels of it than men, which reduces their alcohol metabolism efficiency.

This enzymatic disparity means that when women consume alcohol, they are likely to have higher blood alcohol concentrations for a more extended period, even if they drink the same amount as a man. Because their bodies take longer to break down alcohol, women often experience more intense and prolonged effects, including potential disruptions in metabolic function. For instance, the increase in ghrelin — the hunger hormone — is generally more pronounced in women, which makes those midnight snacks hard to resist. Similarly, elevated cortisol levels due to alcohol consumption can more drastically impact women, contributing to increased fat storage, particularly in the abdominal area.

Understanding these gender-specific metabolic responses to alcohol doesn't just inform individual choices; it also has broader implications for public health initiatives aimed at reducing alcohol’s negative impacts. The guidelines for what constitutes "moderate" alcohol intake may need to be reevaluated through a gender-sensitive lens, and people of all genders could benefit from targeted strategies to offset alcohol's metabolic effects.

The reality is that when it comes to alcohol and metabolism, one size does not fit all. Tailoring approaches to account for these biological differences can make a significant difference in how people of all genders experience, manage, and mitigate the metabolic consequences of alcohol consumption.

Image of a plate of colorful fruits and vegetables

Steps to a Healthier You 

Time It Right

Optimize your drinking schedule to avoid metabolic pitfalls. Avoid drinking late at night, as your metabolism naturally slows then, making it harder for your body to process alcohol. It’s generally best to consume alcohol earlier in the evening, and preferably during a meal to slow its absorption. Eating a balanced meal before you start drinking also provides essential nutrients depleted by alcohol, like B vitamins.

Protein to the Rescue

Protein is an essential macronutrient, and in addition to building muscle and repairing tissues after injury, it also keeps us full. This helps us avoid mindless snacking and keeps our energy levels stable. Any protein-rich food is effective: Greek yogurt, almonds or lean turkey slices are just a few great choices. Their benefit lies in their ability to slow stomach emptying, helping moderate blood sugar spikes and dips.

Fiber Up

Fiber is another metabolism-friendly food. A fibrous snack like apple slices or whole-grain toast can help maintain blood sugar levels, buffering against alcohol-induced hypoglycemia. The slow absorption of sugar provides a steady energy source, helping you resist those fried calamari or late-night nachos. High-fiber foods are also gut-friendly, promoting a healthier microbiome, which can be adversely affected by alcohol.

Move More

It’s common knowledge that exercise boosts metabolism, but it can also aid in alcohol metabolism. Exercise increases the liver's efficiency in processing toxins, including alcohol. Even a brisk 20-minute walk before or after consuming alcohol can give your metabolism a mini-boost, leading to quicker alcohol breakdown and reducing its storage as fat. Prefer a more intense workout? Great! High-intensity interval training (HIIT) can accelerate metabolism for several hours, providing an even more extended benefit.

Recharge and Rebalance

It’s essential to counterbalance the hormonal shifts caused by alcohol. One way to do this is through stress management techniques such as meditation, deep-breathing exercises, or even a simple walk in nature. These activities can help lower cortisol levels, reducing fat storage, especially in the abdominal area. For those more inclined to rejuvenate through sleep, a good night's rest can do wonders for hormone regulation, including reducing ghrelin and increasing leptin levels, which helps control hunger and satiety. A relaxed body is a more efficient one. Stress management not only benefits your mind but also helps reorient your hormonal balance, giving your metabolism a fighting chance against alcohol’s effects.

Active Socializing

Socializing doesn't have to be all about sitting around and sipping drinks. Active socializing swaps the bar stool for something a bit more dynamic. Whether it's bowling, dancing, or a frisbee match at the park, the options are endless and far more exciting. The key is to choose activities that get the heart rate up, offering a dual advantage: enjoying time with friends while simultaneously engaging in physical activity. It's a win-win, enhancing metabolic health and elevating mood, thanks to the endorphins released during physical activity.

Say No to Late-Night Snacking

Alcohol can seriously stimulate appetite, sometimes leading to regrettable fast-food runs or late-night fridge raids. While it's often a social convention to grab a late-night snack after a night out, this habit can wreak havoc on your metabolism. So how to resist? Make a pact with friends before heading out, committing to avoid the post-bar fast food dash. If cravings kick in, opt for healthier snacks like mixed nuts or fruit, which offer nutrients and fiber without the metabolic aftermath of greasy, carb-laden foods. Having a strategy in place empowers you to break the cycle and make healthier choices, even in the face of alcohol-induced hunger.

Catch Quality Zzz's

Sleep is not a luxury; it's a necessity, especially when considering metabolism. Alcohol has a two-faced relationship with sleep: while it might help you fall asleep faster, it certainly won't improve the quality of that sleep. It can disrupt the REM cycle, leading to a less restful slumber that impacts everything from your mood to your metabolic efficiency the next day. The aim should be for seven to eight hours of high-quality sleep, even on the weekends when social activities might tempt you to skimp on rest. The earlier in the evening you can curtail your drinking, the better your chances of achieving restorative sleep. If falling asleep naturally is a challenge, consider winding down with a calming herbal tea or engaging in a relaxation technique like progressive muscle relaxation before hitting the sack.

The Takeaways

Modern life often involves balancing work, relationships, self-care, and, yes, even leisure activities that might involve alcohol. The narrative isn't about demonizing alcohol but rather about managing its metabolic impact so that we can enjoy life fully and healthily. By implementing the steps outlined in this blog post, we can healthily reshape our relationship with alcohol in a way that complements rather than compromises our metabolic health.

Think of it not as a list of restrictions but as a toolkit for empowerment. Each strategy is a tool to recalibrate how alcohol fits into a balanced lifestyle. Imagine a future where social gatherings no longer come with metabolic concerns, where every sip is taken with awareness, and every choice reflects a deeper understanding of individual well-being. The steps for healthier living provide not just a roadmap but also a mindset, a new way to conceptualize the role of alcohol in life.

So here’s to a brighter, healthier future — a future that doesn't ask for sacrifices but rather invites smarter choices, strategic planning, and a proactive approach to metabolic health. Let the toast not only be a moment of celebration but also a symbol of commitment to a lifestyle that embraces both enjoyment and well-being. Cheers to that! 

TGIF, right? Everyone's at the local bar, laughing, eating wings and nachos, and ordering another pitcher of beer. What a great way to kickstart the weekend! But what’s that alcohol doing to your metabolism? And is there a way to socialize and stay healthy?

In this blog post, we’ll explore the science behind alcohol and metabolism and uncover ways to support our health. 

The Science of Alcohol and Metabolism

The relationship between alcohol and metabolism is intricate. Alcohol's effects ripple through a complex metabolic network comprised of various organs, biochemical pathways, and even neurotransmitters in the brain.

The Liver Takes Center Stage

One of the most well-studied aspects of alcohol metabolism centers on the liver, the organ responsible for breaking down ethanol into less toxic substances. On a biochemical level, the liver metabolizes alcohol in a two-step process. The first step converts alcohol into acetaldehyde, a highly toxic substance that is then further metabolized to acetate, a less harmful compound.

However, the liver's processing capacity has its limits. When there's too much alcohol, the liver gets overwhelmed, leading to the accumulation of acetaldehyde in the bloodstream. This build-up can cause symptoms like flushing, nausea, and rapid heartbeat.

Pausing Normal Metabolism

While the liver is busy handling alcohol, other metabolic processes get sidelined. Among the affected processes is gluconeogenesis, where the liver synthesizes glucose from non-carbohydrate sources. When alcohol takes precedence, the liver’s ability to produce glucose diminishes, increasing the risk of low blood sugar levels (hypoglycemia). For people with diabetes, this poses an added concern as it can exacerbate blood sugar management issues.

Hormonal Havoc: More Than Just Ghrelin and Cortisol

While ghrelin and cortisol are pivotal players in alcohol's metabolic impact, they're just the tip of the iceberg. Leptin, a hormone that signals satiety, often decreases following alcohol consumption, encouraging eating.

Insulin, the hormone responsible for glucose uptake into cells, is also affected. Alcohol can increase insulin resistance, making it harder for cells to absorb sugar from the bloodstream. Over time, this may contribute to the development of type 2 diabetes.

The Neurotransmitter Connection

Alcohol's influence extends to neurotransmitters, chemicals that facilitate communication between nerve cells. Dopamine, the "feel-good" neurotransmitter, surges in response to pleasurable activities, including drinking alcohol. This surge may dampen the body's response to leptin, making us feel hungrier and promoting overeating.

The Thermogenic Paradox

Interestingly, alcohol has a thermogenic effect, meaning it temporarily increases our metabolic rate. However, this effect can’t counterbalance the caloric intake from drinking alcohol. Moreover, the thermogenic effect is often short-lived and may decline with regular drinking, eventually contributing to weight gain.

Gender Differences in Alcohol Metabolism

Gender differences in alcohol metabolism are rooted in biology, and they can significantly impact how alcohol affects men and women. While both genders face metabolic challenges when consuming alcohol, the biological differences make the experience markedly distinct for men and women. One critical enzyme involved in alcohol metabolism is alcohol dehydrogenase. Women generally have lower levels of it than men, which reduces their alcohol metabolism efficiency.

This enzymatic disparity means that when women consume alcohol, they are likely to have higher blood alcohol concentrations for a more extended period, even if they drink the same amount as a man. Because their bodies take longer to break down alcohol, women often experience more intense and prolonged effects, including potential disruptions in metabolic function. For instance, the increase in ghrelin — the hunger hormone — is generally more pronounced in women, which makes those midnight snacks hard to resist. Similarly, elevated cortisol levels due to alcohol consumption can more drastically impact women, contributing to increased fat storage, particularly in the abdominal area.

Understanding these gender-specific metabolic responses to alcohol doesn't just inform individual choices; it also has broader implications for public health initiatives aimed at reducing alcohol’s negative impacts. The guidelines for what constitutes "moderate" alcohol intake may need to be reevaluated through a gender-sensitive lens, and people of all genders could benefit from targeted strategies to offset alcohol's metabolic effects.

The reality is that when it comes to alcohol and metabolism, one size does not fit all. Tailoring approaches to account for these biological differences can make a significant difference in how people of all genders experience, manage, and mitigate the metabolic consequences of alcohol consumption.

Image of a plate of colorful fruits and vegetables

Steps to a Healthier You 

Time It Right

Optimize your drinking schedule to avoid metabolic pitfalls. Avoid drinking late at night, as your metabolism naturally slows then, making it harder for your body to process alcohol. It’s generally best to consume alcohol earlier in the evening, and preferably during a meal to slow its absorption. Eating a balanced meal before you start drinking also provides essential nutrients depleted by alcohol, like B vitamins.

Protein to the Rescue

Protein is an essential macronutrient, and in addition to building muscle and repairing tissues after injury, it also keeps us full. This helps us avoid mindless snacking and keeps our energy levels stable. Any protein-rich food is effective: Greek yogurt, almonds or lean turkey slices are just a few great choices. Their benefit lies in their ability to slow stomach emptying, helping moderate blood sugar spikes and dips.

Fiber Up

Fiber is another metabolism-friendly food. A fibrous snack like apple slices or whole-grain toast can help maintain blood sugar levels, buffering against alcohol-induced hypoglycemia. The slow absorption of sugar provides a steady energy source, helping you resist those fried calamari or late-night nachos. High-fiber foods are also gut-friendly, promoting a healthier microbiome, which can be adversely affected by alcohol.

Move More

It’s common knowledge that exercise boosts metabolism, but it can also aid in alcohol metabolism. Exercise increases the liver's efficiency in processing toxins, including alcohol. Even a brisk 20-minute walk before or after consuming alcohol can give your metabolism a mini-boost, leading to quicker alcohol breakdown and reducing its storage as fat. Prefer a more intense workout? Great! High-intensity interval training (HIIT) can accelerate metabolism for several hours, providing an even more extended benefit.

Recharge and Rebalance

It’s essential to counterbalance the hormonal shifts caused by alcohol. One way to do this is through stress management techniques such as meditation, deep-breathing exercises, or even a simple walk in nature. These activities can help lower cortisol levels, reducing fat storage, especially in the abdominal area. For those more inclined to rejuvenate through sleep, a good night's rest can do wonders for hormone regulation, including reducing ghrelin and increasing leptin levels, which helps control hunger and satiety. A relaxed body is a more efficient one. Stress management not only benefits your mind but also helps reorient your hormonal balance, giving your metabolism a fighting chance against alcohol’s effects.

Active Socializing

Socializing doesn't have to be all about sitting around and sipping drinks. Active socializing swaps the bar stool for something a bit more dynamic. Whether it's bowling, dancing, or a frisbee match at the park, the options are endless and far more exciting. The key is to choose activities that get the heart rate up, offering a dual advantage: enjoying time with friends while simultaneously engaging in physical activity. It's a win-win, enhancing metabolic health and elevating mood, thanks to the endorphins released during physical activity.

Say No to Late-Night Snacking

Alcohol can seriously stimulate appetite, sometimes leading to regrettable fast-food runs or late-night fridge raids. While it's often a social convention to grab a late-night snack after a night out, this habit can wreak havoc on your metabolism. So how to resist? Make a pact with friends before heading out, committing to avoid the post-bar fast food dash. If cravings kick in, opt for healthier snacks like mixed nuts or fruit, which offer nutrients and fiber without the metabolic aftermath of greasy, carb-laden foods. Having a strategy in place empowers you to break the cycle and make healthier choices, even in the face of alcohol-induced hunger.

Catch Quality Zzz's

Sleep is not a luxury; it's a necessity, especially when considering metabolism. Alcohol has a two-faced relationship with sleep: while it might help you fall asleep faster, it certainly won't improve the quality of that sleep. It can disrupt the REM cycle, leading to a less restful slumber that impacts everything from your mood to your metabolic efficiency the next day. The aim should be for seven to eight hours of high-quality sleep, even on the weekends when social activities might tempt you to skimp on rest. The earlier in the evening you can curtail your drinking, the better your chances of achieving restorative sleep. If falling asleep naturally is a challenge, consider winding down with a calming herbal tea or engaging in a relaxation technique like progressive muscle relaxation before hitting the sack.

The Takeaways

Modern life often involves balancing work, relationships, self-care, and, yes, even leisure activities that might involve alcohol. The narrative isn't about demonizing alcohol but rather about managing its metabolic impact so that we can enjoy life fully and healthily. By implementing the steps outlined in this blog post, we can healthily reshape our relationship with alcohol in a way that complements rather than compromises our metabolic health.

Think of it not as a list of restrictions but as a toolkit for empowerment. Each strategy is a tool to recalibrate how alcohol fits into a balanced lifestyle. Imagine a future where social gatherings no longer come with metabolic concerns, where every sip is taken with awareness, and every choice reflects a deeper understanding of individual well-being. The steps for healthier living provide not just a roadmap but also a mindset, a new way to conceptualize the role of alcohol in life.

So here’s to a brighter, healthier future — a future that doesn't ask for sacrifices but rather invites smarter choices, strategic planning, and a proactive approach to metabolic health. Let the toast not only be a moment of celebration but also a symbol of commitment to a lifestyle that embraces both enjoyment and well-being. Cheers to that! 

Alcohol and Health
2023-10-26 9:00
Alcohol and Health
What Is Wet Brain Syndrome?
This is some text inside of a div block.

Learn how your happy hour could impact your brain health, and get some tips to keep your memories crisp and your neurons nimble. Dive into our latest blog post for the sobering scoop on “Wet Brain Syndrome” and how to avoid it.

11 min read

Keep Your Brain “Dry” 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 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 through the App Store or Google Play today!

Read Full Article  →

Hearing the term “wet brain” for the first time might be a bit confusing. How can a brain get wet? And wait, when was it ever dry to begin with?

While the term is a bit odd, it represents an important concept — the long-term effects of alcohol misuse on the brain. Let's dive into the science behind this condition and learn how to protect our brain health.

What on Earth Is Wet Brain Syndrome?

Don't worry, your brain isn't going to dissolve into a puddle! “Wet brain” is a colloquial term for Wernicke-Korsakoff Syndrome (WKS), a condition primarily seen in people who have had prolonged periods of heavy drinking. The "wet" part of “wet brain” has nothing to do with your brain getting soaked in alcohol (thank goodness!) — rather, it refers to the harmful effect that alcohol can have on the brain's health over time.

How Does This Happen?

Imagine hosting a party where every guest was allergic to peanuts, but you served a peanut butter pie anyway. Just as you wouldn't expect your guests to thrive in that environment, the same goes for your brain with a prolonged exposure to alcohol.

At the center of this story is vitamin B1 (thiamine), a crucial cog that our brain needs to keep the wheels turning smoothly. It’s essential for the brain's energy metabolism: it helps the brain convert food into the energy it needs to function properly. Without thiamine, things go haywire — the brain can't produce enough energy to carry out its tasks effectively, leading to damage in areas that are responsible for memory, learning, and muscle coordination. 

Signs of Trouble

So where does booze come in? For one thing, chronic, heavy alcohol use can cause poor nutrition — people are less likely to consume enough vitamin-rich foods, so vitamin B stores get depleted. Moreover, alcohol interferes with the absorption, metabolism, and storage of thiamine, leading to Wernicke's encephalopathy

Named after German neurologist Carl Wernicke, who described the condition in the late 19th century, Wernicke’s encephalopathy is the first stage of WKS; it tends to be short-lived and severe. While it’s often associated with alcohol misuse, the condition can also occur in people with severe malnutrition from other causes, such as prolonged vomiting or those with certain eating disorders.

This inefficiency shows up as a characteristic triad of symptoms: mental confusion, ophthalmoplegia (eye muscle paralysis), and ataxia (unsteady, uncoordinated movements).

  • Mental confusion is often one of the first symptoms of Wernicke's encephalopathy. An individual experiencing this might feel disoriented or have difficulty concentrating. They may struggle to pay attention or may not seem entirely aware of their surroundings.
  • Ophthalmoplegia refers to the paralysis or weakness of the muscles controlling the eyes, which can result in a range of eye movement abnormalities. A person with this symptom may have difficulty moving their eyes, or they may experience double vision.
  • Ataxia refers to a loss of control over bodily movements, particularly the muscles that need to be coordinated for walking. A person with ataxia may have a wide-based gait, frequent stumbles, or trouble balancing. 

The silver lining in the case of Wernicke's encephalopathy is that it can be treated, and its effects can be reversed if caught early enough. This is typically done by administering high doses of thiamine, usually through an IV in a hospital setting. Unfortunately, however, these three symptoms don't always appear together, and they can vary in intensity, which can sometimes make Wernicke's encephalopathy difficult to diagnose, leading to more permanent brain damage. 

Does This Mean I'll Lose My Memory?

Here's the sobering part: yes, it could. The second stage of wet brain syndrome — Korsakoff's psychosis — is where the condition gets its notorious reputation for memory loss. Named after Sergei Korsakoff, the Russian neuropsychiatrist who first characterized the syndrome in the late 19th century, this stage is often a chronic, long-term condition that follows or is accompanied by the symptoms of Wernicke's encephalopathy.

During this stage, people can have difficulty forming new memories, experience long-term memory gaps, and in some cases, even hallucinate. And it's not just a "where did I put my keys?" kind of forgetfulness, but more of a "did I have breakfast this morning?" type of scenario.

To make matters more complicated, people with Korsakoff's psychosis may experience confabulation, in which a person fills in their memory gaps with information that may not be true, but that they believe to be accurate. For instance, they might insist they had lunch with a friend today, when, in fact, they had lunch alone. They’re not lying; their brain is trying to make sense of missing pieces. Think of Korsakoff's as a game of "Memory" with some cards missing from the deck: it's frustrating and confusing to play with an incomplete set.

Korsakoff's psychosis can also cause personality changes. An individual may seem indifferent, apathetic, or lacking initiative. They might also have trouble with tasks that require planning or organizing.

Now here's the scary part: while treatment with thiamine can help stop the progression of Korsakoff's psychosis and improve some symptoms, it often doesn't reverse memory loss or cognitive changes. That's why early detection and prevention are absolutely key.

Strategies to manage alcohol consumption

Yikes! How Do I Avoid This?

Ah, the million-dollar question. Of course, the main thing is to minimize alcohol use — especially over the long term. Having a healthy, balanced diet rich in thiamine can help, as can taking thiamine supplements if you're concerned about your intake. And, of course, seeking help if you're finding it difficult to manage your alcohol consumption is key.

Here are some things to keep in mind:

  • Assess your drinking. Keep a record of how much you're drinking, and be honest with yourself if it's too much.
  • Moderation is key. Limit your alcohol intake. The CDC suggests no more than one drink per day for women and two drinks per day for men.
  • Eat a balanced diet. Ensure your diet includes thiamine-rich foods like whole grains, legumes, nuts, seeds, lean meats, and seafood. A varied and nutritious diet helps provide the essential nutrients your brain needs to function optimally.
  • Stay hydrated. Drinking alcohol can lead to dehydration, which can worsen the effects of thiamine deficiency. Keep yourself hydrated by drinking plenty of water throughout the day.
  • Boost your thiamine. Include thiamine-rich foods in your diet, such as lean pork, whole grains, and nuts.
  • Consider supplements. If your diet is lacking, consider taking a thiamine supplement, especially if you drink alcohol regularly.
  • Reach out. If you're finding it difficult to cut back on alcohol, don't hesitate to seek professional help. Alcohol use disorder is a real and serious health issue, and there are many resources available to help.

At the end of the day, our brains are our personal supercomputers, involved in every decision we make, every emotion we feel, every memory we cherish. So, next time you're planning a night out or a chill evening with a bottle of wine, remember — moderation is your friend. Here's to keeping our brains dry and our spirits high!

Hearing the term “wet brain” for the first time might be a bit confusing. How can a brain get wet? And wait, when was it ever dry to begin with?

While the term is a bit odd, it represents an important concept — the long-term effects of alcohol misuse on the brain. Let's dive into the science behind this condition and learn how to protect our brain health.

What on Earth Is Wet Brain Syndrome?

Don't worry, your brain isn't going to dissolve into a puddle! “Wet brain” is a colloquial term for Wernicke-Korsakoff Syndrome (WKS), a condition primarily seen in people who have had prolonged periods of heavy drinking. The "wet" part of “wet brain” has nothing to do with your brain getting soaked in alcohol (thank goodness!) — rather, it refers to the harmful effect that alcohol can have on the brain's health over time.

How Does This Happen?

Imagine hosting a party where every guest was allergic to peanuts, but you served a peanut butter pie anyway. Just as you wouldn't expect your guests to thrive in that environment, the same goes for your brain with a prolonged exposure to alcohol.

At the center of this story is vitamin B1 (thiamine), a crucial cog that our brain needs to keep the wheels turning smoothly. It’s essential for the brain's energy metabolism: it helps the brain convert food into the energy it needs to function properly. Without thiamine, things go haywire — the brain can't produce enough energy to carry out its tasks effectively, leading to damage in areas that are responsible for memory, learning, and muscle coordination. 

Signs of Trouble

So where does booze come in? For one thing, chronic, heavy alcohol use can cause poor nutrition — people are less likely to consume enough vitamin-rich foods, so vitamin B stores get depleted. Moreover, alcohol interferes with the absorption, metabolism, and storage of thiamine, leading to Wernicke's encephalopathy

Named after German neurologist Carl Wernicke, who described the condition in the late 19th century, Wernicke’s encephalopathy is the first stage of WKS; it tends to be short-lived and severe. While it’s often associated with alcohol misuse, the condition can also occur in people with severe malnutrition from other causes, such as prolonged vomiting or those with certain eating disorders.

This inefficiency shows up as a characteristic triad of symptoms: mental confusion, ophthalmoplegia (eye muscle paralysis), and ataxia (unsteady, uncoordinated movements).

  • Mental confusion is often one of the first symptoms of Wernicke's encephalopathy. An individual experiencing this might feel disoriented or have difficulty concentrating. They may struggle to pay attention or may not seem entirely aware of their surroundings.
  • Ophthalmoplegia refers to the paralysis or weakness of the muscles controlling the eyes, which can result in a range of eye movement abnormalities. A person with this symptom may have difficulty moving their eyes, or they may experience double vision.
  • Ataxia refers to a loss of control over bodily movements, particularly the muscles that need to be coordinated for walking. A person with ataxia may have a wide-based gait, frequent stumbles, or trouble balancing. 

The silver lining in the case of Wernicke's encephalopathy is that it can be treated, and its effects can be reversed if caught early enough. This is typically done by administering high doses of thiamine, usually through an IV in a hospital setting. Unfortunately, however, these three symptoms don't always appear together, and they can vary in intensity, which can sometimes make Wernicke's encephalopathy difficult to diagnose, leading to more permanent brain damage. 

Does This Mean I'll Lose My Memory?

Here's the sobering part: yes, it could. The second stage of wet brain syndrome — Korsakoff's psychosis — is where the condition gets its notorious reputation for memory loss. Named after Sergei Korsakoff, the Russian neuropsychiatrist who first characterized the syndrome in the late 19th century, this stage is often a chronic, long-term condition that follows or is accompanied by the symptoms of Wernicke's encephalopathy.

During this stage, people can have difficulty forming new memories, experience long-term memory gaps, and in some cases, even hallucinate. And it's not just a "where did I put my keys?" kind of forgetfulness, but more of a "did I have breakfast this morning?" type of scenario.

To make matters more complicated, people with Korsakoff's psychosis may experience confabulation, in which a person fills in their memory gaps with information that may not be true, but that they believe to be accurate. For instance, they might insist they had lunch with a friend today, when, in fact, they had lunch alone. They’re not lying; their brain is trying to make sense of missing pieces. Think of Korsakoff's as a game of "Memory" with some cards missing from the deck: it's frustrating and confusing to play with an incomplete set.

Korsakoff's psychosis can also cause personality changes. An individual may seem indifferent, apathetic, or lacking initiative. They might also have trouble with tasks that require planning or organizing.

Now here's the scary part: while treatment with thiamine can help stop the progression of Korsakoff's psychosis and improve some symptoms, it often doesn't reverse memory loss or cognitive changes. That's why early detection and prevention are absolutely key.

Strategies to manage alcohol consumption

Yikes! How Do I Avoid This?

Ah, the million-dollar question. Of course, the main thing is to minimize alcohol use — especially over the long term. Having a healthy, balanced diet rich in thiamine can help, as can taking thiamine supplements if you're concerned about your intake. And, of course, seeking help if you're finding it difficult to manage your alcohol consumption is key.

Here are some things to keep in mind:

  • Assess your drinking. Keep a record of how much you're drinking, and be honest with yourself if it's too much.
  • Moderation is key. Limit your alcohol intake. The CDC suggests no more than one drink per day for women and two drinks per day for men.
  • Eat a balanced diet. Ensure your diet includes thiamine-rich foods like whole grains, legumes, nuts, seeds, lean meats, and seafood. A varied and nutritious diet helps provide the essential nutrients your brain needs to function optimally.
  • Stay hydrated. Drinking alcohol can lead to dehydration, which can worsen the effects of thiamine deficiency. Keep yourself hydrated by drinking plenty of water throughout the day.
  • Boost your thiamine. Include thiamine-rich foods in your diet, such as lean pork, whole grains, and nuts.
  • Consider supplements. If your diet is lacking, consider taking a thiamine supplement, especially if you drink alcohol regularly.
  • Reach out. If you're finding it difficult to cut back on alcohol, don't hesitate to seek professional help. Alcohol use disorder is a real and serious health issue, and there are many resources available to help.

At the end of the day, our brains are our personal supercomputers, involved in every decision we make, every emotion we feel, every memory we cherish. So, next time you're planning a night out or a chill evening with a bottle of wine, remember — moderation is your friend. Here's to keeping our brains dry and our spirits high!

Alcohol and Health
2023-10-24 9:00
Alcohol and Health
Which Types of Alcohol Have the Fewest Calories?
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Curious about the caloric content of your drinks? Our latest blog explores the lower-calorie options. Stay informed and make choices that align with your goals!

21 min read

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Read Full Article  →

It’s a burning question we all have when we’re trying to watch our waistlines but still want to toast to a special occasion: “Which types of alcohol have the fewest calories?” Whether it’s a summertime barbeque, a holiday celebration, or just another Tuesday evening with a good book, understanding our drink choices can make all the difference in our wellness journeys.

Part 1. Calorie Countdown: The Alcohol Basics

It’s no secret that booze can be a caloric nightmare. Derived from fermenting or distilling various fruits, grains, and sugars, one gram of alcohol has about 7 calories. To put that in perspective, carbohydrates and protein each provide 4 calories per gram, while fat clocks in at 9 calories per gram. 

The calorie count in alcoholic drinks is primarily due to the alcohol content itself. The higher the alcoholic content, the higher the calorie count.

1: Beer

The primary components that contribute to the calorie count in beer are its alcohol content and carbohydrates, which come from the malted grains used in brewing. During the brewing process, yeast ferments the sugars from these grains, producing both alcohol and carbonation.

  • Lagers and pilsners. These are generally lighter beers, both in flavor and color. Lagers owe their calorie count to a combination of alcohol content and carbohydrates. The carbs come predominantly from malted grains, and the alcohol is produced when yeast ferments the sugars from these grains.

    Caloric range: Lagers and pilsners range from 4% to 5% alcohol by volume (ABV) and usually contain between 140-180 calories per 12 oz.
  • Ales. There are many different ales out there, and they can vary significantly in calories. As in lagers, the calorie content in ales is determined primarily by alcohol content and carbohydrates. The carbs hail from the malted grains used in brewing, while the alcohol is a result of the yeast fermenting the grain sugars at warmer temperatures compared to lagers.

    Caloric range: Most ales, with an ABV of around 5%, have about 150-200 calories per 12 oz.
  • Light beers. For those looking for a lighter option, light beers trim the calorie count. These beers are brewed to retain the flavors of regular beers but with fewer calories and often less alcohol. They achieve this by using enzymes to break down more complex carbs or by reducing the fermentation time.

    Caloric range: A typical light beer usually contains between 90-110 calories for a 12 oz. serving.
  • Stouts, porters, and darker beers. These beers, known for their deep colors and robust flavors, often have higher calorie counts due to their increased malt and grain bill.

    Caloric range: Depending on the richness and ABV, which can vary greatly, a standard 12 oz. serving can range from 180 to over 300 calories.
  • Craft and specialty beers. With the craft beer movement, there's been an explosion of styles, flavors, and brewing techniques. These often result in higher ABVs and unique ingredients, impacting the calorie count.

    Caloric range: Due to their diverse nature, craft beers can range widely from 150 to 400 calories (or more) for a 12 oz. serving. Double IPAs, barrel-aged stouts, and Belgian tripels, for instance, tend to be on the higher end.
  • Non-alcoholic beers. For those who enjoy the taste of beer but want to avoid or reduce alcohol intake, non-alcoholic beers offer a viable option.

    Caloric range: The removal or reduction of alcohol often reduces the calorie count. Most non-alcoholic beers range from 50-80 calories for a 12 oz. serving.
2: Wine

Wine derives its calories primarily from two components: alcohol and residual sugars. The alcohol content is a product of fermenting grape sugars, while the residual sugars are what remain after fermentation. Both play crucial roles in a wine's flavor profile and caloric content.

  • White wines. Dry whites, such as Chardonnay, Sauvignon Blanc, and Pinot Grigio, usually have minimal residual sugar, resulting in fewer calories. A typical 5 oz. serving can range from 110-130 calories.

    Sweet whites, such as Moscato, some Rieslings, and other dessert wines have increased sugar content, which raises the calorie count, sometimes reaching 150-200 calories or more per 5 oz. serving.
  • Red wines. Lighter reds, such as Pinot Noir or Gamay, tend to also be on the lighter side in terms of body and alcohol. A 5 oz. serving usually contains 120-140 calories.

    Full-bodied reds like Cabernet Sauvignon, Merlot, and Syrah have a more robust profile, often with higher alcohol content, placing them in the 140-170 calorie range for a 5 oz. glass.
  • Rosé. Dry rosé wines, most commonly made from red grape varietals, have minimal sugars, resulting in about 120-130 calories per 5 oz. serving.

    In sweet rosé, the added sugars or sweeter grape varietals can bump up the calorie count, which can reach up to 150 calories for the same serving size.
  • Sparkling wines and champagne. Brut or extra dry sparkling options usually contain fewer sugars. A standard 5 oz. serving sits around 110-130 calories.

    As sweeter versions, demi-sec or doux varieties can contain more calories, sometimes reaching 150 or more per serving.
  • Port, sherry, and madeira.These wines have added spirits, increasing their alcohol content. They're also higher in calories. A smaller 3 oz. serving can range from 150 to over 200 calories.
Infographic: Low calorie alcoholic drinks
3: Distilled Spirits

When it comes to spirits, the calorie content is mostly from the alcohol itself, as these drinks are distilled and don’t contain carbs. A standard shot (1.5 oz.) contains about 97 calories. This is true for vodka, gin, rum, and whiskey. However, there's a twist:

  • Flavored spirits. These can introduce additional sugars, upping the calorie count. A flavored vodka or spiced rum, for instance, may have more calories than their plain counterparts.
  • Liqueurs. Drinks like Bailey's, Kahlua, or Amaretto can be quite calorie-dense due to added sugars and flavors. They can range from 100 to 150 calories or more for a 1.5 oz. serving.

Part 2. Less Is More: Low-Calorie Options

Want to keep things light? Here are some options:

  • Champagne and sparkling wines. Generally, champagne and other sparkling wines might have slightly fewer calories compared to still wines, especially if they are on the drier side. A standard 4 oz. glass of brut champagne typically contains around 85-90 calories.

    Note: Terms like "Brut Nature" or "Extra Brut" on a label usually indicate lower sugar levels.
  • Hard seltzers. Hard seltzers combine carbonated water with alcohol from fermented sugars, often with a touch of flavoring. A standard 12 oz. can typically contains around 100 calories.

    Note: Not all hard seltzers are created equal. Checking the label for precise calorie counts and ingredient lists.
  • Vodka and soda. Combining soda water, which is calorie-free, with a 1.5 oz. shot of vodka (around 97 calories) results in a straightforward drink.

    Note:
    It's possible to add natural flavors with a splash of lime or lemon juice without significant calorie addition.
  • Light rum and diet cola. Using light rum with a zero-calorie diet cola can keep the calorie count lower. This combination usually falls around the 100-calorie mark for a standard serving.

    Note: While diet sodas reduce calorie intake, they contain artificial sweeteners, which might not be the best option for other reasons and can be risky for those with phenylketonuria. It’s always best to know what's in your drink.
  • Dry Martini. Made with gin or vodka and a hint of dry vermouth, a dry martini is relatively straightforward. It's typically around 120-130 calories for a standard serving.

    Note: Garnishes, such as olives or lemon twists, can slightly alter the drink's overall profile.
  • Tequila on the rocks. Tequila, especially when it's 100% agave, can be consumed without mixers, keeping the calorie count to around 97 for a 1.5 oz. serving.

    Note: It's always best to consume in moderation and be aware of the alcohol content.
4: Remember, Mixers Matter!

Juices, sodas, and creamy additions can turn a low-calorie alcoholic beverage into a calorie bomb! Always be conscious of what's being added. Some popular mixers can can really skyrocket the calorie count:

  • Cola and other sodas. While they fizz and pop with flavor, drinks like cola, lemon-lime soda, and other flavored sodas can introduce a hefty dose of calories, often from high fructose corn syrup or other sugars. A standard 12 oz. serving can add 140-150 calories or more.
  • Tonic water. Often mistaken for a low-calorie mixer because of its clear, crisp appearance, tonic water contains a significant amount of sugar. A 12 oz. serving can add around 120 calories to your drink.
  • Juices. Whether it's cranberry, orange, pineapple, or apple, many commercial fruit juices are rich in calories due to natural and added sugars. For instance, a 6 oz. serving of cranberry juice cocktail can contribute about 110 calories.
  • Cream and half-and-half. Used in drinks like White Russians or creamy holiday beverages, these dairy additions can be quite calorie-dense. A single ounce of half-and-half has about 35-40 calories, and it can quickly add up!
  • Coconut cream. A key ingredient in drinks like Piña Colada, coconut cream is rich, delicious, and high in calories. A single ounce might pack around 50-60.
  • Grenadine. This vibrant, sweet syrup used in cocktails like Tequila Sunrise or Sea Breeze can introduce a good chunk of calories, mostly from sugar. A single ounce has about 80.
  • Sweetened iced tea. Especially in pre-made forms, sweetened iced teas can contain a lot of added sugar. A 12 oz. serving might hover around 100-120 calories. (And if you’re drinking “sweet tea” in the southern US, know that the sugar content and calories will be even higher.)
  • Energy drinks. Sometimes mixed with alcohol in certain party drinks, energy drinks can be laden with sugars. A standard 8.4 oz. can of a popular energy drink may contain around 110 calories.

On the other hand, here are some lighter options:

  • Soda water/club soda. A carbonated beverage without added sugars or sweeteners, soda water adds effervescence without adding calories.
  • Diet sodas. These offer the flavor of their sugary counterparts but without the calories. They often contain artificial sweeteners, so it's wise to check labels and be aware of what you're consuming.
  • Lemon or lime juice. Freshly squeezed lemon or lime juice can enhance a drink's flavor. Their calorie count is minimal.
  • Unsweetened iced tea. Without added sugar, unsweetened iced tea can be a flavorful and calorie-friendly choice.
  • Tomato juice. Often used in drinks like Bloody Marys, tomato juice can be relatively low in calories, especially if you choose versions without added sugars or salts.
  • Cucumber water. Infusing water with fresh cucumber slices provides a refreshing flavor without additional calories.
  • Herbal teas. Brewed without sugars or additives, herbal teas like chamomile, peppermint, or rooibos can offer nuanced flavors for mixed drinks without added calories.

Alcohol and Metabolism: Beyond the Calorie Count

When we think about alcohol and its effects on our body, it's easy to fixate solely on the calorie content. But our relationship with alcohol goes deeper than just its calorie count. Let's dig deeper to understand the nuanced interaction between alcohol and our metabolism.

  • The alcohol priority system. Alcohol is unique. Unlike proteins, fats, or carbs, our bodies don't have a storage system for it. When we sip on that cocktail or wine, our body immediately prioritizes processing the alcohol, since it views it as a toxin and rushes to break it down and get it out.

    The liver is at the forefront of this metabolic process. It employs a series of enzymes, primarily alcohol dehydrogenase (ADH), to convert alcohol into acetaldehyde, a substance even more toxic than alcohol. Another enzyme, aldehyde dehydrogenase (ALDH), quickly turns acetaldehyde into acetate. This acetate is further metabolized, ultimately becoming water and carbon dioxide, which we breathe out or excrete.
  • The ripple effect on metabolism. Prioritizing alcohol metabolism has consequences. While the liver is occupied with alcohol, it isn’t as efficient in metabolizing fats and sugars. This pause in normal metabolic function means that rather than being used for energy, these fats and sugars can be stored, potentially leading to weight gain. So even if we’re drinking a low-calorie alcoholic beverage, the way our body processes other nutrients can still impact our weight.
  • Alcohol’s appetite influence. There's more! Alcohol has a sneaky way of stimulating our appetite. Ever noticed that after a drink or two, those late-night snacks become incredibly tempting? Alcohol can lower our inhibitions and judgment, making that plate of nachos or bowl of chips harder to resist. These extra snacks come with their own set of calories and effects on metabolism.
  • Individual variation. Everyone metabolizes alcohol at different rates. Factors like genetics, age, gender, and even what we’ve eaten that day, can influence how quickly or slowly our body processes alcohol. This is why some people might feel tipsy after just one drink, while for others it may take more.

7 Action Steps to Mind Your Calories While Enjoying a Drink

  • Check the label. Most bottled beverages, like beer and wine, have nutritional information. Before popping the cap or cork, take a peek!
  • Hydrate between drinks. Sip a glass of water between alcoholic beverages. It’ll not only reduce your overall calorie intake but also keep you hydrated.
  • DIY cocktails. Make your own drinks at home. This gives you control over the ingredients and portion sizes. Fresh fruit, herbs, and seltzer water can be great additions!
  • Choose light beers. If you're a beer enthusiast, light beers are a great alternative. You get the bubbly sensation without as many calories.
  • Opt for dry wines. The drier the wine, the fewer the residual sugars. Not only does this cut calories, but it also offers a more authentic taste of the grapes.
  • Limit creamy mixers. Liqueurs and creamy additives can be calorie-dense. If you can, limit or eliminate them from your drink repertoire.
  • Mindful drinking. Take a moment to savor each sip. Not only will you appreciate the drink more, but you'll also likely consume less.

In the grand scheme of things, it's not just about the calories. It's about the experience, the memories, and the moments that make life special. Being informed about our drink choices simply adds to the empowerment of creating those moments mindfully. 

It’s a burning question we all have when we’re trying to watch our waistlines but still want to toast to a special occasion: “Which types of alcohol have the fewest calories?” Whether it’s a summertime barbeque, a holiday celebration, or just another Tuesday evening with a good book, understanding our drink choices can make all the difference in our wellness journeys.

Part 1. Calorie Countdown: The Alcohol Basics

It’s no secret that booze can be a caloric nightmare. Derived from fermenting or distilling various fruits, grains, and sugars, one gram of alcohol has about 7 calories. To put that in perspective, carbohydrates and protein each provide 4 calories per gram, while fat clocks in at 9 calories per gram. 

The calorie count in alcoholic drinks is primarily due to the alcohol content itself. The higher the alcoholic content, the higher the calorie count.

1: Beer

The primary components that contribute to the calorie count in beer are its alcohol content and carbohydrates, which come from the malted grains used in brewing. During the brewing process, yeast ferments the sugars from these grains, producing both alcohol and carbonation.

  • Lagers and pilsners. These are generally lighter beers, both in flavor and color. Lagers owe their calorie count to a combination of alcohol content and carbohydrates. The carbs come predominantly from malted grains, and the alcohol is produced when yeast ferments the sugars from these grains.

    Caloric range: Lagers and pilsners range from 4% to 5% alcohol by volume (ABV) and usually contain between 140-180 calories per 12 oz.
  • Ales. There are many different ales out there, and they can vary significantly in calories. As in lagers, the calorie content in ales is determined primarily by alcohol content and carbohydrates. The carbs hail from the malted grains used in brewing, while the alcohol is a result of the yeast fermenting the grain sugars at warmer temperatures compared to lagers.

    Caloric range: Most ales, with an ABV of around 5%, have about 150-200 calories per 12 oz.
  • Light beers. For those looking for a lighter option, light beers trim the calorie count. These beers are brewed to retain the flavors of regular beers but with fewer calories and often less alcohol. They achieve this by using enzymes to break down more complex carbs or by reducing the fermentation time.

    Caloric range: A typical light beer usually contains between 90-110 calories for a 12 oz. serving.
  • Stouts, porters, and darker beers. These beers, known for their deep colors and robust flavors, often have higher calorie counts due to their increased malt and grain bill.

    Caloric range: Depending on the richness and ABV, which can vary greatly, a standard 12 oz. serving can range from 180 to over 300 calories.
  • Craft and specialty beers. With the craft beer movement, there's been an explosion of styles, flavors, and brewing techniques. These often result in higher ABVs and unique ingredients, impacting the calorie count.

    Caloric range: Due to their diverse nature, craft beers can range widely from 150 to 400 calories (or more) for a 12 oz. serving. Double IPAs, barrel-aged stouts, and Belgian tripels, for instance, tend to be on the higher end.
  • Non-alcoholic beers. For those who enjoy the taste of beer but want to avoid or reduce alcohol intake, non-alcoholic beers offer a viable option.

    Caloric range: The removal or reduction of alcohol often reduces the calorie count. Most non-alcoholic beers range from 50-80 calories for a 12 oz. serving.
2: Wine

Wine derives its calories primarily from two components: alcohol and residual sugars. The alcohol content is a product of fermenting grape sugars, while the residual sugars are what remain after fermentation. Both play crucial roles in a wine's flavor profile and caloric content.

  • White wines. Dry whites, such as Chardonnay, Sauvignon Blanc, and Pinot Grigio, usually have minimal residual sugar, resulting in fewer calories. A typical 5 oz. serving can range from 110-130 calories.

    Sweet whites, such as Moscato, some Rieslings, and other dessert wines have increased sugar content, which raises the calorie count, sometimes reaching 150-200 calories or more per 5 oz. serving.
  • Red wines. Lighter reds, such as Pinot Noir or Gamay, tend to also be on the lighter side in terms of body and alcohol. A 5 oz. serving usually contains 120-140 calories.

    Full-bodied reds like Cabernet Sauvignon, Merlot, and Syrah have a more robust profile, often with higher alcohol content, placing them in the 140-170 calorie range for a 5 oz. glass.
  • Rosé. Dry rosé wines, most commonly made from red grape varietals, have minimal sugars, resulting in about 120-130 calories per 5 oz. serving.

    In sweet rosé, the added sugars or sweeter grape varietals can bump up the calorie count, which can reach up to 150 calories for the same serving size.
  • Sparkling wines and champagne. Brut or extra dry sparkling options usually contain fewer sugars. A standard 5 oz. serving sits around 110-130 calories.

    As sweeter versions, demi-sec or doux varieties can contain more calories, sometimes reaching 150 or more per serving.
  • Port, sherry, and madeira.These wines have added spirits, increasing their alcohol content. They're also higher in calories. A smaller 3 oz. serving can range from 150 to over 200 calories.
Infographic: Low calorie alcoholic drinks
3: Distilled Spirits

When it comes to spirits, the calorie content is mostly from the alcohol itself, as these drinks are distilled and don’t contain carbs. A standard shot (1.5 oz.) contains about 97 calories. This is true for vodka, gin, rum, and whiskey. However, there's a twist:

  • Flavored spirits. These can introduce additional sugars, upping the calorie count. A flavored vodka or spiced rum, for instance, may have more calories than their plain counterparts.
  • Liqueurs. Drinks like Bailey's, Kahlua, or Amaretto can be quite calorie-dense due to added sugars and flavors. They can range from 100 to 150 calories or more for a 1.5 oz. serving.

Part 2. Less Is More: Low-Calorie Options

Want to keep things light? Here are some options:

  • Champagne and sparkling wines. Generally, champagne and other sparkling wines might have slightly fewer calories compared to still wines, especially if they are on the drier side. A standard 4 oz. glass of brut champagne typically contains around 85-90 calories.

    Note: Terms like "Brut Nature" or "Extra Brut" on a label usually indicate lower sugar levels.
  • Hard seltzers. Hard seltzers combine carbonated water with alcohol from fermented sugars, often with a touch of flavoring. A standard 12 oz. can typically contains around 100 calories.

    Note: Not all hard seltzers are created equal. Checking the label for precise calorie counts and ingredient lists.
  • Vodka and soda. Combining soda water, which is calorie-free, with a 1.5 oz. shot of vodka (around 97 calories) results in a straightforward drink.

    Note:
    It's possible to add natural flavors with a splash of lime or lemon juice without significant calorie addition.
  • Light rum and diet cola. Using light rum with a zero-calorie diet cola can keep the calorie count lower. This combination usually falls around the 100-calorie mark for a standard serving.

    Note: While diet sodas reduce calorie intake, they contain artificial sweeteners, which might not be the best option for other reasons and can be risky for those with phenylketonuria. It’s always best to know what's in your drink.
  • Dry Martini. Made with gin or vodka and a hint of dry vermouth, a dry martini is relatively straightforward. It's typically around 120-130 calories for a standard serving.

    Note: Garnishes, such as olives or lemon twists, can slightly alter the drink's overall profile.
  • Tequila on the rocks. Tequila, especially when it's 100% agave, can be consumed without mixers, keeping the calorie count to around 97 for a 1.5 oz. serving.

    Note: It's always best to consume in moderation and be aware of the alcohol content.
4: Remember, Mixers Matter!

Juices, sodas, and creamy additions can turn a low-calorie alcoholic beverage into a calorie bomb! Always be conscious of what's being added. Some popular mixers can can really skyrocket the calorie count:

  • Cola and other sodas. While they fizz and pop with flavor, drinks like cola, lemon-lime soda, and other flavored sodas can introduce a hefty dose of calories, often from high fructose corn syrup or other sugars. A standard 12 oz. serving can add 140-150 calories or more.
  • Tonic water. Often mistaken for a low-calorie mixer because of its clear, crisp appearance, tonic water contains a significant amount of sugar. A 12 oz. serving can add around 120 calories to your drink.
  • Juices. Whether it's cranberry, orange, pineapple, or apple, many commercial fruit juices are rich in calories due to natural and added sugars. For instance, a 6 oz. serving of cranberry juice cocktail can contribute about 110 calories.
  • Cream and half-and-half. Used in drinks like White Russians or creamy holiday beverages, these dairy additions can be quite calorie-dense. A single ounce of half-and-half has about 35-40 calories, and it can quickly add up!
  • Coconut cream. A key ingredient in drinks like Piña Colada, coconut cream is rich, delicious, and high in calories. A single ounce might pack around 50-60.
  • Grenadine. This vibrant, sweet syrup used in cocktails like Tequila Sunrise or Sea Breeze can introduce a good chunk of calories, mostly from sugar. A single ounce has about 80.
  • Sweetened iced tea. Especially in pre-made forms, sweetened iced teas can contain a lot of added sugar. A 12 oz. serving might hover around 100-120 calories. (And if you’re drinking “sweet tea” in the southern US, know that the sugar content and calories will be even higher.)
  • Energy drinks. Sometimes mixed with alcohol in certain party drinks, energy drinks can be laden with sugars. A standard 8.4 oz. can of a popular energy drink may contain around 110 calories.

On the other hand, here are some lighter options:

  • Soda water/club soda. A carbonated beverage without added sugars or sweeteners, soda water adds effervescence without adding calories.
  • Diet sodas. These offer the flavor of their sugary counterparts but without the calories. They often contain artificial sweeteners, so it's wise to check labels and be aware of what you're consuming.
  • Lemon or lime juice. Freshly squeezed lemon or lime juice can enhance a drink's flavor. Their calorie count is minimal.
  • Unsweetened iced tea. Without added sugar, unsweetened iced tea can be a flavorful and calorie-friendly choice.
  • Tomato juice. Often used in drinks like Bloody Marys, tomato juice can be relatively low in calories, especially if you choose versions without added sugars or salts.
  • Cucumber water. Infusing water with fresh cucumber slices provides a refreshing flavor without additional calories.
  • Herbal teas. Brewed without sugars or additives, herbal teas like chamomile, peppermint, or rooibos can offer nuanced flavors for mixed drinks without added calories.

Alcohol and Metabolism: Beyond the Calorie Count

When we think about alcohol and its effects on our body, it's easy to fixate solely on the calorie content. But our relationship with alcohol goes deeper than just its calorie count. Let's dig deeper to understand the nuanced interaction between alcohol and our metabolism.

  • The alcohol priority system. Alcohol is unique. Unlike proteins, fats, or carbs, our bodies don't have a storage system for it. When we sip on that cocktail or wine, our body immediately prioritizes processing the alcohol, since it views it as a toxin and rushes to break it down and get it out.

    The liver is at the forefront of this metabolic process. It employs a series of enzymes, primarily alcohol dehydrogenase (ADH), to convert alcohol into acetaldehyde, a substance even more toxic than alcohol. Another enzyme, aldehyde dehydrogenase (ALDH), quickly turns acetaldehyde into acetate. This acetate is further metabolized, ultimately becoming water and carbon dioxide, which we breathe out or excrete.
  • The ripple effect on metabolism. Prioritizing alcohol metabolism has consequences. While the liver is occupied with alcohol, it isn’t as efficient in metabolizing fats and sugars. This pause in normal metabolic function means that rather than being used for energy, these fats and sugars can be stored, potentially leading to weight gain. So even if we’re drinking a low-calorie alcoholic beverage, the way our body processes other nutrients can still impact our weight.
  • Alcohol’s appetite influence. There's more! Alcohol has a sneaky way of stimulating our appetite. Ever noticed that after a drink or two, those late-night snacks become incredibly tempting? Alcohol can lower our inhibitions and judgment, making that plate of nachos or bowl of chips harder to resist. These extra snacks come with their own set of calories and effects on metabolism.
  • Individual variation. Everyone metabolizes alcohol at different rates. Factors like genetics, age, gender, and even what we’ve eaten that day, can influence how quickly or slowly our body processes alcohol. This is why some people might feel tipsy after just one drink, while for others it may take more.

7 Action Steps to Mind Your Calories While Enjoying a Drink

  • Check the label. Most bottled beverages, like beer and wine, have nutritional information. Before popping the cap or cork, take a peek!
  • Hydrate between drinks. Sip a glass of water between alcoholic beverages. It’ll not only reduce your overall calorie intake but also keep you hydrated.
  • DIY cocktails. Make your own drinks at home. This gives you control over the ingredients and portion sizes. Fresh fruit, herbs, and seltzer water can be great additions!
  • Choose light beers. If you're a beer enthusiast, light beers are a great alternative. You get the bubbly sensation without as many calories.
  • Opt for dry wines. The drier the wine, the fewer the residual sugars. Not only does this cut calories, but it also offers a more authentic taste of the grapes.
  • Limit creamy mixers. Liqueurs and creamy additives can be calorie-dense. If you can, limit or eliminate them from your drink repertoire.
  • Mindful drinking. Take a moment to savor each sip. Not only will you appreciate the drink more, but you'll also likely consume less.

In the grand scheme of things, it's not just about the calories. It's about the experience, the memories, and the moments that make life special. Being informed about our drink choices simply adds to the empowerment of creating those moments mindfully. 

Alcohol and Health
2023-10-17 9:00
Alcohol and Health
Should I Drink Alcohol While Taking Humira?
This is some text inside of a div block.

Wondering how Humira and alcohol mix? Get the science-backed scoop in our latest blog and make informed choices!

18 min read

Ready To Change Your Relationship With 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 through the App Store or Google Play today!

Read Full Article  →

It’s Friday evening, and you're getting ready for a small get-together with friends. The table is stacked with snacks, the music is playing, and you’re debating what drink to enjoy for the evening. But what if you're on Humira? Is mixing alcohol with this medication wise? Let's take a closer look.

Friendly Fire

If you or someone you know are taking Humira — also known as adalimumab — chances are, it’s for an autoimmune condition. Our sophisticated defense mechanism, the immune system, protects us from harmful intruders such as viruses and bacteria. However, in autoimmune conditions, there’s a glitch: the immune system confuses its own cells for foreign invaders and goes into attack mode. 

One primary response to this misguided attack is inflammation. Normally, inflammation is the body's way of signaling there’s a problem — an alarm that signals a need for intervention to oust an invading pathogen. It jumpstarts the process of healing wounds and fighting off infections. 

However, in autoimmune diseases, the process goes haywire: instead of being a reaction to a genuine problem, inflammation becomes chronic, leading to various symptoms and potential damage.

What sparks this mix-up? The exact causes of autoimmune diseases remain a subject of ongoing research. Genetics, environmental factors, infections, and even some medications might play a role. 

Autoimmune Diseases: The Main Players

Unwarranted inflammation can impact various parts of the body. Depending on the location, different symptoms and conditions can arise, creating a vast spectrum of autoimmune conditions. However, they all boil down to the immune system getting its wire crossed in different ways. Here are the most common types:

  • Rheumatoid arthritis (RA). When joints become the battleground for inflammation, we're talking about RA — an autoimmune condition that develops when the body mistakenly targets the linings of joints, causing swelling, pain, and potential damage over time.
  • Psoriasis. Psoriasis accelerates skin cell growth, leading to red, scaly patches on the skin that can be both itchy and painful — another unintended detour for the body’s defense system.
  • Plaque psoriasis. A subset of psoriasis, this one is the most common type. It leads to thick, red skin with silvery scales. 
  • Crohn's disease. The digestive tract gets caught in an inflammatory storm, which causes symptoms ranging from abdominal pain to severe diarrhea and malnutrition.
  • Ankylosing spondylitis (AS). When the spine bears the brunt of inflammation, AS is the result. It can cause chronic spine pain and stiffness, but can also affect other joints.
  • Juvenile idiopathic arthritis (JIA). Kids aren't spared from the grip of autoimmune issues. JIA is like RA but targets youngsters under the age of 16, causing joint pain and inflammation.
  • Ulcerative colitis (UC). Another condition affecting the digestive tract, UC zeroes in on the colon, causing persistent inflammation and leading to symptoms like bloody stools and abdominal cramps.

The Basics of Biologics

Where does Humira come in? The story begins in the late 20th century, with the discovery of biologics. The medical community had long recognized the need for targeted treatments for inflammatory autoimmune conditions, and voila! In the 1990s, researchers found a unique solution.

Biologics are a group of medicines derived from living organisms, which sets them apart from traditional drugs that are typically synthesized from chemical compounds. Instead of being made from a mix of chemicals in a lab, biologics are produced using cutting-edge biotechnological methods, often involving genetically modified cells. The sources can be anything from humans, animals, or microorganisms.

Unlike conventional drugs that work more like sledgehammers, attacking a condition whole-hog, biologics are more like a scalpel — they are precise, designed to target the specific molecules in our body (usually proteins) that play a role in disease processes. By singling out these molecules, biologics can block or modify their action, treating the condition at its source. When it comes to autoimmune conditions, biologics help by either suppressing or enhancing specific parts of the immune response.

Biologics come in various forms, each with its own mechanism of action:

  • Monoclonal antibodies. These lab-made molecules can mimic our immune system's ability to fight off harmful pathogens; they’re specifically designed to target a single region of a protein.
  • Vaccines. While we often think of vaccines for preventing infectious diseases, some vaccines fall under the biologics umbrella, especially those used in cancer treatments.
  • Blood components. Factor VIII, used in hemophilia treatment, is a biologic derived from blood.
  • Gene therapies. These introduce or alter genetic material within a person's cells to treat or prevent disease.

Humira History

By the early 2000s, the scientists at Abbott Laboratories (now AbbVie) had a eureka! moment. They successfully developed adalimumab — the active substance in Humira. A milestone in the field, Humira became the world’s first fully human monoclonal antibody drug, targeting specific proteins in the immune system to reduce inflammation in the body. 

Humira belongs to a group of biologics called TNF inhibitors, which target the TNF (Tumor Necrosis Factor) protein that our body produces as part of its inflammatory response. In some autoimmune conditions, the body produces too much TNF, causing inflammation and damage. Humira blocks the action of TNF.

In December 2002, the U.S. Food and Drug Administration (FDA) approved Humira for treating rheumatoid arthritis. Since then, the approval list has grown, and doctors currently prescribe Humira for conditions like Crohn's disease, psoriasis, and many others.

Potential Side Effects

Today, Humira has built up an impressive track record, helping countless people manage their conditions and improving their quality of life. 

That said, like any other medication, Humira comes with a set of warnings. Here are the possible side effects of the drug:

  • Injection site reactions. This might include redness, itching, swelling, or pain where the injection was given. It's the body's immediate reaction to a foreign substance.
  • Upper respiratory infections. Humira can affect the immune system, potentially making patients more susceptible to infections such as the common cold.
  • Headaches. A common side effect with many medications, headaches can be the result of changes in the body's inflammatory response.
  • Rashes. The skin can sometimes react to Humira, resulting in various types of rashes.
  • Nausea. Some patients might feel an upset stomach or the urge to vomit after taking the medication.
  • Back pain. While it's not entirely clear why, some Humira users report experiencing back pain.

Serious side effects are rare, but they have been observed on occasion:

  • Infections. Since Humira affects the immune system, it can lower the body's ability to fight infections including tuberculosis (TB), bacterial sepsis, and fungal infections.
  • Heart problems. There have been reports of developing or worsening heart failure in some patients taking Humira.
  • Liver problems. The liver, which processes the medication, can be affected. Symptoms might include jaundice (yellowing of the skin or eyes), dark brown urine, right-sided abdominal pain, fever, or severe fatigue. 
  • Blood disorders. Some people experience a decrease in blood cells, which can make them more susceptible to infections or cause them to bruise or bleed more easily.
  • Nervous system problems. Symptoms like tingling, numbness, or vision problems can arise, indicating potential issues with the nervous system.
  • New or worsening psoriasis. Ironically, some patients might experience new or worsening psoriasis (even though Humira can sometimes be used to treat it).
  • Lupus-like syndrome. Some patients develop symptoms similar to lupus, which include chest discomfort, joint pain, or a rash on cheeks or arms.
  • Cancers. There's an increased risk of certain types of cancers in patients taking Humira, including lymphoma.
Dangers of mixing alcohol and Humira medication

The Alcohol Angle

If you've ever skimmed through the pages of Humira's prescribing information, you know it doesn't specifically caution against alcohol. But this isn't a green flag to chug down your favorite drink. Medical professionals advise moderation and recommend discussing individual consumption levels with your healthcare provider.

While moderate alcohol consumption has not been shown to reduce the effectiveness of Humira directly, the real concern is how alcohol can amplify the medication’s potential side effects. This comes as no surprise: combining Humira with booze means blending two powerful ingredients. On their own, they each have distinct profiles; together, the blend might stir up unwanted reactions. Let's dive into which side effects of Humira might interact negatively with alcohol.

1. Liver Function

Both alcohol and Humira can strain the liver. Combining the two might escalate this risk, making it important to monitor liver function tests while on the medication.

  • Humira's impact. Humira can cause liver problems, resulting in symptoms like yellowing of the skin or eyes (jaundice), dark brown urine, or severe nausea and vomiting.
  • Alcohol’s role. Alcohol is metabolized in the liver. Excessive alcohol consumption is well-known to contribute to liver issues, resulting in fatty liver disease or even cirrhosis. Drinking alcohol while on Humira may amplify the risk of liver damage, especially if taken in large amounts or over a prolonged period.
2. Immune System Suppression
  • Humira's impact. As an immunosuppressant, Humira reduces the activity of the immune system to help manage autoimmune conditions. However, the body can become more susceptible to infections as a result.
  • Alcohol’s role. Chronic alcohol use can weaken the immune system, making it harder for the body to fend off viruses and bacteria. The combination of Humira and alcohol might further compromise the immune system, potentially increasing the risk of infections.
3. Blood Disorders
  • Humira's impact. In rare instances, Humira might affect the blood's ability to clot, leading to conditions like anemia or thrombocytopenia.
  • Alcohol’s role. Chronic alcohol use can interfere with the production and function of red and white blood cells and platelets. Combining alcohol with Humira might heighten the risk of blood-related complications.
4. Gastrointestinal Concerns
  • Humira's impact. Some patients on Humira experience gastrointestinal problems, including nausea or stomach pain.
  • Alcohol’s role. Alcohol can irritate the stomach lining, leading to gastritis, acid reflux, or other gastrointestinal symptoms. Consuming alcohol while on Humira could amplify gastrointestinal discomfort and other related symptoms.

Making the Call

The consequences of mixing alcohol and Humira aren’t universal. Your overall health, liver function, other medications you're on, and even your genetic makeup can all influence how your body reacts.

At the end of the day, the decision to drink while taking Humira should be a personal one, made in collaboration with your healthcare provider. After all, they understand your specific situation and can offer guidance tailored to you.

7 Safety Steps 

  • Educate yourself. Learn about the intricacies of your medication, its side effects, and potential interactions.
  • Open dialogue. Don’t hesitate to discuss your alcohol consumption habits with your doctor. They're there to help!
  • Monitor liver function. Given that both Humira and alcohol can affect the liver, consider scheduling regular liver function tests to ensure everything is in tip-top shape.
  • Limit quantity. If you do decide to drink, keep it moderate. Overindulgence could amplify potential risks.
  • Note your body’s reaction. Everyone's different! If you notice any unusual symptoms after combining Humira and alcohol, share with your healthcare provider.
  • Stay hydrated. Alcohol can be dehydrating. Make sure to balance your intake with ample water to keep dehydration at bay.
  • Avoid binge drinking. This is crucial! Binge drinking can be harmful on its own, and when combined with medications, the risks can be significantly heightened.

There's no universal verdict on the Humira-alcohol combo, but knowledge, caution, and attention to medical advice can go a long way. It’s all about making informed decisions and keeping your well-being at the center!

It’s Friday evening, and you're getting ready for a small get-together with friends. The table is stacked with snacks, the music is playing, and you’re debating what drink to enjoy for the evening. But what if you're on Humira? Is mixing alcohol with this medication wise? Let's take a closer look.

Friendly Fire

If you or someone you know are taking Humira — also known as adalimumab — chances are, it’s for an autoimmune condition. Our sophisticated defense mechanism, the immune system, protects us from harmful intruders such as viruses and bacteria. However, in autoimmune conditions, there’s a glitch: the immune system confuses its own cells for foreign invaders and goes into attack mode. 

One primary response to this misguided attack is inflammation. Normally, inflammation is the body's way of signaling there’s a problem — an alarm that signals a need for intervention to oust an invading pathogen. It jumpstarts the process of healing wounds and fighting off infections. 

However, in autoimmune diseases, the process goes haywire: instead of being a reaction to a genuine problem, inflammation becomes chronic, leading to various symptoms and potential damage.

What sparks this mix-up? The exact causes of autoimmune diseases remain a subject of ongoing research. Genetics, environmental factors, infections, and even some medications might play a role. 

Autoimmune Diseases: The Main Players

Unwarranted inflammation can impact various parts of the body. Depending on the location, different symptoms and conditions can arise, creating a vast spectrum of autoimmune conditions. However, they all boil down to the immune system getting its wire crossed in different ways. Here are the most common types:

  • Rheumatoid arthritis (RA). When joints become the battleground for inflammation, we're talking about RA — an autoimmune condition that develops when the body mistakenly targets the linings of joints, causing swelling, pain, and potential damage over time.
  • Psoriasis. Psoriasis accelerates skin cell growth, leading to red, scaly patches on the skin that can be both itchy and painful — another unintended detour for the body’s defense system.
  • Plaque psoriasis. A subset of psoriasis, this one is the most common type. It leads to thick, red skin with silvery scales. 
  • Crohn's disease. The digestive tract gets caught in an inflammatory storm, which causes symptoms ranging from abdominal pain to severe diarrhea and malnutrition.
  • Ankylosing spondylitis (AS). When the spine bears the brunt of inflammation, AS is the result. It can cause chronic spine pain and stiffness, but can also affect other joints.
  • Juvenile idiopathic arthritis (JIA). Kids aren't spared from the grip of autoimmune issues. JIA is like RA but targets youngsters under the age of 16, causing joint pain and inflammation.
  • Ulcerative colitis (UC). Another condition affecting the digestive tract, UC zeroes in on the colon, causing persistent inflammation and leading to symptoms like bloody stools and abdominal cramps.

The Basics of Biologics

Where does Humira come in? The story begins in the late 20th century, with the discovery of biologics. The medical community had long recognized the need for targeted treatments for inflammatory autoimmune conditions, and voila! In the 1990s, researchers found a unique solution.

Biologics are a group of medicines derived from living organisms, which sets them apart from traditional drugs that are typically synthesized from chemical compounds. Instead of being made from a mix of chemicals in a lab, biologics are produced using cutting-edge biotechnological methods, often involving genetically modified cells. The sources can be anything from humans, animals, or microorganisms.

Unlike conventional drugs that work more like sledgehammers, attacking a condition whole-hog, biologics are more like a scalpel — they are precise, designed to target the specific molecules in our body (usually proteins) that play a role in disease processes. By singling out these molecules, biologics can block or modify their action, treating the condition at its source. When it comes to autoimmune conditions, biologics help by either suppressing or enhancing specific parts of the immune response.

Biologics come in various forms, each with its own mechanism of action:

  • Monoclonal antibodies. These lab-made molecules can mimic our immune system's ability to fight off harmful pathogens; they’re specifically designed to target a single region of a protein.
  • Vaccines. While we often think of vaccines for preventing infectious diseases, some vaccines fall under the biologics umbrella, especially those used in cancer treatments.
  • Blood components. Factor VIII, used in hemophilia treatment, is a biologic derived from blood.
  • Gene therapies. These introduce or alter genetic material within a person's cells to treat or prevent disease.

Humira History

By the early 2000s, the scientists at Abbott Laboratories (now AbbVie) had a eureka! moment. They successfully developed adalimumab — the active substance in Humira. A milestone in the field, Humira became the world’s first fully human monoclonal antibody drug, targeting specific proteins in the immune system to reduce inflammation in the body. 

Humira belongs to a group of biologics called TNF inhibitors, which target the TNF (Tumor Necrosis Factor) protein that our body produces as part of its inflammatory response. In some autoimmune conditions, the body produces too much TNF, causing inflammation and damage. Humira blocks the action of TNF.

In December 2002, the U.S. Food and Drug Administration (FDA) approved Humira for treating rheumatoid arthritis. Since then, the approval list has grown, and doctors currently prescribe Humira for conditions like Crohn's disease, psoriasis, and many others.

Potential Side Effects

Today, Humira has built up an impressive track record, helping countless people manage their conditions and improving their quality of life. 

That said, like any other medication, Humira comes with a set of warnings. Here are the possible side effects of the drug:

  • Injection site reactions. This might include redness, itching, swelling, or pain where the injection was given. It's the body's immediate reaction to a foreign substance.
  • Upper respiratory infections. Humira can affect the immune system, potentially making patients more susceptible to infections such as the common cold.
  • Headaches. A common side effect with many medications, headaches can be the result of changes in the body's inflammatory response.
  • Rashes. The skin can sometimes react to Humira, resulting in various types of rashes.
  • Nausea. Some patients might feel an upset stomach or the urge to vomit after taking the medication.
  • Back pain. While it's not entirely clear why, some Humira users report experiencing back pain.

Serious side effects are rare, but they have been observed on occasion:

  • Infections. Since Humira affects the immune system, it can lower the body's ability to fight infections including tuberculosis (TB), bacterial sepsis, and fungal infections.
  • Heart problems. There have been reports of developing or worsening heart failure in some patients taking Humira.
  • Liver problems. The liver, which processes the medication, can be affected. Symptoms might include jaundice (yellowing of the skin or eyes), dark brown urine, right-sided abdominal pain, fever, or severe fatigue. 
  • Blood disorders. Some people experience a decrease in blood cells, which can make them more susceptible to infections or cause them to bruise or bleed more easily.
  • Nervous system problems. Symptoms like tingling, numbness, or vision problems can arise, indicating potential issues with the nervous system.
  • New or worsening psoriasis. Ironically, some patients might experience new or worsening psoriasis (even though Humira can sometimes be used to treat it).
  • Lupus-like syndrome. Some patients develop symptoms similar to lupus, which include chest discomfort, joint pain, or a rash on cheeks or arms.
  • Cancers. There's an increased risk of certain types of cancers in patients taking Humira, including lymphoma.
Dangers of mixing alcohol and Humira medication

The Alcohol Angle

If you've ever skimmed through the pages of Humira's prescribing information, you know it doesn't specifically caution against alcohol. But this isn't a green flag to chug down your favorite drink. Medical professionals advise moderation and recommend discussing individual consumption levels with your healthcare provider.

While moderate alcohol consumption has not been shown to reduce the effectiveness of Humira directly, the real concern is how alcohol can amplify the medication’s potential side effects. This comes as no surprise: combining Humira with booze means blending two powerful ingredients. On their own, they each have distinct profiles; together, the blend might stir up unwanted reactions. Let's dive into which side effects of Humira might interact negatively with alcohol.

1. Liver Function

Both alcohol and Humira can strain the liver. Combining the two might escalate this risk, making it important to monitor liver function tests while on the medication.

  • Humira's impact. Humira can cause liver problems, resulting in symptoms like yellowing of the skin or eyes (jaundice), dark brown urine, or severe nausea and vomiting.
  • Alcohol’s role. Alcohol is metabolized in the liver. Excessive alcohol consumption is well-known to contribute to liver issues, resulting in fatty liver disease or even cirrhosis. Drinking alcohol while on Humira may amplify the risk of liver damage, especially if taken in large amounts or over a prolonged period.
2. Immune System Suppression
  • Humira's impact. As an immunosuppressant, Humira reduces the activity of the immune system to help manage autoimmune conditions. However, the body can become more susceptible to infections as a result.
  • Alcohol’s role. Chronic alcohol use can weaken the immune system, making it harder for the body to fend off viruses and bacteria. The combination of Humira and alcohol might further compromise the immune system, potentially increasing the risk of infections.
3. Blood Disorders
  • Humira's impact. In rare instances, Humira might affect the blood's ability to clot, leading to conditions like anemia or thrombocytopenia.
  • Alcohol’s role. Chronic alcohol use can interfere with the production and function of red and white blood cells and platelets. Combining alcohol with Humira might heighten the risk of blood-related complications.
4. Gastrointestinal Concerns
  • Humira's impact. Some patients on Humira experience gastrointestinal problems, including nausea or stomach pain.
  • Alcohol’s role. Alcohol can irritate the stomach lining, leading to gastritis, acid reflux, or other gastrointestinal symptoms. Consuming alcohol while on Humira could amplify gastrointestinal discomfort and other related symptoms.

Making the Call

The consequences of mixing alcohol and Humira aren’t universal. Your overall health, liver function, other medications you're on, and even your genetic makeup can all influence how your body reacts.

At the end of the day, the decision to drink while taking Humira should be a personal one, made in collaboration with your healthcare provider. After all, they understand your specific situation and can offer guidance tailored to you.

7 Safety Steps 

  • Educate yourself. Learn about the intricacies of your medication, its side effects, and potential interactions.
  • Open dialogue. Don’t hesitate to discuss your alcohol consumption habits with your doctor. They're there to help!
  • Monitor liver function. Given that both Humira and alcohol can affect the liver, consider scheduling regular liver function tests to ensure everything is in tip-top shape.
  • Limit quantity. If you do decide to drink, keep it moderate. Overindulgence could amplify potential risks.
  • Note your body’s reaction. Everyone's different! If you notice any unusual symptoms after combining Humira and alcohol, share with your healthcare provider.
  • Stay hydrated. Alcohol can be dehydrating. Make sure to balance your intake with ample water to keep dehydration at bay.
  • Avoid binge drinking. This is crucial! Binge drinking can be harmful on its own, and when combined with medications, the risks can be significantly heightened.

There's no universal verdict on the Humira-alcohol combo, but knowledge, caution, and attention to medical advice can go a long way. It’s all about making informed decisions and keeping your well-being at the center!

Alcohol and Health
2023-10-17 9:00
Alcohol and Health
How Does the Sunk Cost Fallacy Affect Our Decision Making?
This is some text inside of a div block.

Ever find yourself stuck in a decision just because you've already invested in it? Learn the science behind why we do it and how to break free!

23 min read

Steer Clear of the Sunk Cost Fallacy and Change Your Relationship With Alcohol 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 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 through the App Store or Google Play today!

Read Full Article  →

In Rationality, cognitive neuroscientist and author Steven Pinker writes: “One of the most commonly cited human irrationalities is the sunk-cost fallacy, in which people continue to invest in a losing venture because of what they have invested so far rather than in anticipation of what they will gain going forward.”

Ever found yourself sticking with a book that’s utterly boring, simply because you’ve read half of it? Or maybe you held onto a dress you never wore, thinking of the money you spent on it? Well, welcome to the world of the sunk cost fallacy! This common hiccup in our decision-making process is worth exploring further. Today, let’s dive into how sunk cost fallacy impacts our choices in life and in our alcohol cutback or quitting journey. 

From Economic Roots to Psychological Insights

The concept of sunk costs originated in the realm of economic theory. Economists recognized that rational decision-making should not consider "sunk" investments — costs that are a done deal and cannot be recovered. In an ideal economic world, only future costs and benefits should impact choices.

However, as behavioral economics — a field that combines psychology with economics — began to emerge, researchers noticed that in daily life, people often didn't act rationally (at least in the economic sense). We have a knack for letting past “investments” — financial or otherwise — influence our current decisions.

The 1970s and 1980s were a prime era for understanding this behavior. Psychologists Daniel Kahneman and Amos Tversky documented numerous cognitive biases humans have, including the tendency to overvalue sunk costs. They found that emotions, societal pressures, and cognitive biases (such as the sunk cost fallacy) influence many of our decisions.

One of the most cited cases is the Concorde airplane developed by Britain and France. Despite growing evidence during development that it wouldn’t be economically viable, governments kept funding it to justify the initial investment. In fact, the "Concorde Fallacy" has since become another name for the sunk cost fallacy in some circles!

In the following decades, psychologists continued to explore the sunk cost fallacy in different contexts. In one 1985 experiment by Hal Arkes and Catherine Blumer, researchers asked participants to imagine they paid 100 dollars for a ski trip to Michigan. Next, they asked the subjects to imagine they came across a better trip to Wisconsin for half the price and bought the tickets for that one as well. When asked what they would do if the two trips overlapped, most said they would pick the Michigan trip simply because of the larger financial investment — in spite of the fact that doing so would result in a sub-par skiing experience (as per the conditions of the experiment).

The Sunk Cost Fallacy Today (and the FarmVille Fiasco)

Today, the concept of the sunk cost fallacy is widely recognized both inside and outside academia. It now refers to our overall tendency to follow through on an endeavor if we've invested time, money, or energy into it, even if it's no longer the best choice. The more we invest, the harder it becomes to walk away, even if logic tells us otherwise.

An interesting modern-day example came up on an episode of the You Are Not So Smart podcast back in 2011. The episode focused on the sunk cost fallacy and the ridiculous lengths we tend to go to in order to “protect” our investments by using the example of FarmVille — the virtual farming game that once ruled social media feeds and prompted many of us to tend to virtual crops and livestock. Beyond the pixelated vegetables and the cheerful background music, FarmVille offers a fantastic example of the sunk cost fallacy in action.

At its core, FarmVille was a resource management game. Players planted crops, raised animals, and built structures on their farm. As they made progress, the game introduced longer-term crops and tasks that demanded more time and attention. As players invested more time and, in some cases, actual money (through in-game purchases) into their farms, they established a commitment to their virtual land.

Granted, the game was fun — at least at the beginning. However, as time went on, players felt more and more committed to their virtual property, at the expense of real-life engagements. Some even put their jobs in jeopardy for the sake of virtual livestock and landscaping. Why? It all comes back to the sunk cost fallacy. Over time, even if the game became monotonous or time-consuming, players found it hard to walk away because they've invested so much time and resources into their “farm.” They didn’t want to feel like all their past efforts were "wasted" by abandoning the game.

As we can see, understanding the grip of sunk costs has profound implications — whether we’re talking about businesses taking a hard look at unproductive projects or people reassessing personal choices. As we move forward, being aware of this fallacy's historical roots and our susceptibility to it allows us to make better, more informed decisions.

The Brain’s Take on Sunk Cost

Our brains play an important role in cognitive biases — and the sunk cost fallacy is no exception. As humans, we're naturally loss-averse. We feel the pain of loss more deeply than the joy of gains. So when we face the idea of "wasting" resources, our brain goes, “Oh no! Not on my watch!” Let’s take a closer look at the four areas of the brain involved in the sunk cost fallacy:

  • The emotional seat: the anterior insular cortex. It's not just your imagination — holding onto a poor investment indeed feels painful. The anterior insular cortex, an area of the brain involved in processing emotions like pain and disgust, activates when we're faced with potential losses. This region effectively puts a neural spotlight on the discomfort of loss, making us more averse to letting go of an investment, even when it's not serving us well.
  • The battle of logic vs. emotion: the prefrontal cortex. Responsible for rational decision-making, this area tries to evaluate the pros and cons logically. When we’re contemplating giving up something we’ve invested in, our prefrontal cortex is the one urging us to consider future benefits and potential outcomes. But it's not all-powerful. In many situations, our emotional responses can overwhelm these logical processes, making us more prone to the sway of the sunk cost fallacy. Letting go feels like admitting failure. And who likes that, right? Recognizing a bad investment, whether in time, money, or emotions, can hurt our ego. We'd rather keep going, hoping things might turn around, than accept the sunk cost.
  • The reward center: the striatum. The striatum is the brain’s reward hub that lights up when we expect something pleasurable. Curiously, it's also activated by the prospect of avoiding loss. So, when we’re  weighing the pain of abandoning a project or relationship in which we’ve invested heavily against the “reward” of sticking with it and potentially seeing a return on that investment, the striatum is a key player.
  • Memories and learning: the hippocampus. Our past experiences play a role in shaping our current decisions, and the hippocampus is central to this. It's involved in forming and recalling memories. If in the past we regretted letting go of something we invested in (even if it was the right choice), the memory of that regret could make us more hesitant to "give up" in the future.

In this way, the brain’s wiring can predispose us to falling into the sunk cost fallacy. However, simply being aware of these natural tendencies is a huge step in avoiding the mental trap!

The Many Faces of the Sunk Cost Fallacy

The sunk cost fallacy isn't a one-trick pony — it pops up in various aspects of our lives. Let’s journey through the 7 different contexts where this cognitive misstep can emerge.

1. Personal Relationships

Relationships are built over time, marked by shared memories, emotional investments, and sometimes challenges overcome together.

Example: Consider Jake, who's been in a tumultuous relationship for five years. Even though he's unhappy, he thinks about the time and emotional investment he's put into the relationship and decides to stick around, hoping things will improve, instead of considering if this relationship is beneficial for his future.

2. Business Investments

Business decisions often involve monetary and time investments. The initial excitement of a project can sometimes blind us to when it's time to redirect efforts.

Example: Sarah's company launched a product that hasn't been performing well for years. Instead of cutting her losses and focusing on other promising products, she continues to pump money into marketing and development, swayed by the initial investment her company made.

3. Education and Career

Education and career paths are significant commitments, often seen as defining aspects of our identity and life trajectory. It can be difficult to let go of the enormous investments of time and money when it comes to considering if we should change tracks.

Example: Liam spent two years in a graduate program before realizing he’s not passionate about the field. However, instead of switching paths, he completes the program because he believes the time and tuition spent would be "wasted" otherwise.

4. Entertainment and Leisure

Leisure activities, from concerts to vacations, involve both financial costs and the anticipation of enjoyment that can trigger the sunk cost fallacy when we’re considering a change.

Example: Maria purchases a ticket for a music festival. On the day, it's pouring rain, and she’s not feeling well. Rather than staying home, she goes because she believes not attending would mean “wasting” the ticket cost.

5. Personal Projects and Hobbies

We often explore hobbies hoping to find passion, relaxation, or a new skill. The initial investment can sometimes become a tether.

Example: Alex started learning the guitar. After purchasing an expensive one and spending months on lessons, he realizes he doesn’t enjoy playing. But the thought of the money spent keeps him reluctantly strumming, instead of exploring other hobbies he might genuinely love.

6. Political and Societal Decisions

On a larger scale, societal projects, from infrastructure to policies, often involve vast resources and have lasting impacts on communities.

Example: A city has been constructing a new transportation system. Halfway through, new technology emerges that would be cheaper and more effective. Instead of adapting, the city continues with the outdated plan, swayed by the already spent funds and efforts.

7. Health and Wellness

Health decisions, from diet choices to fitness commitments, greatly influence our well-being. Yet, past investments can sometimes overshadow what's best for us.

Example: Jenna joins an upscale gym with a hefty membership fee. A few months in, she finds she prefers outdoor workouts. Despite this, she forces herself to the gym, influenced by the sunk cost of the membership, rather than pursuing workouts she truly enjoys.

Navigating past sunk cost mistake: moving towards progress

The Sunk Cost Fallacy and the Alcohol Journey

Finally, let’s consider how the sunk cost fallacy can show up on our journey to cut back on or quit alcohol. Navigating our relationship with alcohol can be a winding road, with each bend and curve shaped by societal influences, personal experiences, and yes, cognitive biases like the sunk cost fallacy. Let's explore how this mental trap can influence our choices:

  • The investment in drinking culture. For many, drinking isn't just about the alcohol; it's about the memories made, friendships solidified, and bonds created over a pint or a glass of wine. We invest in the culture — the late nights, the parties, the "just one drink after work." Over time, this investment becomes not just monetary but emotional and social.
  • The formation of our identity. Imagine you’ve been drinking socially for years. It's become part of your identity. You have a collection of expensive wines, memories of pub crawls, and countless tales of boozy adventures. You've invested. Now, let's say you're considering reducing your alcohol consumption or quitting altogether for health or personal reasons. The sunk cost fallacy kicks in, reminding you of all those investments. Thoughts like, "But I've spent so much on building my wine collection!" or "What about all those memories?" can make the decision to cut back much harder.

While the past plays a vital role in shaping us, our future decisions about alcohol should focus on what's beneficial moving forward. This might mean:

  • Recognizing that the money spent on alcohol is a sunk cost, and prioritizing future savings and health benefits.
  • Understanding that memories made while drinking don't lose their value if you decide to drink less or abstain. They're a part of your story, but they don’t have to dictate future chapters.
  • Forgiving ourselves for making decisions that no longer align with our life path, goals, and new identity.
  • Embracing new, alcohol-free experiences and memories, and appreciating the clarity and wellness that can come with them.

Tackling the sunk cost fallacy on our alcohol journey means taking a step back, evaluating our current relationship with alcohol, and making choices that align with our future well-being, rather than being anchored to past investments. It's a journey of self-awareness, growth, and empowerment.

Navigating the Sunk Cost Fallacy

Recognizing the widespread nature of the sunk cost fallacy across various life domains can help us be more vigilant. By being aware, we're better equipped to make decisions that prioritize our future well-being and success over past expenditures. Here are 7 ways we can go about it:

  • Awareness is key. Before making decisions, take a moment to reflect. Ask yourself if you're choosing something because it's genuinely beneficial or because you're already invested.
  • Quantify your costs. Put a real value on your time, money, or effort. When you realize how much you're losing by sticking to a decision, it can make it easier to let go.
  • Focus on the future. Train your mind to prioritize future benefits over past investments. Ask, “What will I gain in the future by continuing with this?” versus “How much have I already invested?”
  • Embrace mistakes. Remember, it's human to make errors. What defines us isn't the mistake but how we pivot and learn from it.
  • Consult a buddy. Talk it out. Sharing your dilemma with a trusted friend can provide clarity. They might see the situation more objectively than you can.
  • Set limits. Before diving into a project, define your stopping points. For example, “I'll try this new hobby for three months. If it doesn't bring joy or value, I'll reassess.”
  • Journal your decisions. Keeping a decision diary can help. Jot down the reasons for making a choice. Revisiting these notes can offer perspective when you're in the sunk cost conundrum.

Wrapping Up

Decisions shape our life. And while the sunk cost fallacy can seem like a pesky speed bump, with awareness and actionable strategies, you can navigate your decision-making journey with poise and clarity. Remember: every choice is an opportunity to learn and grow. And here at Reframe, we're all about growth! So the next time you're unsure about holding onto that unread book or uneaten pizza slice because you already paid for it, think again. Your future self will thank you!

In Rationality, cognitive neuroscientist and author Steven Pinker writes: “One of the most commonly cited human irrationalities is the sunk-cost fallacy, in which people continue to invest in a losing venture because of what they have invested so far rather than in anticipation of what they will gain going forward.”

Ever found yourself sticking with a book that’s utterly boring, simply because you’ve read half of it? Or maybe you held onto a dress you never wore, thinking of the money you spent on it? Well, welcome to the world of the sunk cost fallacy! This common hiccup in our decision-making process is worth exploring further. Today, let’s dive into how sunk cost fallacy impacts our choices in life and in our alcohol cutback or quitting journey. 

From Economic Roots to Psychological Insights

The concept of sunk costs originated in the realm of economic theory. Economists recognized that rational decision-making should not consider "sunk" investments — costs that are a done deal and cannot be recovered. In an ideal economic world, only future costs and benefits should impact choices.

However, as behavioral economics — a field that combines psychology with economics — began to emerge, researchers noticed that in daily life, people often didn't act rationally (at least in the economic sense). We have a knack for letting past “investments” — financial or otherwise — influence our current decisions.

The 1970s and 1980s were a prime era for understanding this behavior. Psychologists Daniel Kahneman and Amos Tversky documented numerous cognitive biases humans have, including the tendency to overvalue sunk costs. They found that emotions, societal pressures, and cognitive biases (such as the sunk cost fallacy) influence many of our decisions.

One of the most cited cases is the Concorde airplane developed by Britain and France. Despite growing evidence during development that it wouldn’t be economically viable, governments kept funding it to justify the initial investment. In fact, the "Concorde Fallacy" has since become another name for the sunk cost fallacy in some circles!

In the following decades, psychologists continued to explore the sunk cost fallacy in different contexts. In one 1985 experiment by Hal Arkes and Catherine Blumer, researchers asked participants to imagine they paid 100 dollars for a ski trip to Michigan. Next, they asked the subjects to imagine they came across a better trip to Wisconsin for half the price and bought the tickets for that one as well. When asked what they would do if the two trips overlapped, most said they would pick the Michigan trip simply because of the larger financial investment — in spite of the fact that doing so would result in a sub-par skiing experience (as per the conditions of the experiment).

The Sunk Cost Fallacy Today (and the FarmVille Fiasco)

Today, the concept of the sunk cost fallacy is widely recognized both inside and outside academia. It now refers to our overall tendency to follow through on an endeavor if we've invested time, money, or energy into it, even if it's no longer the best choice. The more we invest, the harder it becomes to walk away, even if logic tells us otherwise.

An interesting modern-day example came up on an episode of the You Are Not So Smart podcast back in 2011. The episode focused on the sunk cost fallacy and the ridiculous lengths we tend to go to in order to “protect” our investments by using the example of FarmVille — the virtual farming game that once ruled social media feeds and prompted many of us to tend to virtual crops and livestock. Beyond the pixelated vegetables and the cheerful background music, FarmVille offers a fantastic example of the sunk cost fallacy in action.

At its core, FarmVille was a resource management game. Players planted crops, raised animals, and built structures on their farm. As they made progress, the game introduced longer-term crops and tasks that demanded more time and attention. As players invested more time and, in some cases, actual money (through in-game purchases) into their farms, they established a commitment to their virtual land.

Granted, the game was fun — at least at the beginning. However, as time went on, players felt more and more committed to their virtual property, at the expense of real-life engagements. Some even put their jobs in jeopardy for the sake of virtual livestock and landscaping. Why? It all comes back to the sunk cost fallacy. Over time, even if the game became monotonous or time-consuming, players found it hard to walk away because they've invested so much time and resources into their “farm.” They didn’t want to feel like all their past efforts were "wasted" by abandoning the game.

As we can see, understanding the grip of sunk costs has profound implications — whether we’re talking about businesses taking a hard look at unproductive projects or people reassessing personal choices. As we move forward, being aware of this fallacy's historical roots and our susceptibility to it allows us to make better, more informed decisions.

The Brain’s Take on Sunk Cost

Our brains play an important role in cognitive biases — and the sunk cost fallacy is no exception. As humans, we're naturally loss-averse. We feel the pain of loss more deeply than the joy of gains. So when we face the idea of "wasting" resources, our brain goes, “Oh no! Not on my watch!” Let’s take a closer look at the four areas of the brain involved in the sunk cost fallacy:

  • The emotional seat: the anterior insular cortex. It's not just your imagination — holding onto a poor investment indeed feels painful. The anterior insular cortex, an area of the brain involved in processing emotions like pain and disgust, activates when we're faced with potential losses. This region effectively puts a neural spotlight on the discomfort of loss, making us more averse to letting go of an investment, even when it's not serving us well.
  • The battle of logic vs. emotion: the prefrontal cortex. Responsible for rational decision-making, this area tries to evaluate the pros and cons logically. When we’re contemplating giving up something we’ve invested in, our prefrontal cortex is the one urging us to consider future benefits and potential outcomes. But it's not all-powerful. In many situations, our emotional responses can overwhelm these logical processes, making us more prone to the sway of the sunk cost fallacy. Letting go feels like admitting failure. And who likes that, right? Recognizing a bad investment, whether in time, money, or emotions, can hurt our ego. We'd rather keep going, hoping things might turn around, than accept the sunk cost.
  • The reward center: the striatum. The striatum is the brain’s reward hub that lights up when we expect something pleasurable. Curiously, it's also activated by the prospect of avoiding loss. So, when we’re  weighing the pain of abandoning a project or relationship in which we’ve invested heavily against the “reward” of sticking with it and potentially seeing a return on that investment, the striatum is a key player.
  • Memories and learning: the hippocampus. Our past experiences play a role in shaping our current decisions, and the hippocampus is central to this. It's involved in forming and recalling memories. If in the past we regretted letting go of something we invested in (even if it was the right choice), the memory of that regret could make us more hesitant to "give up" in the future.

In this way, the brain’s wiring can predispose us to falling into the sunk cost fallacy. However, simply being aware of these natural tendencies is a huge step in avoiding the mental trap!

The Many Faces of the Sunk Cost Fallacy

The sunk cost fallacy isn't a one-trick pony — it pops up in various aspects of our lives. Let’s journey through the 7 different contexts where this cognitive misstep can emerge.

1. Personal Relationships

Relationships are built over time, marked by shared memories, emotional investments, and sometimes challenges overcome together.

Example: Consider Jake, who's been in a tumultuous relationship for five years. Even though he's unhappy, he thinks about the time and emotional investment he's put into the relationship and decides to stick around, hoping things will improve, instead of considering if this relationship is beneficial for his future.

2. Business Investments

Business decisions often involve monetary and time investments. The initial excitement of a project can sometimes blind us to when it's time to redirect efforts.

Example: Sarah's company launched a product that hasn't been performing well for years. Instead of cutting her losses and focusing on other promising products, she continues to pump money into marketing and development, swayed by the initial investment her company made.

3. Education and Career

Education and career paths are significant commitments, often seen as defining aspects of our identity and life trajectory. It can be difficult to let go of the enormous investments of time and money when it comes to considering if we should change tracks.

Example: Liam spent two years in a graduate program before realizing he’s not passionate about the field. However, instead of switching paths, he completes the program because he believes the time and tuition spent would be "wasted" otherwise.

4. Entertainment and Leisure

Leisure activities, from concerts to vacations, involve both financial costs and the anticipation of enjoyment that can trigger the sunk cost fallacy when we’re considering a change.

Example: Maria purchases a ticket for a music festival. On the day, it's pouring rain, and she’s not feeling well. Rather than staying home, she goes because she believes not attending would mean “wasting” the ticket cost.

5. Personal Projects and Hobbies

We often explore hobbies hoping to find passion, relaxation, or a new skill. The initial investment can sometimes become a tether.

Example: Alex started learning the guitar. After purchasing an expensive one and spending months on lessons, he realizes he doesn’t enjoy playing. But the thought of the money spent keeps him reluctantly strumming, instead of exploring other hobbies he might genuinely love.

6. Political and Societal Decisions

On a larger scale, societal projects, from infrastructure to policies, often involve vast resources and have lasting impacts on communities.

Example: A city has been constructing a new transportation system. Halfway through, new technology emerges that would be cheaper and more effective. Instead of adapting, the city continues with the outdated plan, swayed by the already spent funds and efforts.

7. Health and Wellness

Health decisions, from diet choices to fitness commitments, greatly influence our well-being. Yet, past investments can sometimes overshadow what's best for us.

Example: Jenna joins an upscale gym with a hefty membership fee. A few months in, she finds she prefers outdoor workouts. Despite this, she forces herself to the gym, influenced by the sunk cost of the membership, rather than pursuing workouts she truly enjoys.

Navigating past sunk cost mistake: moving towards progress

The Sunk Cost Fallacy and the Alcohol Journey

Finally, let’s consider how the sunk cost fallacy can show up on our journey to cut back on or quit alcohol. Navigating our relationship with alcohol can be a winding road, with each bend and curve shaped by societal influences, personal experiences, and yes, cognitive biases like the sunk cost fallacy. Let's explore how this mental trap can influence our choices:

  • The investment in drinking culture. For many, drinking isn't just about the alcohol; it's about the memories made, friendships solidified, and bonds created over a pint or a glass of wine. We invest in the culture — the late nights, the parties, the "just one drink after work." Over time, this investment becomes not just monetary but emotional and social.
  • The formation of our identity. Imagine you’ve been drinking socially for years. It's become part of your identity. You have a collection of expensive wines, memories of pub crawls, and countless tales of boozy adventures. You've invested. Now, let's say you're considering reducing your alcohol consumption or quitting altogether for health or personal reasons. The sunk cost fallacy kicks in, reminding you of all those investments. Thoughts like, "But I've spent so much on building my wine collection!" or "What about all those memories?" can make the decision to cut back much harder.

While the past plays a vital role in shaping us, our future decisions about alcohol should focus on what's beneficial moving forward. This might mean:

  • Recognizing that the money spent on alcohol is a sunk cost, and prioritizing future savings and health benefits.
  • Understanding that memories made while drinking don't lose their value if you decide to drink less or abstain. They're a part of your story, but they don’t have to dictate future chapters.
  • Forgiving ourselves for making decisions that no longer align with our life path, goals, and new identity.
  • Embracing new, alcohol-free experiences and memories, and appreciating the clarity and wellness that can come with them.

Tackling the sunk cost fallacy on our alcohol journey means taking a step back, evaluating our current relationship with alcohol, and making choices that align with our future well-being, rather than being anchored to past investments. It's a journey of self-awareness, growth, and empowerment.

Navigating the Sunk Cost Fallacy

Recognizing the widespread nature of the sunk cost fallacy across various life domains can help us be more vigilant. By being aware, we're better equipped to make decisions that prioritize our future well-being and success over past expenditures. Here are 7 ways we can go about it:

  • Awareness is key. Before making decisions, take a moment to reflect. Ask yourself if you're choosing something because it's genuinely beneficial or because you're already invested.
  • Quantify your costs. Put a real value on your time, money, or effort. When you realize how much you're losing by sticking to a decision, it can make it easier to let go.
  • Focus on the future. Train your mind to prioritize future benefits over past investments. Ask, “What will I gain in the future by continuing with this?” versus “How much have I already invested?”
  • Embrace mistakes. Remember, it's human to make errors. What defines us isn't the mistake but how we pivot and learn from it.
  • Consult a buddy. Talk it out. Sharing your dilemma with a trusted friend can provide clarity. They might see the situation more objectively than you can.
  • Set limits. Before diving into a project, define your stopping points. For example, “I'll try this new hobby for three months. If it doesn't bring joy or value, I'll reassess.”
  • Journal your decisions. Keeping a decision diary can help. Jot down the reasons for making a choice. Revisiting these notes can offer perspective when you're in the sunk cost conundrum.

Wrapping Up

Decisions shape our life. And while the sunk cost fallacy can seem like a pesky speed bump, with awareness and actionable strategies, you can navigate your decision-making journey with poise and clarity. Remember: every choice is an opportunity to learn and grow. And here at Reframe, we're all about growth! So the next time you're unsure about holding onto that unread book or uneaten pizza slice because you already paid for it, think again. Your future self will thank you!

Alcohol and Health
2023-10-17 9:00
Alcohol and Health
Does Alcohol Cause Acne?
This is some text inside of a div block.

While there is no direct link between alcohol and acne, alcohol’s harmful effects on various bodily systems may indirectly contribute to acne or make it worse.

12 min read

Boost 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 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 through the App Store or Google Play today!

Read Full Article  →

The past few weeks at work have been chaotic. You’re stressed, tired, and having trouble relaxing at night. You’ve started turning to alcohol in an attempt to unwind, and you find yourself drinking more than normal. Pretty soon, you notice that your face is breaking out with pimples. What’s going on? Is it the stress? The alcohol? Or something else? Let’s take a look at the connection between alcohol and acne.

Understanding Acne

We’re probably all too familiar with acne: the whiteheads, blackheads, and pimples. While certain lifestyle habits can make us more vulnerable to developing acne, our genetics play a significantly larger role. Many researchers believe that acne is an inflammatory skin condition and that acne develops because our skin is prone to it.

However, some forms of acne are driven by specific factors. For instance, cystic acne is closely linked to hormones. Similarly, while some factors don’t necessarily cause acne, they can make it harder to manage. For instance, our skincare habits won’t cause acne, but rarely washing our face — or washing it too often! — can contribute to pimples.

Research also indicates that acne can be made worse by lifestyle factors, such as stress and certain food and drinks. But again, these factors aren’t responsible for causing acne in the first place. So what does cause it? 

In general, acne is caused by three factors: excess oil (sebum) production; hair follicles that have become clogged with oil and dead skin cells; and a proliferation of bacteria. All three of these factors have to be present for acne to happen.

Can Alcohol Cause Acne?

What’s the relationship between alcohol and acne? As we’ve established, certain lifestyle factors don’t cause acne. So drinking alcohol doesn’t directly cause acne, nor does it worsen the condition. However, alcohol can affect certain bodily systems that contribute to acne development. Let’s discuss some of alcohol’s effects that may indirectly cause or worsen acne: 

Weakened Immune System

Alcohol can significantly suppress our immune system. It can decrease, and even destroy, the cytokines and other protective cells that keep our body healthy. This can make us more susceptible to infections. For instance, the bacteria Propionibacterium acnes (P. acnes) is known to cause cysts and pustules. A reduced immune response from alcohol may make us more vulnerable to infection with this bacteria, which can contribute to acne breakouts or cause them to become more inflamed.

Hormonal Imbalances

Alcohol also has a well-established impact on our hormone levels. Specifically, alcohol can increase estrogen levels in men and women, as well as levels of cortisol — a stress hormone that can lead to weight gain, sleep disturbances, and a weakened immune system. Increased hormone levels can stimulate our oil glands, causing them to secrete more sebum (oil), which can clog our pores and result in a breakout.

Unveiling the alcohol-acne connection: Understand how alcohol consumption can contribute to acne formation

Increased Inflammation

Alcohol can contribute to inflammation in the body, which can wreak havoc on our immune system over the long run. Our body processes alcohol as a sugar, one of the main culprits in increasing inflammation. If we have mixed drinks containing sugary juices and syrups, our risk for inflammation essentially doubles.

Papules, pustules, nodules, and cysts are all considered forms of inflammatory acne. Interestingly, one study noted participants improved their acne after eating a diet with low glycemic index (that is, a low-sugar diet) for 10 weeks.

Excess Toxins

Our liver is responsible for removing harmful toxins — including alcohol — from our body. Frequent alcohol consumption makes it difficult for our liver to effectively remove toxins, which may cause a build up of harmful substances. These toxins then leave the body through other pathways, such as our skin, resulting in a breakout. Furthermore, alcohol can cause inflammation of liver cells and eliminate antioxidants, leading to oxidative stress (cell and tissue damage), which can make acne worse. 

Dehydration 

Alcohol is a diuretic, which means it increases the production of urine, flushing out more salt and water than usual. As a result, we can become dehydrated, which is problematic not only for our bodily systems, but also our skin. When our skin is properly hydrated, it’s better able to balance natural oils and get rid of dead skin cells and toxins.

Research suggests that dehydration may cause our oil glands to produce more oil to make up for water loss. Excess oil can lead to breakouts or make existing acne more severe. 

How Different Types of Alcohol Affect Our Skin

While alcohol alone doesn’t cause acne, some types of alcohol might affect our skin and acne more than others. For instance, one survey found that red wine appeared to trigger rosacea — an inflammatory skin condition that causes reddened skin and a rash — more than others. 

Here’s a look at other types of alcohol and their potential effect on acne: 

  • Dark liquors. Dark liquors, such as whiskey, scotch, and brandy, contain large amounts of congeners — the chemicals produced during alcohol fermentation. Although congeners enhance alcohol’s flavor, they increase our risk of dehydration. They also raise our blood sugar levels and increase bodily inflammation. 
  • Clear liquors. Clear liquors, such as gin and vodka, are low in congeners. The fewer congeners in our drink, the less likely we are to experience hangover symptoms, such as dehydration. However, consuming large amounts can still lead to dehydration and inflammation.
  • Mixed drinks. Mixed drinks contain sugar syrups or fruit juices along with the liquor. Even if we opt for low-sugar versions, mixed drinks can still raise our blood sugar and dehydrate our skin. 
  • Beer. Beer contains a congener called furfural, a yeast inhibitor added during the fermentation process. Like liquor, beer can contribute to inflammation and dehydration.
  • Wine. Both red and white wine can dehydrate our skin and increase inflammation, due in part to antioxidant congeners called tannins.

The Bottom Line

While there is no direct link between alcohol and acne, alcohol’s harmful effect on various bodily systems may indirectly contribute to acne or make it worse. If we’re already prone to acne, regularly consuming alcohol probably isn’t wise. 

Cutting out or eliminating alcohol can do wonders for our skin in general, not to mention our overall health and well-being. Let Reframe show you how!

The past few weeks at work have been chaotic. You’re stressed, tired, and having trouble relaxing at night. You’ve started turning to alcohol in an attempt to unwind, and you find yourself drinking more than normal. Pretty soon, you notice that your face is breaking out with pimples. What’s going on? Is it the stress? The alcohol? Or something else? Let’s take a look at the connection between alcohol and acne.

Understanding Acne

We’re probably all too familiar with acne: the whiteheads, blackheads, and pimples. While certain lifestyle habits can make us more vulnerable to developing acne, our genetics play a significantly larger role. Many researchers believe that acne is an inflammatory skin condition and that acne develops because our skin is prone to it.

However, some forms of acne are driven by specific factors. For instance, cystic acne is closely linked to hormones. Similarly, while some factors don’t necessarily cause acne, they can make it harder to manage. For instance, our skincare habits won’t cause acne, but rarely washing our face — or washing it too often! — can contribute to pimples.

Research also indicates that acne can be made worse by lifestyle factors, such as stress and certain food and drinks. But again, these factors aren’t responsible for causing acne in the first place. So what does cause it? 

In general, acne is caused by three factors: excess oil (sebum) production; hair follicles that have become clogged with oil and dead skin cells; and a proliferation of bacteria. All three of these factors have to be present for acne to happen.

Can Alcohol Cause Acne?

What’s the relationship between alcohol and acne? As we’ve established, certain lifestyle factors don’t cause acne. So drinking alcohol doesn’t directly cause acne, nor does it worsen the condition. However, alcohol can affect certain bodily systems that contribute to acne development. Let’s discuss some of alcohol’s effects that may indirectly cause or worsen acne: 

Weakened Immune System

Alcohol can significantly suppress our immune system. It can decrease, and even destroy, the cytokines and other protective cells that keep our body healthy. This can make us more susceptible to infections. For instance, the bacteria Propionibacterium acnes (P. acnes) is known to cause cysts and pustules. A reduced immune response from alcohol may make us more vulnerable to infection with this bacteria, which can contribute to acne breakouts or cause them to become more inflamed.

Hormonal Imbalances

Alcohol also has a well-established impact on our hormone levels. Specifically, alcohol can increase estrogen levels in men and women, as well as levels of cortisol — a stress hormone that can lead to weight gain, sleep disturbances, and a weakened immune system. Increased hormone levels can stimulate our oil glands, causing them to secrete more sebum (oil), which can clog our pores and result in a breakout.

Unveiling the alcohol-acne connection: Understand how alcohol consumption can contribute to acne formation

Increased Inflammation

Alcohol can contribute to inflammation in the body, which can wreak havoc on our immune system over the long run. Our body processes alcohol as a sugar, one of the main culprits in increasing inflammation. If we have mixed drinks containing sugary juices and syrups, our risk for inflammation essentially doubles.

Papules, pustules, nodules, and cysts are all considered forms of inflammatory acne. Interestingly, one study noted participants improved their acne after eating a diet with low glycemic index (that is, a low-sugar diet) for 10 weeks.

Excess Toxins

Our liver is responsible for removing harmful toxins — including alcohol — from our body. Frequent alcohol consumption makes it difficult for our liver to effectively remove toxins, which may cause a build up of harmful substances. These toxins then leave the body through other pathways, such as our skin, resulting in a breakout. Furthermore, alcohol can cause inflammation of liver cells and eliminate antioxidants, leading to oxidative stress (cell and tissue damage), which can make acne worse. 

Dehydration 

Alcohol is a diuretic, which means it increases the production of urine, flushing out more salt and water than usual. As a result, we can become dehydrated, which is problematic not only for our bodily systems, but also our skin. When our skin is properly hydrated, it’s better able to balance natural oils and get rid of dead skin cells and toxins.

Research suggests that dehydration may cause our oil glands to produce more oil to make up for water loss. Excess oil can lead to breakouts or make existing acne more severe. 

How Different Types of Alcohol Affect Our Skin

While alcohol alone doesn’t cause acne, some types of alcohol might affect our skin and acne more than others. For instance, one survey found that red wine appeared to trigger rosacea — an inflammatory skin condition that causes reddened skin and a rash — more than others. 

Here’s a look at other types of alcohol and their potential effect on acne: 

  • Dark liquors. Dark liquors, such as whiskey, scotch, and brandy, contain large amounts of congeners — the chemicals produced during alcohol fermentation. Although congeners enhance alcohol’s flavor, they increase our risk of dehydration. They also raise our blood sugar levels and increase bodily inflammation. 
  • Clear liquors. Clear liquors, such as gin and vodka, are low in congeners. The fewer congeners in our drink, the less likely we are to experience hangover symptoms, such as dehydration. However, consuming large amounts can still lead to dehydration and inflammation.
  • Mixed drinks. Mixed drinks contain sugar syrups or fruit juices along with the liquor. Even if we opt for low-sugar versions, mixed drinks can still raise our blood sugar and dehydrate our skin. 
  • Beer. Beer contains a congener called furfural, a yeast inhibitor added during the fermentation process. Like liquor, beer can contribute to inflammation and dehydration.
  • Wine. Both red and white wine can dehydrate our skin and increase inflammation, due in part to antioxidant congeners called tannins.

The Bottom Line

While there is no direct link between alcohol and acne, alcohol’s harmful effect on various bodily systems may indirectly contribute to acne or make it worse. If we’re already prone to acne, regularly consuming alcohol probably isn’t wise. 

Cutting out or eliminating alcohol can do wonders for our skin in general, not to mention our overall health and well-being. Let Reframe show you how!

Alcohol and Health