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Latest Articles
2023-08-06 9:00
Alcohol and Health
How Does Alcohol Affect Sperm and Male Fertility?
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Depending on how much and how frequently we drink, alcohol can significantly affect male fertility by lowering testosterone levels, sperm count, and sperm quality in men.

11 min read

Cut Back on 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  →

When it comes to fertility and alcohol, we usually think about women. Many of us know that drinking alcohol while pregnant can be incredibly risky, increasing the risk of miscarriage, stillbirth, premature birth, and fetal alcohol syndrome.

What’s less widely discussed, however, is how alcohol affects sperm and male fertility. Does alcohol affect sperm when trying to get pregnant? Does drinking heavily can lead to infertility and impotence in men? And does alcohol lower sperm count? Let’s find out!

Understanding Male Fertility

Blocks forming the word 'fertility' on a gray backdrop

Before we explore alcohol and male fertility, it’s helpful to look at the male reproductive system, which is specifically designed to produce, store, and transport sperm.

In order for men to produce sperm — a process referred to as “spermatogenesis” — three main hormones are needed: follicle-stimulating hormone (FSH), luteinizing hormone (LH), and testosterone.

Both FSH and LH are made by our pituitary gland, located at the base of our brain. LH promotes testosterone production in the testicles, and FSH stimulates testicular growth and helps sperm mature. Testosterone, on the other hand, is made in our testicles and is responsible for developing and maintaining masculine characteristics (such as deeper voices and facial hair).

These three hormones — FSH, LH, and testosterone — work together to help our body continuously produce sperm. Changes in hormones due to the aging process or health conditions, such as diabetes and testicular disease, can prevent our body from producing as much sperm.

Does Alcohol Lower Sperm Count?

Now let’s look at what happens when alcohol is in the picture. First, let’s consider the relationship between alcohol and sperm count. Research suggests that alcohol can significantly affect sperm count, depending on how much we drink. While the occasional drink is unlikely to make a huge difference, research shows that regular alcohol consumption may lower men’s sperm count.

Does Alcohol Affect Sperm When Trying To Get Pregnant?

What’s the connection between alcohol and male fertility, especially when trying to conceive? And is it true that drinking heavily can lead to infertility and impotence in men?

Several studies have noted that female partners of men who drink heavily are less likely to become pregnant. This is because heavy, consistent drinking can destroy sperm-producing cells in the testicles, affecting the quality and number of sperm.

More specifically, research has found that heavy drinking affects fertility in these ways:

  • Lowering levels of testosterone, FSH, and LH, and raising estrogen levels, which reduce sperm production
  • Shrinking the testes, which can cause impotence or infertility
  • Changing FSH and LH release, which impacts sperm production
  • Causing early ejaculation or decreasing the ability to ejaculate
  • Changing the shape, size, and movement of healthy sperm

Along with affecting hormone levels, alcohol can also inhibit the function of the testes, preventing sperm from developing properly and reducing the sperm’s ability to move towards an egg. This happens because alcohol stops the liver from properly metabolizing vitamin A, which is needed for sperm development.

These effects are further exacerbated if we combine alcohol with drugs like marijuana or opioids. Additionally, studies show that liver disease caused by excessive drinking can also change sperm quality.

Alcohol’s Effect on Sperm and Male Fertility

How Much Alcohol Affects Male Fertility?

As noted above, the amount of alcohol we consume plays a role in how severely male fertility is affected. Habitual, excessive alcohol consumption has a detrimental impact on both the male reproductive hormones and semen quality. In fact, more than 14 mixed drinks in a week can lower testosterone levels and affect sperm count.

One study found that sperm count in men who consumed 40 units or more of alcohol per week (which translates to 24 beers, 15 mixed drinks, or 4-5 bottles of wine) were approximately 33% lower than those who drank between 1 and 5 units per week. Similarly, the size and shape of sperm — referred to as sperm morphology — was also altered in 51% of the heavy drinkers.

In general, the higher the number of weekly units of alcohol consumed, the lower the sperm quality. One study noted that while negative effects can be seen in men who drink five or more drinks a week, it’s most apparent in men who drink 25 units of alcohol — the equivalent of 15 pints of beer — or more each week.

The good news is that the effects of alcohol can be reversed by quitting drinking. One study showed that it took three months for the return of healthy sperm production once alcohol consumption stops.

Other Links Between Alcohol and Male Fertility

Alongside the effects on hormone levels, sperm quality, and sperm quantity, alcohol can affect male fertility in several other ways:

  • Lower sex drive: Alcohol can affect our desire to have sex in the first place. Studies indicate that alcohol can lead to a lower libido (sex drive) due to decreased levels of testosterone. 
  • Erectile dysfunction: Alcohol can also make it difficult to have sex. It depresses our central nervous system and impacts the signals between our brain and penis, making it difficult to get or maintain an erection. 
  • Dehydration: As a diuretic, alcohol causes us to urinate more frequently than usual, which can lead to dehydration. Dehydration can affect semen volume, or the amount of semen that we ejaculate. 
  • Sugar: A lot of alcoholic beverages are high in sugar content. Multiple studies show a correlation between diets rich in sugar-sweetened beverages and impaired sperm motility (how well the sperm swims). Excess sugar can also lead to weight gain, which is also associated with reduced sperm count and quality. 

Tips To Support the Male Reproductive System

In addition to reducing our alcohol intake, there are several other things we can do to produce healthy sperm and promote fertility. Here are some:

  • Exercise: Physical activity can help our body boost levels of sperm-healthy antioxidant enzymes. It can also help us manage our weight, another important factor for fertility. Men with higher body mass indexes (BMI) might make fewer or less active sperm than men with healthier BMIs. 
  • Eat healthy: Eating healthy foods can help promote the production of healthy sperm. Antioxidants found in fruits and vegetables have been found to be particularly vital for producing and protecting healthy sperm. Also be mindful of eating too many soy products, as some research suggests components in soy may cause DNA in sperm cells. 
  • Manage stress: Stress can affect our hormones and make it more difficult to produce sperm. Try incorporating relaxation techniques — such as deep breathing exercises, mindful meditation, or progressive muscle relaxation — into your daily routine. 

The Bottom Line

While the occasional drink here and there isn’t likely to affect male fertility, regular and heavy consumption of alcohol can lower testosterone levels, sperm count, and sperm quality. The more alcohol we drink, the more severe the effects.

Cutting back on alcohol is not only beneficial for our fertility, but our overall health and well-being. If you want to reduce your alcohol consumption, but don’t know where or how to start, Reframe can help.

When it comes to fertility and alcohol, we usually think about women. Many of us know that drinking alcohol while pregnant can be incredibly risky, increasing the risk of miscarriage, stillbirth, premature birth, and fetal alcohol syndrome.

What’s less widely discussed, however, is how alcohol affects sperm and male fertility. Does alcohol affect sperm when trying to get pregnant? Does drinking heavily can lead to infertility and impotence in men? And does alcohol lower sperm count? Let’s find out!

Understanding Male Fertility

Blocks forming the word 'fertility' on a gray backdrop

Before we explore alcohol and male fertility, it’s helpful to look at the male reproductive system, which is specifically designed to produce, store, and transport sperm.

In order for men to produce sperm — a process referred to as “spermatogenesis” — three main hormones are needed: follicle-stimulating hormone (FSH), luteinizing hormone (LH), and testosterone.

Both FSH and LH are made by our pituitary gland, located at the base of our brain. LH promotes testosterone production in the testicles, and FSH stimulates testicular growth and helps sperm mature. Testosterone, on the other hand, is made in our testicles and is responsible for developing and maintaining masculine characteristics (such as deeper voices and facial hair).

These three hormones — FSH, LH, and testosterone — work together to help our body continuously produce sperm. Changes in hormones due to the aging process or health conditions, such as diabetes and testicular disease, can prevent our body from producing as much sperm.

Does Alcohol Lower Sperm Count?

Now let’s look at what happens when alcohol is in the picture. First, let’s consider the relationship between alcohol and sperm count. Research suggests that alcohol can significantly affect sperm count, depending on how much we drink. While the occasional drink is unlikely to make a huge difference, research shows that regular alcohol consumption may lower men’s sperm count.

Does Alcohol Affect Sperm When Trying To Get Pregnant?

What’s the connection between alcohol and male fertility, especially when trying to conceive? And is it true that drinking heavily can lead to infertility and impotence in men?

Several studies have noted that female partners of men who drink heavily are less likely to become pregnant. This is because heavy, consistent drinking can destroy sperm-producing cells in the testicles, affecting the quality and number of sperm.

More specifically, research has found that heavy drinking affects fertility in these ways:

  • Lowering levels of testosterone, FSH, and LH, and raising estrogen levels, which reduce sperm production
  • Shrinking the testes, which can cause impotence or infertility
  • Changing FSH and LH release, which impacts sperm production
  • Causing early ejaculation or decreasing the ability to ejaculate
  • Changing the shape, size, and movement of healthy sperm

Along with affecting hormone levels, alcohol can also inhibit the function of the testes, preventing sperm from developing properly and reducing the sperm’s ability to move towards an egg. This happens because alcohol stops the liver from properly metabolizing vitamin A, which is needed for sperm development.

These effects are further exacerbated if we combine alcohol with drugs like marijuana or opioids. Additionally, studies show that liver disease caused by excessive drinking can also change sperm quality.

Alcohol’s Effect on Sperm and Male Fertility

How Much Alcohol Affects Male Fertility?

As noted above, the amount of alcohol we consume plays a role in how severely male fertility is affected. Habitual, excessive alcohol consumption has a detrimental impact on both the male reproductive hormones and semen quality. In fact, more than 14 mixed drinks in a week can lower testosterone levels and affect sperm count.

One study found that sperm count in men who consumed 40 units or more of alcohol per week (which translates to 24 beers, 15 mixed drinks, or 4-5 bottles of wine) were approximately 33% lower than those who drank between 1 and 5 units per week. Similarly, the size and shape of sperm — referred to as sperm morphology — was also altered in 51% of the heavy drinkers.

In general, the higher the number of weekly units of alcohol consumed, the lower the sperm quality. One study noted that while negative effects can be seen in men who drink five or more drinks a week, it’s most apparent in men who drink 25 units of alcohol — the equivalent of 15 pints of beer — or more each week.

The good news is that the effects of alcohol can be reversed by quitting drinking. One study showed that it took three months for the return of healthy sperm production once alcohol consumption stops.

Other Links Between Alcohol and Male Fertility

Alongside the effects on hormone levels, sperm quality, and sperm quantity, alcohol can affect male fertility in several other ways:

  • Lower sex drive: Alcohol can affect our desire to have sex in the first place. Studies indicate that alcohol can lead to a lower libido (sex drive) due to decreased levels of testosterone. 
  • Erectile dysfunction: Alcohol can also make it difficult to have sex. It depresses our central nervous system and impacts the signals between our brain and penis, making it difficult to get or maintain an erection. 
  • Dehydration: As a diuretic, alcohol causes us to urinate more frequently than usual, which can lead to dehydration. Dehydration can affect semen volume, or the amount of semen that we ejaculate. 
  • Sugar: A lot of alcoholic beverages are high in sugar content. Multiple studies show a correlation between diets rich in sugar-sweetened beverages and impaired sperm motility (how well the sperm swims). Excess sugar can also lead to weight gain, which is also associated with reduced sperm count and quality. 

Tips To Support the Male Reproductive System

In addition to reducing our alcohol intake, there are several other things we can do to produce healthy sperm and promote fertility. Here are some:

  • Exercise: Physical activity can help our body boost levels of sperm-healthy antioxidant enzymes. It can also help us manage our weight, another important factor for fertility. Men with higher body mass indexes (BMI) might make fewer or less active sperm than men with healthier BMIs. 
  • Eat healthy: Eating healthy foods can help promote the production of healthy sperm. Antioxidants found in fruits and vegetables have been found to be particularly vital for producing and protecting healthy sperm. Also be mindful of eating too many soy products, as some research suggests components in soy may cause DNA in sperm cells. 
  • Manage stress: Stress can affect our hormones and make it more difficult to produce sperm. Try incorporating relaxation techniques — such as deep breathing exercises, mindful meditation, or progressive muscle relaxation — into your daily routine. 

The Bottom Line

While the occasional drink here and there isn’t likely to affect male fertility, regular and heavy consumption of alcohol can lower testosterone levels, sperm count, and sperm quality. The more alcohol we drink, the more severe the effects.

Cutting back on alcohol is not only beneficial for our fertility, but our overall health and well-being. If you want to reduce your alcohol consumption, but don’t know where or how to start, Reframe can help.

Alcohol and Health
2023-08-06 9:00
Alcohol and Health
Which Medications Are Used To Stop Alcohol Cravings?
This is some text inside of a div block.

Gain insight into the four most common medications used to treat alcohol-use disorder and reduce cravings for alcohol: naltrexone, acamprosate, disulfiram, and topiramate.

10 min read

Reduce Your Alcohol Consumption 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  →

There’s no denying it: scaling back on alcohol use, or eliminating it entirely, is no easy feat. Especially for those of us who have developed regular drinking habits or come to depend on alcohol for easing physical or emotional discomfort, breaking free from this toxic substance can be challenging. 

Thankfully, many tools and treatment options can help us reduce — or quit — drinking. What we might not realize, however, is that medication is one of them. In this post, we’ll explore some of the most common medications used to stop drinking.

Alcohol Medication: Pills To Stop Drinking

There are four common alcohol pills, or medications to stop drinking, including naltrexone, acamprosate, disulfiram, and topiramate. Let’s take a closer look at each one of these:

Naltrexone

Also known as Vivitrol, naltrexone is one of the most popular medications for moderate to severe alcohol use disorder (AUD). It’s FDA-approved and works by decreasing alcohol cravings. As an opioid blocker, it blocks the areas of the body where opioids attach, essentially stopping the rewarding effects of alcohol.

A recent study found that naltrexone significantly reduces binge drinking among men with mild to moderate alcohol use disorder. Research also shows that naltrexone works best for people who have already stopped drinking for at least four days when they begin treatment. 

The medication can be taken daily as a pill or monthly as an injection. Healthcare professionals might recommend staying on it for at least one year, as some studies show that when naltrexone is stopped, the benefits are lost. 

As for side effects, some of the most common include nausea and vomiting, appetite changes, headaches, dizziness, and restlessness. More serious side effects include liver damage, depression, and thoughts of self-harm or suicide. For those of us with liver failure or acute hepatitis, it’s important not to take naltrexone. 

Acamprosate

Acamprosate is another popular choice for people with moderate to severe (AUD). It’s FDA-approved and often used instead of naltrexone for people who can’t take naltrexone, such as those of us with liver problems or who use opioids. 

Acamprosate helps rebalance chemicals in the brain that may have been altered by drinking too much. More specifically, it works by interacting with two chemical messenger systems in the brain: GABA (gamma-aminobutyric acid) and glutamate. GABA stifles certain nerve cells and may help control the fear or anxiety we feel when those cells are overexcited. Glutamate, on the other hand, stimulates nerve cells. These systems become imbalanced if we’ve been drinking heavily over time; acamprosate is designed to level them out. 

Several studies have found that acamprosate effectively helps people reduce alcohol use, even after the medication is stopped. The usual dosage is two tablets three times a day. This timing and dosage might make it difficult to take properly, lowering its effectiveness. 

Similar to naltrexone, acamprosate seems to work best if we stop drinking before starting treatment. The medication can cause some side effects, such as diarrhea, trouble sleeping, anxiety, tiredness, depression, and dizziness. For those of us with severe kidney damage, acamprosate might not be a good option.

Disulfiram

Disulfiram, otherwise known as Antabuse, is the oldest FDA-approved medication for alcohol-use disorder. While naltrexone and acamprosate are the most popular medications for reducing drinking, disulfiram might still be a good option for some of us.  

The medication is an alcohol blocker: it prevents alcohol from being broken down, or metabolized, by the liver. If we drink alcohol while taking disulfiram, it causes an unpleasant reaction that helps discourage drinking. For instance, we might experience flushing, nausea, vomiting, difficulty breathing, sweating, low blood pressure, or heart palpitations. These symptoms usually last for about an hour and can happen as late as two weeks after our last dose of disulfiram. 

Research has shown that disulfiram can help people reduce drinking. However, some studies show that it’s more effective when taken under the supervision of a family member, friend, or as part of a program. 

The medication comes in tablet form and is usually taken once in the morning. It can cause various side effects — such as numbness, skin irritation, headache, drowsiness, and sexual dysfunction — but these usually improve or go away after about two weeks. In rare cases, disulfiram can also cause liver damage (especially if we have existing liver problems), psychotic symptoms, or nerve problems. 

Topiramate 

Topiramate is a medication that’s FDA-approved to treat seizures and prevent migraines. However, some doctors also use it to treat alcohol use disorder (AUD), as it helps rebalance chemicals in the brain and correct the electrical activity of brain cells. 

While topiramate is not FDA-approved for alcohol use disorder, studies have suggested that it can be effective in reducing alcohol cravings and withdrawal symptoms. In fact, the American Psychiatric Association recommends it as an option for moderate to severe AUD, including for people who haven’t had success with naltrexone or acamprosate. 

One study of over 350 people found that when topiramate was taken for 14 weeks, it reduced heavy drinking days more than the placebo. Interestingly, another study found that while disulfiram was more likely to lead to continued abstinence, topiramate was better at reducing cravings. 

Topiramate comes as a tablet and sprinkle capsule. It’s generally advised to avoid drinking alcohol when starting the medication, even though it’s been shown to be safe and effective in people who are still actively drinking.

Common side effects include nausea and vomiting, headache, dizziness, drowsiness, “pins and needles” sensations in the hands and feet, changes in taste, and trouble with focus or memory. It can also cause more serious side effects, such as eye problems, skin reactions, suicidal thoughts, or high levels of acid in the blood called metabolic acidosis. 

The Bottom Line

Naltrexone, acamprosate, disulfiram, and topiramate are four common alcohol medications to stop drinking and help curb alcohol cravings. Naltrexone and acamprosate in particular are popular, FDA-approved options that have proven to be effective in helping stop or reduce drinking. However, it’s best to consult a medical professional to determine which medication might be best for you. 

Finally, Reframe is here to help. We’ve enabled millions of people to cut back on their alcohol consumption and enhance their overall health and well-being.

There’s no denying it: scaling back on alcohol use, or eliminating it entirely, is no easy feat. Especially for those of us who have developed regular drinking habits or come to depend on alcohol for easing physical or emotional discomfort, breaking free from this toxic substance can be challenging. 

Thankfully, many tools and treatment options can help us reduce — or quit — drinking. What we might not realize, however, is that medication is one of them. In this post, we’ll explore some of the most common medications used to stop drinking.

Alcohol Medication: Pills To Stop Drinking

There are four common alcohol pills, or medications to stop drinking, including naltrexone, acamprosate, disulfiram, and topiramate. Let’s take a closer look at each one of these:

Naltrexone

Also known as Vivitrol, naltrexone is one of the most popular medications for moderate to severe alcohol use disorder (AUD). It’s FDA-approved and works by decreasing alcohol cravings. As an opioid blocker, it blocks the areas of the body where opioids attach, essentially stopping the rewarding effects of alcohol.

A recent study found that naltrexone significantly reduces binge drinking among men with mild to moderate alcohol use disorder. Research also shows that naltrexone works best for people who have already stopped drinking for at least four days when they begin treatment. 

The medication can be taken daily as a pill or monthly as an injection. Healthcare professionals might recommend staying on it for at least one year, as some studies show that when naltrexone is stopped, the benefits are lost. 

As for side effects, some of the most common include nausea and vomiting, appetite changes, headaches, dizziness, and restlessness. More serious side effects include liver damage, depression, and thoughts of self-harm or suicide. For those of us with liver failure or acute hepatitis, it’s important not to take naltrexone. 

Acamprosate

Acamprosate is another popular choice for people with moderate to severe (AUD). It’s FDA-approved and often used instead of naltrexone for people who can’t take naltrexone, such as those of us with liver problems or who use opioids. 

Acamprosate helps rebalance chemicals in the brain that may have been altered by drinking too much. More specifically, it works by interacting with two chemical messenger systems in the brain: GABA (gamma-aminobutyric acid) and glutamate. GABA stifles certain nerve cells and may help control the fear or anxiety we feel when those cells are overexcited. Glutamate, on the other hand, stimulates nerve cells. These systems become imbalanced if we’ve been drinking heavily over time; acamprosate is designed to level them out. 

Several studies have found that acamprosate effectively helps people reduce alcohol use, even after the medication is stopped. The usual dosage is two tablets three times a day. This timing and dosage might make it difficult to take properly, lowering its effectiveness. 

Similar to naltrexone, acamprosate seems to work best if we stop drinking before starting treatment. The medication can cause some side effects, such as diarrhea, trouble sleeping, anxiety, tiredness, depression, and dizziness. For those of us with severe kidney damage, acamprosate might not be a good option.

Disulfiram

Disulfiram, otherwise known as Antabuse, is the oldest FDA-approved medication for alcohol-use disorder. While naltrexone and acamprosate are the most popular medications for reducing drinking, disulfiram might still be a good option for some of us.  

The medication is an alcohol blocker: it prevents alcohol from being broken down, or metabolized, by the liver. If we drink alcohol while taking disulfiram, it causes an unpleasant reaction that helps discourage drinking. For instance, we might experience flushing, nausea, vomiting, difficulty breathing, sweating, low blood pressure, or heart palpitations. These symptoms usually last for about an hour and can happen as late as two weeks after our last dose of disulfiram. 

Research has shown that disulfiram can help people reduce drinking. However, some studies show that it’s more effective when taken under the supervision of a family member, friend, or as part of a program. 

The medication comes in tablet form and is usually taken once in the morning. It can cause various side effects — such as numbness, skin irritation, headache, drowsiness, and sexual dysfunction — but these usually improve or go away after about two weeks. In rare cases, disulfiram can also cause liver damage (especially if we have existing liver problems), psychotic symptoms, or nerve problems. 

Topiramate 

Topiramate is a medication that’s FDA-approved to treat seizures and prevent migraines. However, some doctors also use it to treat alcohol use disorder (AUD), as it helps rebalance chemicals in the brain and correct the electrical activity of brain cells. 

While topiramate is not FDA-approved for alcohol use disorder, studies have suggested that it can be effective in reducing alcohol cravings and withdrawal symptoms. In fact, the American Psychiatric Association recommends it as an option for moderate to severe AUD, including for people who haven’t had success with naltrexone or acamprosate. 

One study of over 350 people found that when topiramate was taken for 14 weeks, it reduced heavy drinking days more than the placebo. Interestingly, another study found that while disulfiram was more likely to lead to continued abstinence, topiramate was better at reducing cravings. 

Topiramate comes as a tablet and sprinkle capsule. It’s generally advised to avoid drinking alcohol when starting the medication, even though it’s been shown to be safe and effective in people who are still actively drinking.

Common side effects include nausea and vomiting, headache, dizziness, drowsiness, “pins and needles” sensations in the hands and feet, changes in taste, and trouble with focus or memory. It can also cause more serious side effects, such as eye problems, skin reactions, suicidal thoughts, or high levels of acid in the blood called metabolic acidosis. 

The Bottom Line

Naltrexone, acamprosate, disulfiram, and topiramate are four common alcohol medications to stop drinking and help curb alcohol cravings. Naltrexone and acamprosate in particular are popular, FDA-approved options that have proven to be effective in helping stop or reduce drinking. However, it’s best to consult a medical professional to determine which medication might be best for you. 

Finally, Reframe is here to help. We’ve enabled millions of people to cut back on their alcohol consumption and enhance their overall health and well-being.

Alcohol and Health
2023-08-06 9:00
Alcohol and Health
How Does Alcohol Impact REM Sleep?
This is some text inside of a div block.

Alcohol might help us fall asleep faster, but it affects our overall quality of sleep by reducing the amount of time we spend in rapid eye movement (REM) sleep.

11 min read

Get Your Sleeping on Track 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  →

You’re having trouble falling asleep almost every night. You lay there, staring at the ceiling, your mind spinning with to-dos as you think about everything you didn’t get done today and still have to do tomorrow. Interestingly, you notice that on the nights that you have a glass of wine with dinner, your mind quiets down. You start to get sleepy and easily doze off as soon as your head hits the pillow. You're blissfully asleep until suddenly, several hours later, you wake up and are wide awake. What’s going on?

You’re not imagining things. Alcohol really does help you fall asleep faster and more easily. This is because alcohol is a central nervous system depressant: it slows our brain activity. It also acts as a sedative, inducing feelings of relaxation and sleepiness.

But here’s the problem: even though alcohol can cause us to fall asleep quickly, it negatively affects our overall quality of sleep. In fact, the consumption of alcohol — especially large amounts — has been consistently linked to poor sleep quality and duration. More specifically, alcohol suppresses rapid eye movement (REM) sleep, one of the most important stages of sleep for physical and mental restoration. Let’s take a closer look.

Understanding Our Sleep Cycle

To understand how alcohol impacts REM sleep, it’s important to understand the different stages of the human sleep cycle. Over the course of the night, we go through several complete sleep cycles, each of which is composed of four individual stages. On a typical night, we’ll go through four to six sleep cycles, which last about 90 minutes each.

Here are the four different stages of a sleep cycle:

  • Stage 1 (light sleep): This is when we first fall asleep. Our body isn’t fully relaxed, and our brain activity starts to slow with periods of brief movements. This stage normally lasts from 1-7 minutes. It’s usually pretty easy to wake someone up during this time.
  • Stage 2 (light sleep): This is when our body enters a more subdued state including a drop in temperature, relaxed muscles, and slowed breathing and heart rate. This stage can last for 10-25 minutes during the first sleep cycle. We typically spend about half our sleep time in this stage of sleep.
  • Stage 3 (deep sleep): During this stage, our muscle tone, pulse, and breathing rate decrease as our body relaxes even further. Because of this, it’s much harder to wake someone up if they’re in this phase. This stage is also referred to as “delta sleep” or “slow-wave sleep,” as our brain activity during this period has a pattern of what are known as delta waves. We usually spend about 20 to 40 minutes in this phase.
  • Stage 4 (REM sleep): We typically enter rapid eye movement (REM) sleep about 90 minutes after we initially fall asleep. Even though our eyes are closed, they can be seen moving quickly, which is how this stage gets its name. There is a significant uptick in brain activity, and our breathing rate and heartbeat quicken. We also experience the most vivid dreams in this stage, which usually accounts for about 25% of our sleep time.

REM sleep is vital for cognitive functions like memory consolidation, emotional processing, learning, and creativity. For instance, during REM sleep, our brain processes the day’s new lessons and motor skills, committing some to memory, maintaining others, and deciding which ones to delete. Researchers suggest that REM sleep also promotes brain development, since newborns spend most of their sleep time in REM (8 hours a day!).

Study after study demonstrates the importance of REM sleep. REM sleep deprivation interferes with memory formation and negatively impacts our mood and mental focus. Lack of REM sleep can even weaken our immune system, as the growth of new healthy cells and tissue in the body is blocked.

How Alcohol Affects REM Sleep

Alcohol suppresses and reduces the amount of time we spend in REM sleep. As we’ve noted, alcohol initially acts as a sedative, increasing the proportion of deep sleep at the beginning of the night. However, as alcohol’s effects start to wear off, our body spends more time in light sleep, which can result in shorter sleep duration and more sleep disruptions. This is why we tend to wake up frequently after drinking once several hours have passed.

Even just a couple of drinks can have a negative effect. For instance, one study found that having fewer than two servings of alcohol per day for men or one serving per day for women decreased sleep quality by nearly 10%. The more alcohol we consume, the more our quality of sleep decreases: more than 2 drinks for men and more than 1 for women decreased sleep quality by almost 40%.

Alcohol also increases levels of adenosine, a key component of the homeostatic drive, which is responsible for keeping our body balanced. It’s also one of the major mechanisms regulating our sleep-wake cycle. The homeostatic drive tells us it’s time to sleep by boosting levels of adenosine when we’ve been awake for too long.

After a few drinks, increased levels of adenosine send us into a deep sleep. But, once our body realizes it’s had too much slow wave sleep, the homeostatic drive compensates by allowing us less deep sleep in the second half of the night. This is why we might find ourselves tossing and turning.

Without adequate sleep, our cognitive functions and performance start to decline. We might find ourselves forgetting things more often or having difficulty concentrating. Over time, lack of REM sleep and chronic sleep deprivation can lead to serious health issues such as diabetes, depression, obesity, and cardiovascular disease.

The Bottom Line

It can be tempting to turn to alcohol as a sleep aid. But, even though it can help us fall asleep, the effects are short-lived and we don’t end up getting the restorative sleep we need to function well. Even just one or two drinks can be harmful. The alcohol in our system causes us to spend less time in the important REM stage of sleep, ultimately causing us to wake up feeling less refreshed. In fact, fatigue and poor sleep are signs our body is telling us to drink less alcohol.

If we’re struggling to fall asleep, there are healthier alternatives to alcohol. For instance, there are multiple mindfulness techniques we can use to promote relaxation and help quiet our mind. We can also try incorporating meditations for stress relief.

If you regularly turn to alcohol to help you fall asleep, consider downloading Reframe. We’ve helped millions of people cut back on their alcohol consumption and develop effective skills for better managing stress and getting a good night’s sleep.

You’re having trouble falling asleep almost every night. You lay there, staring at the ceiling, your mind spinning with to-dos as you think about everything you didn’t get done today and still have to do tomorrow. Interestingly, you notice that on the nights that you have a glass of wine with dinner, your mind quiets down. You start to get sleepy and easily doze off as soon as your head hits the pillow. You're blissfully asleep until suddenly, several hours later, you wake up and are wide awake. What’s going on?

You’re not imagining things. Alcohol really does help you fall asleep faster and more easily. This is because alcohol is a central nervous system depressant: it slows our brain activity. It also acts as a sedative, inducing feelings of relaxation and sleepiness.

But here’s the problem: even though alcohol can cause us to fall asleep quickly, it negatively affects our overall quality of sleep. In fact, the consumption of alcohol — especially large amounts — has been consistently linked to poor sleep quality and duration. More specifically, alcohol suppresses rapid eye movement (REM) sleep, one of the most important stages of sleep for physical and mental restoration. Let’s take a closer look.

Understanding Our Sleep Cycle

To understand how alcohol impacts REM sleep, it’s important to understand the different stages of the human sleep cycle. Over the course of the night, we go through several complete sleep cycles, each of which is composed of four individual stages. On a typical night, we’ll go through four to six sleep cycles, which last about 90 minutes each.

Here are the four different stages of a sleep cycle:

  • Stage 1 (light sleep): This is when we first fall asleep. Our body isn’t fully relaxed, and our brain activity starts to slow with periods of brief movements. This stage normally lasts from 1-7 minutes. It’s usually pretty easy to wake someone up during this time.
  • Stage 2 (light sleep): This is when our body enters a more subdued state including a drop in temperature, relaxed muscles, and slowed breathing and heart rate. This stage can last for 10-25 minutes during the first sleep cycle. We typically spend about half our sleep time in this stage of sleep.
  • Stage 3 (deep sleep): During this stage, our muscle tone, pulse, and breathing rate decrease as our body relaxes even further. Because of this, it’s much harder to wake someone up if they’re in this phase. This stage is also referred to as “delta sleep” or “slow-wave sleep,” as our brain activity during this period has a pattern of what are known as delta waves. We usually spend about 20 to 40 minutes in this phase.
  • Stage 4 (REM sleep): We typically enter rapid eye movement (REM) sleep about 90 minutes after we initially fall asleep. Even though our eyes are closed, they can be seen moving quickly, which is how this stage gets its name. There is a significant uptick in brain activity, and our breathing rate and heartbeat quicken. We also experience the most vivid dreams in this stage, which usually accounts for about 25% of our sleep time.

REM sleep is vital for cognitive functions like memory consolidation, emotional processing, learning, and creativity. For instance, during REM sleep, our brain processes the day’s new lessons and motor skills, committing some to memory, maintaining others, and deciding which ones to delete. Researchers suggest that REM sleep also promotes brain development, since newborns spend most of their sleep time in REM (8 hours a day!).

Study after study demonstrates the importance of REM sleep. REM sleep deprivation interferes with memory formation and negatively impacts our mood and mental focus. Lack of REM sleep can even weaken our immune system, as the growth of new healthy cells and tissue in the body is blocked.

How Alcohol Affects REM Sleep

Alcohol suppresses and reduces the amount of time we spend in REM sleep. As we’ve noted, alcohol initially acts as a sedative, increasing the proportion of deep sleep at the beginning of the night. However, as alcohol’s effects start to wear off, our body spends more time in light sleep, which can result in shorter sleep duration and more sleep disruptions. This is why we tend to wake up frequently after drinking once several hours have passed.

Even just a couple of drinks can have a negative effect. For instance, one study found that having fewer than two servings of alcohol per day for men or one serving per day for women decreased sleep quality by nearly 10%. The more alcohol we consume, the more our quality of sleep decreases: more than 2 drinks for men and more than 1 for women decreased sleep quality by almost 40%.

Alcohol also increases levels of adenosine, a key component of the homeostatic drive, which is responsible for keeping our body balanced. It’s also one of the major mechanisms regulating our sleep-wake cycle. The homeostatic drive tells us it’s time to sleep by boosting levels of adenosine when we’ve been awake for too long.

After a few drinks, increased levels of adenosine send us into a deep sleep. But, once our body realizes it’s had too much slow wave sleep, the homeostatic drive compensates by allowing us less deep sleep in the second half of the night. This is why we might find ourselves tossing and turning.

Without adequate sleep, our cognitive functions and performance start to decline. We might find ourselves forgetting things more often or having difficulty concentrating. Over time, lack of REM sleep and chronic sleep deprivation can lead to serious health issues such as diabetes, depression, obesity, and cardiovascular disease.

The Bottom Line

It can be tempting to turn to alcohol as a sleep aid. But, even though it can help us fall asleep, the effects are short-lived and we don’t end up getting the restorative sleep we need to function well. Even just one or two drinks can be harmful. The alcohol in our system causes us to spend less time in the important REM stage of sleep, ultimately causing us to wake up feeling less refreshed. In fact, fatigue and poor sleep are signs our body is telling us to drink less alcohol.

If we’re struggling to fall asleep, there are healthier alternatives to alcohol. For instance, there are multiple mindfulness techniques we can use to promote relaxation and help quiet our mind. We can also try incorporating meditations for stress relief.

If you regularly turn to alcohol to help you fall asleep, consider downloading Reframe. We’ve helped millions of people cut back on their alcohol consumption and develop effective skills for better managing stress and getting a good night’s sleep.

Alcohol and Health
2023-08-06 9:00
Alcohol and Health
The Connection Between Alcohol and Sleep Apnea
This is some text inside of a div block.

Even if you don’t have sleep apnea, consuming alcohol can increase your chance of developing it. If you already have sleep apnea and are drinking regularly, you’re probably making it worse.

19 min read

Sleep Well and Start Your Journey 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.

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Read Full Article  →

As Anthony Burgess bluntly puts it: “Laugh and the world laughs with you, snore and you sleep alone.” Navigating the world of sleep can be tricky, and well, tiring, especially if you have sleep apnea, a pesky condition where breathing repeatedly stops and starts during sleep, potentially leading to a host of problems such as daytime fatigue, morning headaches, and even heart issues. 

In addition to causing snoring, sleep apnea can be uncomfortable and even scary. Imagine trying to rest with someone randomly pressing a “pause” button on your breathing! It’s like those annoying buffering moments while streaming your favorite show: you're immersed in the story and then — bam! — everything pauses. 

Research says that as much as over a quarter of the U.S. population suffers from sleep apnea as of 2023! Most are between the ages of 30 and 70, and as many as 40,000 die every year due to sleep apnea-related heart problems.

Adding alcohol to the mix can make things even more challenging. Let's explore the connection between alcohol and sleep apnea, and find ways to ensure that you get the best Zzz’s without those nightly interruptions.

The Science of Sleep Apnea

There are primarily two types of sleep apnea:

  • Obstructive sleep apnea (OSA). This is the most common form of sleep apnea. OSA occurs when the muscles at the back of the throat fail to keep the airway open. It’s like trying to sip a thick shake through a straw that keeps collapsing.
  • Central sleep apnea. Less common, this type of sleep apnea doesn't stem from a blocked airway. Instead, the brain fails to transmit the right signals to the muscles controlling your breathing. It’s a bit like forgetting to press the gas pedal while driving: everything's in place, but there’s just no action!

The “pauses” caused by sleep apnea can last from a few seconds to several minutes and might occur 30 times (or more) an hour, wreaking havoc on our sleep cycle. When your sleep is fragmented, we might wake up feeling like we've run a marathon, even if we’ve had a full night’s sleep. This can lead to irritability, difficulty concentrating, and a higher risk of accidents.

The aftermath isn't just waking up feeling groggy. Untreated sleep apnea is linked to a variety of health issues. Over time, it can contribute to hypertension, heart problems, type 2 diabetes, liver problems, and more.

Diagnosis and Treatment

If you or someone you know often feels extremely tired during the day, snores loudly, or wakes up with a choking sensation, it might be worth looking into sleep apnea. Getting a proper diagnosis is the first step to a solution! Potential treatments might be: 

  • Continuous Positive Airway Pressure (CPAP) therapy. This is the most common treatment for moderate to severe obstructive sleep apnea. Patients wear a face or nasal mask, which is connected to a machine that delivers a continuous stream of air to keep the breathing passages open.
  • Bilevel Positive Airway Pressure (BiPAP or BPAP) therapy. Unlike CPAP, which delivers steady, constant pressure, BiPAP delivers higher pressure when we inhale and lower pressure when we exhale.
  • Oral appliances. These are devices that are designed to keep the throat open by bringing the jaw forward, which can sometimes relieve snoring and mild obstructive sleep apnea. They are often used as an alternative to CPAP for people with mild to moderate sleep apnea who cannot tolerate CPAP.
  • Positional therapy. Some people experience sleep apnea primarily when sleeping on their back. In such cases, they might benefit from changes in sleep position, like sleeping on their side.
  • Adaptive Servo-Ventilation (ASV). This device can store information about our normal breathing pattern and then uses pressure to normalize it, preventing pauses in breathing.
  • Inspire therapy. This treatment uses a small pulse generator that’s implanted under the skin in the upper chest. The device monitors breathing signals during sleep and delivers mild stimulation to the airway muscles, keeping the airway open.
  • Lifestyle changes. Weight loss, avoiding alcohol (more on this later), and sleeping in a different position can sometimes help those with milder forms of sleep apnea.
  • Surgery. There are various surgical options, which might include uvulopalatopharyngoplasty (removing excess tissue from the throat), maxillomandibular advancement (moving the upper and lower part of the jaw forward to enlarge the space behind the tongue and soft palate), or genioglossus Advancement (moving the attachment for the tongue muscles forward).

Alcohol’s Role in the Mix

Now, let’s see how alcohol fits into this equation. Spoiler: it’s not a match made in dreamland!

Many have sworn by the "nightcap" — a drink before bedtime — believing it helps them nod off faster. And it's true: alcohol does have sedative properties. After we’ve had a drink, we might feel a wave of drowsiness inviting us to lie down and surrender to sleep.

But here's the twist: while alcohol can help us fall asleep faster, it doesn’t necessarily help us stay asleep or enjoy quality sleep, especially if sleep apnea is part of the mix. How? Here are four main ways booze can complicate the issue.

1: Muscle Relaxation

Alcohol acts as a muscle relaxant. While this might sound like a good thing — a relaxed body for relaxed sleep — this relaxation includes the muscles at the back of your throat. When these muscles get too relaxed, it makes it easier for the airway to become blocked, especially in those already predisposed to sleep apnea. The result? Disrupted breathing patterns and increased snoring.

Why does this happen? Alcohol is a central nervous system depressant, which means it slows down brain activity. As this slowing cascades through the system, muscles throughout the body get the memo to chill out: it’s why people might have a drink to "loosen up." However, when it comes to sleep, it's not all happiness and rainbows.

One key muscle group affected by this relaxation involves the muscles of the throat, especially the ones responsible for keeping our airway open. When these muscles relax too much, the airway can narrow or collapse entirely. This not only leads to an orchestra of snoring sounds but can also cause interruptions in breathing, which is a hallmark of sleep apnea.

Picture this: you're in a calm, gentle river on a float, but suddenly the water pathway narrows. It becomes harder to glide smoothly. This is similar to what happens when our throat muscles relax excessively: the "river" (or airway) narrows, making it tougher for air to flow smoothly.

For people already predisposed to conditions like sleep apnea, or for those who just naturally have a narrower airway, alcohol can accentuate the issue. But even for those without any predispositions, a heavy night of drinking can make sleep interruptions more frequent and pronounced.

2: Sleep Architecture Disruption

Our sleep follows a certain architecture, transitioning from light sleep to deep sleep and then REM (Rapid Eye Movement) sleep throughout the night. Each of these stages has its unique characteristics and plays a role in ensuring we wake up feeling rejuvenated.

  • NREM Stage 1. During this initial stage, we’re just drifting off: it's light, and we can be easily awakened.
  • NREM Stage 2. This stage is still relatively light, but it acts as a bridge to the deeper stages of sleep. Heart rate slows down, and body temperature drops.
  • NREM Stage 3. This is deep sleep. If someone tried to wake us, they’d have a tough time. During this phase the body repairs muscles, strengthens the immune system, and performs other essential restoration tasks.
  • REM sleep. This is where the magic happens. REM stands for Rapid Eye Movement, and it's the stage associated with vivid dreams. It’s also crucial for brain function and plays a role in memory, learning, and mood regulation.

Now, where does alcohol fit? Drinking, especially closer to bedtime, can propel us more rapidly into the deep sleep of NREM Stage 3. Sounds like a great shortcut, right? Well, the catch is that we spend more time in this stage early in the night and less time in REM sleep, which we would typically enter later. 

Missing out on that quality REM time, in turn, cuts our essential dream time short. In the long term, it can wreak havoc on our cognitive function and emotional health.

3: Frequent Bathroom Trips

We've all been there: waking up in the wee hours (pun intended) needing to make that groggy trek to the bathroom. If you've found that after a drink or two this calling seems to get louder and more frequent, you're not alone. Alcohol acts as a diuretic, increasing urine production and potentially causing dehydration. These middle-of-the-night wake-ups can interrupt the natural flow of our sleep cycle and make it harder to fall back asleep.

Alcohol inhibits the release of vasopressin, a hormone that helps our kidneys reabsorb water and reduce the amount of urine stored in the bladder. So when alcohol comes into play, less vasopressin is produced, leading to more fluid being directed to the bladder.

Here's the ripple effect in the pond of nighttime tranquility:

  • Increased urine production. After consuming alcohol, we might find ourselves visiting the bathroom more often even before we hit the hay. 
  • Interrupted sleep patterns. Once we’re asleep, the bladder fills up faster than usual. This means we might be pulled out of deep sleep or a dream-filled REM stage to dash to the restroom. In addition to breaking the rhythm of our sleep cycle, it makes it challenging to slide back into that restful state.
  • Potential dehydration. With all this frequent urination, there's a chance we’re losing more fluids than we’re taking in. Dehydration can lead to a dry mouth, headaches, and can further undermine the quality of our sleep.
4: The Rebound Effect

Remember how alcohol puts us on the fast track to deep sleep and disrupts our sleep architecture? Well, another consequence of this disruption is the so-called "rebound effect,” which can lead to lighter, fragmented sleep in the second half of the night, causing us to wake up feeling less than refreshed.

The rebound effect has to do with the fact that alcohol interferes with the balance of neurotransmitters in the brain, initially suppressing the ones that keep us alert and active. However, as it gets metabolized and its effects diminish, there's a surge in these previously suppressed neurotransmitters. It's like holding a bouncy ball under water and then suddenly letting go. It shoots up with force! Similarly, as alcohol's effects wane, the brain becomes more active, leading to the "rebound" in wakefulness.

The most noticeable outcome of the rebound effect? Waking up feeling like we’ve been shortchanged in the sleep department. Even if we;ve clocked in a good 7-8 hours, the disrupted second half of your night can leave us feeling groggy, irritable, and less alert.

7 Action Steps to Improve Sleep

If you're looking to quit or cut back on alcohol, kudos to you! Here are some steps to help you on your journey and improve your sleep:

  • Inform and educate. Awareness is the first step. Recognizing that the glass of wine or pint of beer might lead to trouble can help inform your drinking decisions, especially closer to bedtime. Maybe it's adjusting the timing, quantity, or simply ensuring you hydrate well with water in response.
  • Set boundaries. Limit alcohol intake several hours before bedtime. This gives your body time to process the alcohol.
  • Stay hydrated. Alcohol can be dehydrating. Ensure you drink plenty of water throughout the day to combat its effects.
  • Opt for alternatives. If you fancy a drink, consider non-alcoholic beverages. There's a plethora of delicious mocktails waiting for you!
  • Monitor your sleep. Consider using a sleep tracking app. This will help you see the direct effects of alcohol on your sleep patterns.
  • Get professional advice. If you think you might have sleep apnea or any other sleep disorder, seek advice from a sleep specialist.
  • Join a support group. There are tons of communities, both online and offline, where you can share your journey, learn from others, and get the motivation to continue.

Summing Up

When it comes to navigating sleep apnea, the more informed we are, the better. We all know how a restless night can spill over into our day, making us feel like we’re walking through molasses. And by understanding how alcohol interacts with our sleep patterns, we can make more informed decisions about our evening rituals. 

In conclusion, while alcohol might seem like your nighttime ally, it's worth pondering if it's doing more harm than good, especially when it comes to your sleep. A world of restful nights awaits you. So, why not take that first step? After all, the dreamy world of uninterrupted sleep is just around the corner!

As Anthony Burgess bluntly puts it: “Laugh and the world laughs with you, snore and you sleep alone.” Navigating the world of sleep can be tricky, and well, tiring, especially if you have sleep apnea, a pesky condition where breathing repeatedly stops and starts during sleep, potentially leading to a host of problems such as daytime fatigue, morning headaches, and even heart issues. 

In addition to causing snoring, sleep apnea can be uncomfortable and even scary. Imagine trying to rest with someone randomly pressing a “pause” button on your breathing! It’s like those annoying buffering moments while streaming your favorite show: you're immersed in the story and then — bam! — everything pauses. 

Research says that as much as over a quarter of the U.S. population suffers from sleep apnea as of 2023! Most are between the ages of 30 and 70, and as many as 40,000 die every year due to sleep apnea-related heart problems.

Adding alcohol to the mix can make things even more challenging. Let's explore the connection between alcohol and sleep apnea, and find ways to ensure that you get the best Zzz’s without those nightly interruptions.

The Science of Sleep Apnea

There are primarily two types of sleep apnea:

  • Obstructive sleep apnea (OSA). This is the most common form of sleep apnea. OSA occurs when the muscles at the back of the throat fail to keep the airway open. It’s like trying to sip a thick shake through a straw that keeps collapsing.
  • Central sleep apnea. Less common, this type of sleep apnea doesn't stem from a blocked airway. Instead, the brain fails to transmit the right signals to the muscles controlling your breathing. It’s a bit like forgetting to press the gas pedal while driving: everything's in place, but there’s just no action!

The “pauses” caused by sleep apnea can last from a few seconds to several minutes and might occur 30 times (or more) an hour, wreaking havoc on our sleep cycle. When your sleep is fragmented, we might wake up feeling like we've run a marathon, even if we’ve had a full night’s sleep. This can lead to irritability, difficulty concentrating, and a higher risk of accidents.

The aftermath isn't just waking up feeling groggy. Untreated sleep apnea is linked to a variety of health issues. Over time, it can contribute to hypertension, heart problems, type 2 diabetes, liver problems, and more.

Diagnosis and Treatment

If you or someone you know often feels extremely tired during the day, snores loudly, or wakes up with a choking sensation, it might be worth looking into sleep apnea. Getting a proper diagnosis is the first step to a solution! Potential treatments might be: 

  • Continuous Positive Airway Pressure (CPAP) therapy. This is the most common treatment for moderate to severe obstructive sleep apnea. Patients wear a face or nasal mask, which is connected to a machine that delivers a continuous stream of air to keep the breathing passages open.
  • Bilevel Positive Airway Pressure (BiPAP or BPAP) therapy. Unlike CPAP, which delivers steady, constant pressure, BiPAP delivers higher pressure when we inhale and lower pressure when we exhale.
  • Oral appliances. These are devices that are designed to keep the throat open by bringing the jaw forward, which can sometimes relieve snoring and mild obstructive sleep apnea. They are often used as an alternative to CPAP for people with mild to moderate sleep apnea who cannot tolerate CPAP.
  • Positional therapy. Some people experience sleep apnea primarily when sleeping on their back. In such cases, they might benefit from changes in sleep position, like sleeping on their side.
  • Adaptive Servo-Ventilation (ASV). This device can store information about our normal breathing pattern and then uses pressure to normalize it, preventing pauses in breathing.
  • Inspire therapy. This treatment uses a small pulse generator that’s implanted under the skin in the upper chest. The device monitors breathing signals during sleep and delivers mild stimulation to the airway muscles, keeping the airway open.
  • Lifestyle changes. Weight loss, avoiding alcohol (more on this later), and sleeping in a different position can sometimes help those with milder forms of sleep apnea.
  • Surgery. There are various surgical options, which might include uvulopalatopharyngoplasty (removing excess tissue from the throat), maxillomandibular advancement (moving the upper and lower part of the jaw forward to enlarge the space behind the tongue and soft palate), or genioglossus Advancement (moving the attachment for the tongue muscles forward).

Alcohol’s Role in the Mix

Now, let’s see how alcohol fits into this equation. Spoiler: it’s not a match made in dreamland!

Many have sworn by the "nightcap" — a drink before bedtime — believing it helps them nod off faster. And it's true: alcohol does have sedative properties. After we’ve had a drink, we might feel a wave of drowsiness inviting us to lie down and surrender to sleep.

But here's the twist: while alcohol can help us fall asleep faster, it doesn’t necessarily help us stay asleep or enjoy quality sleep, especially if sleep apnea is part of the mix. How? Here are four main ways booze can complicate the issue.

1: Muscle Relaxation

Alcohol acts as a muscle relaxant. While this might sound like a good thing — a relaxed body for relaxed sleep — this relaxation includes the muscles at the back of your throat. When these muscles get too relaxed, it makes it easier for the airway to become blocked, especially in those already predisposed to sleep apnea. The result? Disrupted breathing patterns and increased snoring.

Why does this happen? Alcohol is a central nervous system depressant, which means it slows down brain activity. As this slowing cascades through the system, muscles throughout the body get the memo to chill out: it’s why people might have a drink to "loosen up." However, when it comes to sleep, it's not all happiness and rainbows.

One key muscle group affected by this relaxation involves the muscles of the throat, especially the ones responsible for keeping our airway open. When these muscles relax too much, the airway can narrow or collapse entirely. This not only leads to an orchestra of snoring sounds but can also cause interruptions in breathing, which is a hallmark of sleep apnea.

Picture this: you're in a calm, gentle river on a float, but suddenly the water pathway narrows. It becomes harder to glide smoothly. This is similar to what happens when our throat muscles relax excessively: the "river" (or airway) narrows, making it tougher for air to flow smoothly.

For people already predisposed to conditions like sleep apnea, or for those who just naturally have a narrower airway, alcohol can accentuate the issue. But even for those without any predispositions, a heavy night of drinking can make sleep interruptions more frequent and pronounced.

2: Sleep Architecture Disruption

Our sleep follows a certain architecture, transitioning from light sleep to deep sleep and then REM (Rapid Eye Movement) sleep throughout the night. Each of these stages has its unique characteristics and plays a role in ensuring we wake up feeling rejuvenated.

  • NREM Stage 1. During this initial stage, we’re just drifting off: it's light, and we can be easily awakened.
  • NREM Stage 2. This stage is still relatively light, but it acts as a bridge to the deeper stages of sleep. Heart rate slows down, and body temperature drops.
  • NREM Stage 3. This is deep sleep. If someone tried to wake us, they’d have a tough time. During this phase the body repairs muscles, strengthens the immune system, and performs other essential restoration tasks.
  • REM sleep. This is where the magic happens. REM stands for Rapid Eye Movement, and it's the stage associated with vivid dreams. It’s also crucial for brain function and plays a role in memory, learning, and mood regulation.

Now, where does alcohol fit? Drinking, especially closer to bedtime, can propel us more rapidly into the deep sleep of NREM Stage 3. Sounds like a great shortcut, right? Well, the catch is that we spend more time in this stage early in the night and less time in REM sleep, which we would typically enter later. 

Missing out on that quality REM time, in turn, cuts our essential dream time short. In the long term, it can wreak havoc on our cognitive function and emotional health.

3: Frequent Bathroom Trips

We've all been there: waking up in the wee hours (pun intended) needing to make that groggy trek to the bathroom. If you've found that after a drink or two this calling seems to get louder and more frequent, you're not alone. Alcohol acts as a diuretic, increasing urine production and potentially causing dehydration. These middle-of-the-night wake-ups can interrupt the natural flow of our sleep cycle and make it harder to fall back asleep.

Alcohol inhibits the release of vasopressin, a hormone that helps our kidneys reabsorb water and reduce the amount of urine stored in the bladder. So when alcohol comes into play, less vasopressin is produced, leading to more fluid being directed to the bladder.

Here's the ripple effect in the pond of nighttime tranquility:

  • Increased urine production. After consuming alcohol, we might find ourselves visiting the bathroom more often even before we hit the hay. 
  • Interrupted sleep patterns. Once we’re asleep, the bladder fills up faster than usual. This means we might be pulled out of deep sleep or a dream-filled REM stage to dash to the restroom. In addition to breaking the rhythm of our sleep cycle, it makes it challenging to slide back into that restful state.
  • Potential dehydration. With all this frequent urination, there's a chance we’re losing more fluids than we’re taking in. Dehydration can lead to a dry mouth, headaches, and can further undermine the quality of our sleep.
4: The Rebound Effect

Remember how alcohol puts us on the fast track to deep sleep and disrupts our sleep architecture? Well, another consequence of this disruption is the so-called "rebound effect,” which can lead to lighter, fragmented sleep in the second half of the night, causing us to wake up feeling less than refreshed.

The rebound effect has to do with the fact that alcohol interferes with the balance of neurotransmitters in the brain, initially suppressing the ones that keep us alert and active. However, as it gets metabolized and its effects diminish, there's a surge in these previously suppressed neurotransmitters. It's like holding a bouncy ball under water and then suddenly letting go. It shoots up with force! Similarly, as alcohol's effects wane, the brain becomes more active, leading to the "rebound" in wakefulness.

The most noticeable outcome of the rebound effect? Waking up feeling like we’ve been shortchanged in the sleep department. Even if we;ve clocked in a good 7-8 hours, the disrupted second half of your night can leave us feeling groggy, irritable, and less alert.

7 Action Steps to Improve Sleep

If you're looking to quit or cut back on alcohol, kudos to you! Here are some steps to help you on your journey and improve your sleep:

  • Inform and educate. Awareness is the first step. Recognizing that the glass of wine or pint of beer might lead to trouble can help inform your drinking decisions, especially closer to bedtime. Maybe it's adjusting the timing, quantity, or simply ensuring you hydrate well with water in response.
  • Set boundaries. Limit alcohol intake several hours before bedtime. This gives your body time to process the alcohol.
  • Stay hydrated. Alcohol can be dehydrating. Ensure you drink plenty of water throughout the day to combat its effects.
  • Opt for alternatives. If you fancy a drink, consider non-alcoholic beverages. There's a plethora of delicious mocktails waiting for you!
  • Monitor your sleep. Consider using a sleep tracking app. This will help you see the direct effects of alcohol on your sleep patterns.
  • Get professional advice. If you think you might have sleep apnea or any other sleep disorder, seek advice from a sleep specialist.
  • Join a support group. There are tons of communities, both online and offline, where you can share your journey, learn from others, and get the motivation to continue.

Summing Up

When it comes to navigating sleep apnea, the more informed we are, the better. We all know how a restless night can spill over into our day, making us feel like we’re walking through molasses. And by understanding how alcohol interacts with our sleep patterns, we can make more informed decisions about our evening rituals. 

In conclusion, while alcohol might seem like your nighttime ally, it's worth pondering if it's doing more harm than good, especially when it comes to your sleep. A world of restful nights awaits you. So, why not take that first step? After all, the dreamy world of uninterrupted sleep is just around the corner!

Alcohol and Health
2023-08-04 9:00
Alcohol and Health
Should You Mix CBD and Alcohol?
This is some text inside of a div block.

Unravel the complex interaction of CBD and alcohol. This blog post discusses their potential effects and provides actionable steps for safety.

9 min read

Unlock Optimal Well-Being 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  →

CBD products — tinctures, gummies, soaps, beverages, topical creams — have saturated the market in recent years. According to data by the Substance Abuse and Mental Health Services Administration, 1 in 3 American adults reported using CBD products in 2020. And in 2022, sales of CBD products in the U.S. reached a staggering 4.17 billion dollars. 

It’s clear that CBD isn’t going anywhere, but many of us may wonder if we’re safe mixing it with other substances, particularly alcohol. Can you mix CBD and alcohol safely? The short answer is no. It’s wise to avoid mixing alcohol with CBD — or any other substance, for that matter — to prevent adverse interactions. But what, specifically, are the dangers of mixing? Let’s take a deeper look. 

CBD: The Non-Psychoactive Cannabis Compound

view alcoholic cocktail with cbd oil infusion

Cannabidiol, or CBD, has come to the forefront of conversations surrounding natural wellness and alternative medicine. As one of the 100+ cannabinoids found in the Cannabis sativa plant, it's earned a reputation for its potential health benefits, despite its origins in the same plant as the often controversial tetrahydrocannabinol, or THC. Unlike THC, CBD won't leave you with a euphoric "high," but it might help you tackle a range of health concerns — scientifically, it's a very different molecule with very different effects.

Scientists believe that CBD exerts its effects primarily by interacting with our body's endocannabinoid system (ECS). The ECS is a complex cell-signaling system that plays a crucial role in regulating a wide range of functions and processes, including pain, mood, appetite, sleep, and immune system response. CBD is thought to work by preventing endocannabinoids — cannabinoids produced naturally in our body — from being broken down, thereby enhancing the ECS's regulatory capacity.

Early studies indicate that CBD might have pain-relieving and anti-inflammatory properties. Some research suggests that CBD might interact with the glycine receptors in the brain, which play a role in transmitting pain signals through the nervous system. By modulating these receptors, CBD could potentially help to dampen pain.

Anxiety and mood disorders represent another area where CBD might offer benefits. Preliminary research suggests that CBD could influence the way your brain’s receptors respond to serotonin, a hormone and neurotransmitter that plays a pivotal role in mental health. This interaction could help regulate mood and social behavior, potentially reducing anxiety and improving overall mental well-being.

Improvements in sleep patterns have also been reported among CBD users, although the exact mechanisms remain elusive. It's believed that by influencing the ECS and other areas of the brain responsible for the sleep-wake cycle, CBD might help to promote better sleep.

While the therapeutic potential of CBD appears promising, research in these areas is still very much ongoing. Although many of the benefits of CBD are supported by anecdotal evidence, randomized controlled trials — the gold standard of scientific research — are needed to definitively establish these effects and to fully understand how CBD works at a cellular level. As our understanding of this fascinating compound grows, it could unlock new avenues for managing a wide range of health issues.

Mixing CBD with alcohol: Tips for a safe and enjoyable experience

Alcohol: A Widely Misused Substance

As we know, alcohol is an integral part of many cultures worldwide, known for its relaxation and sociability-enhancing properties. People may also use it to relieve many of the same issues that CBD is used for: anxiety, insomnia, chronic pain. 

However, there's a flip side to the “medicinal alcohol” coin. According to a 2021 survey by the National Institute on Alcohol Abuse and Alcoholism, 29.5 million people ages 12 and older had an alcohol use disorder in the past year. Excessive or chronic consumption of alcohol can lead to a myriad of health issues, including impaired cognition, addiction, liver diseases, and a range of cancers

How Do CBD and Alcohol Interact?

So can you take CBD with alcohol? While both CBD and alcohol have been individually studied for their impacts on health, the science behind their interaction is relatively uncharted territory. 

Some research suggests that combining CBD and alcohol could potentially intensify the effects of each. This means that when consumed together, these substances could lead to heightened levels of sedation and drowsiness, and even potentially impair motor control.

Interestingly, initial studies have proposed that CBD might reduce blood alcohol levels, although it's important to note that this does not necessarily correlate with reduced impairment.

What About CBD Drinks and Their Effects?

Another question that comes up is about a different beverage altogether — what about CBD infused alcohol? While they are not currently available in the U.S. and are not approved by the FDA, some have been making CBD infused drinks on their own by mixing the two.

What are the CBD drink effects like? Pretty much as one would expect, infusing alcohol with CBD will have a similar outcome as consuming one alongside the other. In short, it’s a potentially dangerous combo, given the interaction between the two.

How To Stay Safe

Navigating the landscape of cannabidiol and alcohol use can be complex. Here are some steps we can take to ensure our safety and well-being:

  • Exercise caution: In the absence of robust research on the interactions between CBD and alcohol, it's wise to approach the combination of these substances with caution. Avoid mixing the two to prevent the risk of adverse outcomes.
  • Stay updated: As research progresses, new findings will shed more light on the subject. Keep an eye on the latest scientific studies related to CBD and alcohol to stay informed.
  • Pay attention to your body: Each person's body might react differently to CBD and alcohol. It's crucial to listen to your body and prioritize your well-being above all else.
  • Seek professional advice: If you're contemplating using CBD for health-related purposes, consult a healthcare provider. They can provide insights into the safety of CBD, as well as its potential interactions with other substances, including alcohol.

With the pervasive presence of both alcohol and CBD products, it's vital not to lose sight of the choices we make and their long-term impacts on our health. While we're still learning about the complex interaction between CBD and alcohol, it's important to approach this duo with caution so that we’re putting our health first. The choices we make today will impact who we are years down the road — let’s choose wisely! 

CBD products — tinctures, gummies, soaps, beverages, topical creams — have saturated the market in recent years. According to data by the Substance Abuse and Mental Health Services Administration, 1 in 3 American adults reported using CBD products in 2020. And in 2022, sales of CBD products in the U.S. reached a staggering 4.17 billion dollars. 

It’s clear that CBD isn’t going anywhere, but many of us may wonder if we’re safe mixing it with other substances, particularly alcohol. Can you mix CBD and alcohol safely? The short answer is no. It’s wise to avoid mixing alcohol with CBD — or any other substance, for that matter — to prevent adverse interactions. But what, specifically, are the dangers of mixing? Let’s take a deeper look. 

CBD: The Non-Psychoactive Cannabis Compound

view alcoholic cocktail with cbd oil infusion

Cannabidiol, or CBD, has come to the forefront of conversations surrounding natural wellness and alternative medicine. As one of the 100+ cannabinoids found in the Cannabis sativa plant, it's earned a reputation for its potential health benefits, despite its origins in the same plant as the often controversial tetrahydrocannabinol, or THC. Unlike THC, CBD won't leave you with a euphoric "high," but it might help you tackle a range of health concerns — scientifically, it's a very different molecule with very different effects.

Scientists believe that CBD exerts its effects primarily by interacting with our body's endocannabinoid system (ECS). The ECS is a complex cell-signaling system that plays a crucial role in regulating a wide range of functions and processes, including pain, mood, appetite, sleep, and immune system response. CBD is thought to work by preventing endocannabinoids — cannabinoids produced naturally in our body — from being broken down, thereby enhancing the ECS's regulatory capacity.

Early studies indicate that CBD might have pain-relieving and anti-inflammatory properties. Some research suggests that CBD might interact with the glycine receptors in the brain, which play a role in transmitting pain signals through the nervous system. By modulating these receptors, CBD could potentially help to dampen pain.

Anxiety and mood disorders represent another area where CBD might offer benefits. Preliminary research suggests that CBD could influence the way your brain’s receptors respond to serotonin, a hormone and neurotransmitter that plays a pivotal role in mental health. This interaction could help regulate mood and social behavior, potentially reducing anxiety and improving overall mental well-being.

Improvements in sleep patterns have also been reported among CBD users, although the exact mechanisms remain elusive. It's believed that by influencing the ECS and other areas of the brain responsible for the sleep-wake cycle, CBD might help to promote better sleep.

While the therapeutic potential of CBD appears promising, research in these areas is still very much ongoing. Although many of the benefits of CBD are supported by anecdotal evidence, randomized controlled trials — the gold standard of scientific research — are needed to definitively establish these effects and to fully understand how CBD works at a cellular level. As our understanding of this fascinating compound grows, it could unlock new avenues for managing a wide range of health issues.

Mixing CBD with alcohol: Tips for a safe and enjoyable experience

Alcohol: A Widely Misused Substance

As we know, alcohol is an integral part of many cultures worldwide, known for its relaxation and sociability-enhancing properties. People may also use it to relieve many of the same issues that CBD is used for: anxiety, insomnia, chronic pain. 

However, there's a flip side to the “medicinal alcohol” coin. According to a 2021 survey by the National Institute on Alcohol Abuse and Alcoholism, 29.5 million people ages 12 and older had an alcohol use disorder in the past year. Excessive or chronic consumption of alcohol can lead to a myriad of health issues, including impaired cognition, addiction, liver diseases, and a range of cancers

How Do CBD and Alcohol Interact?

So can you take CBD with alcohol? While both CBD and alcohol have been individually studied for their impacts on health, the science behind their interaction is relatively uncharted territory. 

Some research suggests that combining CBD and alcohol could potentially intensify the effects of each. This means that when consumed together, these substances could lead to heightened levels of sedation and drowsiness, and even potentially impair motor control.

Interestingly, initial studies have proposed that CBD might reduce blood alcohol levels, although it's important to note that this does not necessarily correlate with reduced impairment.

What About CBD Drinks and Their Effects?

Another question that comes up is about a different beverage altogether — what about CBD infused alcohol? While they are not currently available in the U.S. and are not approved by the FDA, some have been making CBD infused drinks on their own by mixing the two.

What are the CBD drink effects like? Pretty much as one would expect, infusing alcohol with CBD will have a similar outcome as consuming one alongside the other. In short, it’s a potentially dangerous combo, given the interaction between the two.

How To Stay Safe

Navigating the landscape of cannabidiol and alcohol use can be complex. Here are some steps we can take to ensure our safety and well-being:

  • Exercise caution: In the absence of robust research on the interactions between CBD and alcohol, it's wise to approach the combination of these substances with caution. Avoid mixing the two to prevent the risk of adverse outcomes.
  • Stay updated: As research progresses, new findings will shed more light on the subject. Keep an eye on the latest scientific studies related to CBD and alcohol to stay informed.
  • Pay attention to your body: Each person's body might react differently to CBD and alcohol. It's crucial to listen to your body and prioritize your well-being above all else.
  • Seek professional advice: If you're contemplating using CBD for health-related purposes, consult a healthcare provider. They can provide insights into the safety of CBD, as well as its potential interactions with other substances, including alcohol.

With the pervasive presence of both alcohol and CBD products, it's vital not to lose sight of the choices we make and their long-term impacts on our health. While we're still learning about the complex interaction between CBD and alcohol, it's important to approach this duo with caution so that we’re putting our health first. The choices we make today will impact who we are years down the road — let’s choose wisely! 

Alcohol and Health
2023-08-04 9:00
Alcohol and Health
How Does Alcohol Harm Your Dental Health?
This is some text inside of a div block.

Ready to flash your pearly whites with confidence? Dive into our latest blog to discover the not-so-sweet impact of alcohol on your dental health and how you can take action to protect that dazzling smile!

12 min read

Keep Your Pearly Whites in Top Shape and Start Your Healing Journey 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  →

When it comes to alcohol, many of us view it as a trusted friend, a confidence booster that adds a sparkle to our social interactions, a soothing balm after a hard day's work. But have you ever wondered what this "friend" might be doing to your oral health? In other words, is alcohol bad for your teeth? And what are the long-term effects of alcohol on your mouth?

Alcohol can wage a stealthy war against your teeth, gums, and overall mouth health. We’re going to shine a light on the darker side of drinking, detailing how alcohol's flirtatious dance with your dental health could lead to everything from cavities and gum disease, to tooth staining and even oral cancer. Pour yourself a non-alcoholic beverage and let's delve into the sobering truths about alcohol's attack on your dental health.

Is Alcohol Bad for Your Teeth?

Alcohol is often hailed as a social lubricant, helping to break the ice at gatherings or wind down after a long day. However, its effects on our bodies — particularly our mouths — are far from friendly. 

Our dental health isn't just about maintaining a great smile; it's an essential part of our overall health and general well-being. Let's dive into the details of how alcohol affects your teeth and learn more about the long-term effects of alcohol on the mouth.

  • Dry mouth. Ever wondered why you feel parched after a night of drinking? Alcohol is a known dehydrating agent. Dry mouth might not seem like a big deal, but it's actually damaging to oral health. Our saliva washes away food particles and neutralizes harmful acids. Without enough of it, we’re at a greater risk of tooth decay and gum disease.
  • Tooth decay and cavities. Alcoholic beverages — particularly mixed drinks — are often high in sugars and acids. These can damage your tooth enamel, leading to cavities and tooth decay. No amount of brushing and flossing can fully protect you if alcohol is a regular visitor to your mouth.
  • Gum disease. Alcohol can irritate and inflame your gums, leading to a condition called periodontitis. This can cause your gums to recede and lead to tooth loss. Not quite the picture-perfect smile, is it? Moreover, gum disease (especially if we neglect it) can lead to more serious health problems down the road. For one thing, it can cause tooth loss. The bacteria that causes it can also get into your bloodstream, possibly leading to respiratory disease, rheumatoid arthritis, coronary artery disease, preterm birth and low birth weight, and issues with blood sugar control in diabetes.
  • Tooth staining. Many alcoholic beverages, such as red wine, cola mixers, and dark liquors, contain chromogens. These are compounds that are rich in color and can cling to the enamel on our teeth, leading to staining. Moreover, the acidity in alcohol can wear down the enamel — the outer layer of our teeth that protects against staining. Once this enamel is weakened, our teeth are more vulnerable to discolorations from food, drinks, and, yes, more alcohol.
  • Mouth ulcers. Can alcohol cause mouth ulcers? While it doesn’t cause ulcers directly, booze can contribute to their development or make existing ones worse. How? A combination of dehydration, an acidic environment, nutritional deficiencies, and a compromised immune response are all contributing factors. 
  • Oral cancer. Did you know that regular, heavy alcohol use is a major risk factor for oral cancer? Alcohol can damage cells in the mouth, causing them to grow abnormally — a process that can lead to oral cancer.
  • Nutrient absorption. Chronic alcohol use can interfere with nutrient absorption, including vitamin B, folic acid, and iron. These nutrients are key players in maintaining a healthy mouth and a strong immune system.
  • Impact on dental work. Alcohol can potentially damage existing dental work such as fillings, crowns, and veneers. This may lead to additional dental procedures, discomfort, and added costs.
  • Bad breath. While not a health concern per se, bad breath can certainly impact our social and professional interactions. Alcohol’s drying effect encourages the growth of bacteria in the mouth that cause bad breath.

Can Your Dentist Tell If You Do Drugs?

A related question that comes up when talking about the long-term effects of alcohol on the mouth is, “Can your dentist tell if you do drugs?” Dentists are trained professionals who can often detect signs and symptoms in the oral cavity that may suggest a patient is using drugs, especially when it comes to substances that can cause noticeable physical changes or dental issues. Here are some ways in which drug use may become apparent to a dentist:

  • Tooth decay and gum disease. Many drugs can lead to severe tooth decay, dry mouth (xerostomia), and gum disease. The patterns of decay may be more rampant and severe than what would typically be seen from diet and hygiene factors alone.
  • Bruxism. Drug use, particularly stimulants, can lead to teeth grinding (bruxism), which can cause wearing down of teeth, fractures, and jaw disorders.
  • Oral lesions. Some drugs can cause distinctive lesions in the mouth.
  • Dry mouth. Many drugs reduce saliva production, which is a critical factor in neutralizing acids and protecting teeth and gums. Persistent dry mouth can be a sign of drug use.
  • Soft tissue damage. Smoking drugs like crack cocaine or methamphetamine can lead to burnt oral tissues, or sores, and distinctive staining and damage to the teeth.
  • Chemical erosion. Acidic drugs that are either ingested orally or cause acid reflux can lead to erosion of the enamel.
  • Poor oral hygiene. Some people who use drugs may neglect oral hygiene, which a dentist can often detect as an overall decline in the health of the oral cavity.

It's important to note that while dentists can observe these signs, they are not typically trained to diagnose substance misuse disorders. However, they can encourage patients to seek help or refer them to appropriate healthcare providers if there is a concern about drug use and its effects on their oral and overall health. Also, patient confidentiality laws require dentists to respect their patients’ privacy. So while your dentist might be able to spot the signs, think of them as an ally who can point you in the right direction to get extra support.

Taking a Bite out of the Problem

So is alcohol bad for your teeth? Unfortunately, yes. As sobering as the above may sound, there are steps you can take to protect your oral health, even if you're not ready to completely quit drinking.

  • Stay hydrated. Drink plenty of water before, during, and after consuming alcohol. This can help prevent dry mouth and flush away sugars and acids.
  • Limit sugary drinks. Opt for beverages that are lower in sugars and acids. A simple swap could spare your teeth a lot of harm. You might be surprised at how much better you — and your teeth — will feel!
  • Chew sugar-free gum with xylitol. Xylitol has been shown to reduce bacteria that can lead to cavities.
  • Don't skip your oral hygiene routine. Brushing and flossing regularly, and correctly, can help reduce the damage caused by alcohol. Use toothpaste with fluoride to strengthen enamel and protect against decay.
  • Avoid ice chewing. Chewing ice can damage dental work, such as crowns or fillings.
  • Have regular dental check-ups. Regular visits to your dentist can help catch potential problems early before they become more serious. Don’t hesitate to bring up any alcohol-related concerns or worry about being judged — there’s no shame in being proactive about your health, and they’ve heard it all before!

Remember, the best defense against alcohol-related oral health issues is to reduce your alcohol consumption or quit altogether. Taking care of your dental health is a step towards a healthier, happier life. Your future self — and your future smile! — will thank you for it.

When it comes to alcohol, many of us view it as a trusted friend, a confidence booster that adds a sparkle to our social interactions, a soothing balm after a hard day's work. But have you ever wondered what this "friend" might be doing to your oral health? In other words, is alcohol bad for your teeth? And what are the long-term effects of alcohol on your mouth?

Alcohol can wage a stealthy war against your teeth, gums, and overall mouth health. We’re going to shine a light on the darker side of drinking, detailing how alcohol's flirtatious dance with your dental health could lead to everything from cavities and gum disease, to tooth staining and even oral cancer. Pour yourself a non-alcoholic beverage and let's delve into the sobering truths about alcohol's attack on your dental health.

Is Alcohol Bad for Your Teeth?

Alcohol is often hailed as a social lubricant, helping to break the ice at gatherings or wind down after a long day. However, its effects on our bodies — particularly our mouths — are far from friendly. 

Our dental health isn't just about maintaining a great smile; it's an essential part of our overall health and general well-being. Let's dive into the details of how alcohol affects your teeth and learn more about the long-term effects of alcohol on the mouth.

  • Dry mouth. Ever wondered why you feel parched after a night of drinking? Alcohol is a known dehydrating agent. Dry mouth might not seem like a big deal, but it's actually damaging to oral health. Our saliva washes away food particles and neutralizes harmful acids. Without enough of it, we’re at a greater risk of tooth decay and gum disease.
  • Tooth decay and cavities. Alcoholic beverages — particularly mixed drinks — are often high in sugars and acids. These can damage your tooth enamel, leading to cavities and tooth decay. No amount of brushing and flossing can fully protect you if alcohol is a regular visitor to your mouth.
  • Gum disease. Alcohol can irritate and inflame your gums, leading to a condition called periodontitis. This can cause your gums to recede and lead to tooth loss. Not quite the picture-perfect smile, is it? Moreover, gum disease (especially if we neglect it) can lead to more serious health problems down the road. For one thing, it can cause tooth loss. The bacteria that causes it can also get into your bloodstream, possibly leading to respiratory disease, rheumatoid arthritis, coronary artery disease, preterm birth and low birth weight, and issues with blood sugar control in diabetes.
  • Tooth staining. Many alcoholic beverages, such as red wine, cola mixers, and dark liquors, contain chromogens. These are compounds that are rich in color and can cling to the enamel on our teeth, leading to staining. Moreover, the acidity in alcohol can wear down the enamel — the outer layer of our teeth that protects against staining. Once this enamel is weakened, our teeth are more vulnerable to discolorations from food, drinks, and, yes, more alcohol.
  • Mouth ulcers. Can alcohol cause mouth ulcers? While it doesn’t cause ulcers directly, booze can contribute to their development or make existing ones worse. How? A combination of dehydration, an acidic environment, nutritional deficiencies, and a compromised immune response are all contributing factors. 
  • Oral cancer. Did you know that regular, heavy alcohol use is a major risk factor for oral cancer? Alcohol can damage cells in the mouth, causing them to grow abnormally — a process that can lead to oral cancer.
  • Nutrient absorption. Chronic alcohol use can interfere with nutrient absorption, including vitamin B, folic acid, and iron. These nutrients are key players in maintaining a healthy mouth and a strong immune system.
  • Impact on dental work. Alcohol can potentially damage existing dental work such as fillings, crowns, and veneers. This may lead to additional dental procedures, discomfort, and added costs.
  • Bad breath. While not a health concern per se, bad breath can certainly impact our social and professional interactions. Alcohol’s drying effect encourages the growth of bacteria in the mouth that cause bad breath.

Can Your Dentist Tell If You Do Drugs?

A related question that comes up when talking about the long-term effects of alcohol on the mouth is, “Can your dentist tell if you do drugs?” Dentists are trained professionals who can often detect signs and symptoms in the oral cavity that may suggest a patient is using drugs, especially when it comes to substances that can cause noticeable physical changes or dental issues. Here are some ways in which drug use may become apparent to a dentist:

  • Tooth decay and gum disease. Many drugs can lead to severe tooth decay, dry mouth (xerostomia), and gum disease. The patterns of decay may be more rampant and severe than what would typically be seen from diet and hygiene factors alone.
  • Bruxism. Drug use, particularly stimulants, can lead to teeth grinding (bruxism), which can cause wearing down of teeth, fractures, and jaw disorders.
  • Oral lesions. Some drugs can cause distinctive lesions in the mouth.
  • Dry mouth. Many drugs reduce saliva production, which is a critical factor in neutralizing acids and protecting teeth and gums. Persistent dry mouth can be a sign of drug use.
  • Soft tissue damage. Smoking drugs like crack cocaine or methamphetamine can lead to burnt oral tissues, or sores, and distinctive staining and damage to the teeth.
  • Chemical erosion. Acidic drugs that are either ingested orally or cause acid reflux can lead to erosion of the enamel.
  • Poor oral hygiene. Some people who use drugs may neglect oral hygiene, which a dentist can often detect as an overall decline in the health of the oral cavity.

It's important to note that while dentists can observe these signs, they are not typically trained to diagnose substance misuse disorders. However, they can encourage patients to seek help or refer them to appropriate healthcare providers if there is a concern about drug use and its effects on their oral and overall health. Also, patient confidentiality laws require dentists to respect their patients’ privacy. So while your dentist might be able to spot the signs, think of them as an ally who can point you in the right direction to get extra support.

Taking a Bite out of the Problem

So is alcohol bad for your teeth? Unfortunately, yes. As sobering as the above may sound, there are steps you can take to protect your oral health, even if you're not ready to completely quit drinking.

  • Stay hydrated. Drink plenty of water before, during, and after consuming alcohol. This can help prevent dry mouth and flush away sugars and acids.
  • Limit sugary drinks. Opt for beverages that are lower in sugars and acids. A simple swap could spare your teeth a lot of harm. You might be surprised at how much better you — and your teeth — will feel!
  • Chew sugar-free gum with xylitol. Xylitol has been shown to reduce bacteria that can lead to cavities.
  • Don't skip your oral hygiene routine. Brushing and flossing regularly, and correctly, can help reduce the damage caused by alcohol. Use toothpaste with fluoride to strengthen enamel and protect against decay.
  • Avoid ice chewing. Chewing ice can damage dental work, such as crowns or fillings.
  • Have regular dental check-ups. Regular visits to your dentist can help catch potential problems early before they become more serious. Don’t hesitate to bring up any alcohol-related concerns or worry about being judged — there’s no shame in being proactive about your health, and they’ve heard it all before!

Remember, the best defense against alcohol-related oral health issues is to reduce your alcohol consumption or quit altogether. Taking care of your dental health is a step towards a healthier, happier life. Your future self — and your future smile! — will thank you for it.

Alcohol and Health
2023-08-03 9:00
Alcohol and Health
How Does Alcohol Affect Estrogen Levels?
This is some text inside of a div block.

Explore the importance of maintaining hormonal balance for overall well-being, especially the impact of alcohol on estrogen levels, including increased cancer risks, menstrual irregularities, and mental health issues.

18 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  →

Hormones are finicky things: too much or too little of certain hormones can throw us all out of whack. Estrogen in particular – one of the main female sex hormones — is an important hormone that contributes to mood, bone strength, and even heart health. If we have too much or too little, we’re likely to experience health issues.

So, how does drinking alcohol affect our estrogen levels? Below, we’ll dive into the connection between alcohol consumption and estrogen levels, and how it affects men and women alike.

What Exactly Is Estrogen?

Estrogen is a female sex hormone that’s responsible for maintaining our sexual and reproductive health. Like other hormones, estrogen is a chemical messenger that tells our body when to start and stop processes affecting our health. It plays a particularly important role in the development of breasts and hips in women, the regulation of our menstrual cycle, pregnancy, and menopause.

There are three major forms of estrogen:

  • Estrone (E1): This is the second most common type of estrogen produced by our body during childbearing years. It’s primarily made from another type of sex hormone in our body called androgens. During menopause, when our ovaries stop producing hormones, estrone is the only type of estrogen our body continues to produce.
  • Estradiol (E2): This is the primary form of estrogen in our body during reproductive years. During this time, we have more estradiol in our bloodstream than we do other types of estrogen. It’s the most common form of estrogen.
  • Estriol (E3): This is the primary form of estrogen during pregnancy. It is present only in a very small — nearly undetectable — amount in our bloodstream when we’re not pregnant. Although all types of estrogen levels increase when we’re pregnant, estriol levels increase the most.

Estrogen also has other non-reproductive functions that extend beyond fertility and sex-related functions. For instance, estrogen regulates important processes in our skeletal, cardiovascular, and central nervous systems that impact our overall health. More specifically, estrogen contributes to our:

  • Bone development and health: Estrogen plays an important role in the development of our bones. It also regulates bone turnover in our adult bones and protects against bone loss. During menopause, when estrogen levels fall, women can experience a significant increase in bone loss. This can lead to osteoporosis, which can increase our risk of broken bones.
  • Heart health: Estrogen helps protect against heart disease by keeping our blood vessels healthy, decreasing inflammation, and controlling our cholesterol levels. During menopause, as estrogen levels drop, women are at a greater risk for heart disease. In fact, complications of heart disease are the leading cause of death in women in the U.S.
  • Mood management: Estrogen also plays a role in brain function and brain health. In fact, researchers believe estrogen affects how our brain structures are connected, how our brain cells communicate, and even the shape of our brain. Furthermore, estrogen promotes the production of serotonin — an important brain chemical that plays a role in regulating our mood. When our estrogen is low, our serotonin levels will typically decrease as well. It’s thought that the low estrogen-related drop in serotonin production contributes to postpartum and menopausal depression.

How Does Alcohol Affect Estrogen Levels?

Alcohol has been shown to increase the amount of estrogen we produce. This might seem like a good thing, right? After all, estrogen is important for our heart, bone, and brain health. However, increased estrogen levels for a long period of time is also associated with the development of breast cancer in women.

How does this occur? Well, whenever we consume alcohol, our bodies metabolize it primarily in the liver. In the process of breaking down alcohol, the liver creates byproducts that can influence estrogen levels. Ethanol — the alcohol found in alcoholic beverages — can increase the enzyme aromatase, which converts testosterone and androgens into estrogen.

As a result, the more alcohol we consume, the higher our circulating estrogen levels can become — and the higher the risk for long-term hormonal imbalances.

How Much Alcohol Increases the Risk of Breast Cancer?

A drink here or there likely isn’t a cause for concern. Research shows that it’s mostly heavy, long-term consumption of alcohol that increases our risk for breast cancer due to prolonged high levels of estrogen.

In one study, moderate drinking was found to have little impact, but heavy drinking increases the risk of breast cancer in women with less body mass. However, another study found that moderate alcohol use in younger women increased breast cancer risk by 11 to 16 percent.

Furthermore, a pooled analysis of data from 53 studies found that for each alcohol drink consumed per day, the relative risk of breast cancer increased by 7 percent.

In general, studies indicate that estrogen levels are higher in women who drink alcohol than in non-drinkers. In addition to increasing the risk of breast cancer, heavy drinking can also increase the risk of heart and liver disease, weight gain, and osteoporosis.

Alcohol and estrogens: A glass of wine and a hormone molecule symbolize the potential interaction between alcohol consumption and estrogen levels

How Does Alcohol Affect Estrogen Levels After Menopause?

Estrogen levels typically drop during menopause as our body stops ovulating. This decrease in estrogen can lead to a host of unpleasant symptoms, such as mood changes, vaginal dryness, night sweats, and hot flashes.

Some people assume that because alcohol increases estrogen levels, older women can benefit from consuming small amounts of alcohol. After all, increased estrogen levels in older women can lead to improved cardiovascular health, stronger bone density, and better immune function. Higher estrogen levels may also reduce the risk of Alzheimer’s disease.

However, consuming alcohol to increase our estrogen levels during or after menopause is unwise. We’d be much better off consulting a medical professional who can address any concerns about low estrogen levels. Many older women go through hormone replacement therapy (HRT) to help balance their hormones.

Furthermore, heavy drinking can wreak havoc on older women’s health. During the menopausal years, women are at a greater risk for certain health conditions, such as heart disease, stroke, and osteoporosis. The risk becomes greater the more we drink. Alcohol can also make it more challenging to maintain a healthy weight, which can also increase the risk of certain conditions.

How Does Alcohol Affect Estrogen Levels in Men?

Alcohol also increases estrogen levels in men. While we usually associate estrogen with women, men also have this hormone. Even though women have significantly higher estrogen levels than men, it’s still important for men to maintain a proper balance of estrogen.

High levels of estrogen in men from excessive alcohol consumption can cause both short- and long-term complications, such as:

  • Infertility: Estrogen is one of the hormones used to produce sperm. High estrogen levels can slow down sperm production and make it harder to create healthy sperm.
  • Gynecomastia: Increased estrogen can cause more breast tissue to develop than normal. High levels can lead to the development of a condition called gynecomastia — a condition of overdevelopment or enlargement of the breast tissue in men.
  • Erectile dysfunction (ED): Increased estrogen levels can affect the balance of hormones that are needed to help men get an erection and stay erect. This is especially true if they also experience low testosterone levels.

Other possible symptoms of high estrogen levels that may happen along with other hormone imbalances include reduced sex drive, reduced sperm concentration in semen, feeling exhausted, losing hair, shrinking muscle mass, loss of bone density, hot flashes, and having trouble focusing.

Unlike women, levels of estrogen increase in men as they get older. High levels of estrogen in older men can increase the risk of certain conditions, including diabetes, blood clots, stroke, certain cancers, including breast and prostate cancer.

The Link Between Stress, Alcohol, and Estrogen

Interestingly, stress can exacerbate the effects of alcohol on estrogen levels. When we’re stressed, our bodies release stress hormones like cortisol, which can disrupt the balance of sex hormones, including estrogen. This hormonal shift can further contribute to a host of negative health outcomes, including mood disorders, impaired immune function, and increased risk of chronic diseases.

Tips for Promoting Hormonal Balance and Health

Here are some tips for protecting your estrogen levels and improving your overall hormonal health:

  • Limit alcohol consumption: As we’ve established, consuming alcohol can increase our estrogen levels, which puts us at a greater risk for developing breast cancer. Try limiting your alcohol intake or eliminating alcohol entirely. Mindful drinking can be particularly beneficial in helping us practice moderation.
  • Exercise regularly: Physical activity is beneficial for our overall mental, emotional, and physical health, including hormonal balance. Try to include both aerobic exercises and weight-bearing activities into our fitness routine. Experts recommend getting at least 150 minutes of moderate-intensity exercise per week.
  • Practice good eating habits: Proper nutrition is important for our hormonal health. Reducing foods with sugar and eating foods high in fiber and healthy fats (those found in olive oils, nuts, seeds and fish) can help with hormone balance.
  • Manage stress: Stress can throw our hormones off balance.Try incorporating mindfulness meditation, breathing exercises, yoga, or stretching into our daily routine. These practices can help regulate stress hormones and support a healthier hormonal balance.
  • Prioritize sleep: Sleep deprivation can disrupt hormonal regulation. Aim to get at least 7 hours of quality sleep each night. In addition to supporting hormone health, sleep is important for regulating our metabolism, energy levels, mood, and immune function. Research indicates it can even add years to our life!
  • Minimize exposure to hormone-disrupting chemicals: Limit exposure to chemicals found in pesticides, plastics, and certain personal care products, which can impact our estrogen levels. Instead, try opting for natural, organic products whenever possible.
  • Seek professional guidance: If we’re concerned about our estrogen levels or experiencing health issues related to hormonal imbalance, be sure to consult a medical or healthcare professional. They can run tests and develop a personalized treatment plan.

If we’re curious whether our estrogen levels are high, low, or normal, we can visit our doctor who can order a lab test that measures our levels of estrone (E1), estradiol (E2), or estriol (E3).

The Bottom Line

Alcohol increases estrogen levels in both women and men. High levels of estrogen in women over a long period of time can increase the risk of breast cancer. High levels of estrogen in men can lead to infertility, erectile dysfunction, and increase the risk of certain cancers. The more we drink, the greater the risk. While a drink here and there isn’t necessarily harmful, heavy, long-term consumption of alcohol can lead to a host of health complications. Even though estrogen levels drop during menopause, it’s wise not to consume alcohol, given that it can increase our risk for osteoporosis, heart disease, and other health issues.

If you’re looking to cut back on our alcohol consumption, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people cut back on their alcohol consumption and develop healthier lifestyles.

Hormones are finicky things: too much or too little of certain hormones can throw us all out of whack. Estrogen in particular – one of the main female sex hormones — is an important hormone that contributes to mood, bone strength, and even heart health. If we have too much or too little, we’re likely to experience health issues.

So, how does drinking alcohol affect our estrogen levels? Below, we’ll dive into the connection between alcohol consumption and estrogen levels, and how it affects men and women alike.

What Exactly Is Estrogen?

Estrogen is a female sex hormone that’s responsible for maintaining our sexual and reproductive health. Like other hormones, estrogen is a chemical messenger that tells our body when to start and stop processes affecting our health. It plays a particularly important role in the development of breasts and hips in women, the regulation of our menstrual cycle, pregnancy, and menopause.

There are three major forms of estrogen:

  • Estrone (E1): This is the second most common type of estrogen produced by our body during childbearing years. It’s primarily made from another type of sex hormone in our body called androgens. During menopause, when our ovaries stop producing hormones, estrone is the only type of estrogen our body continues to produce.
  • Estradiol (E2): This is the primary form of estrogen in our body during reproductive years. During this time, we have more estradiol in our bloodstream than we do other types of estrogen. It’s the most common form of estrogen.
  • Estriol (E3): This is the primary form of estrogen during pregnancy. It is present only in a very small — nearly undetectable — amount in our bloodstream when we’re not pregnant. Although all types of estrogen levels increase when we’re pregnant, estriol levels increase the most.

Estrogen also has other non-reproductive functions that extend beyond fertility and sex-related functions. For instance, estrogen regulates important processes in our skeletal, cardiovascular, and central nervous systems that impact our overall health. More specifically, estrogen contributes to our:

  • Bone development and health: Estrogen plays an important role in the development of our bones. It also regulates bone turnover in our adult bones and protects against bone loss. During menopause, when estrogen levels fall, women can experience a significant increase in bone loss. This can lead to osteoporosis, which can increase our risk of broken bones.
  • Heart health: Estrogen helps protect against heart disease by keeping our blood vessels healthy, decreasing inflammation, and controlling our cholesterol levels. During menopause, as estrogen levels drop, women are at a greater risk for heart disease. In fact, complications of heart disease are the leading cause of death in women in the U.S.
  • Mood management: Estrogen also plays a role in brain function and brain health. In fact, researchers believe estrogen affects how our brain structures are connected, how our brain cells communicate, and even the shape of our brain. Furthermore, estrogen promotes the production of serotonin — an important brain chemical that plays a role in regulating our mood. When our estrogen is low, our serotonin levels will typically decrease as well. It’s thought that the low estrogen-related drop in serotonin production contributes to postpartum and menopausal depression.

How Does Alcohol Affect Estrogen Levels?

Alcohol has been shown to increase the amount of estrogen we produce. This might seem like a good thing, right? After all, estrogen is important for our heart, bone, and brain health. However, increased estrogen levels for a long period of time is also associated with the development of breast cancer in women.

How does this occur? Well, whenever we consume alcohol, our bodies metabolize it primarily in the liver. In the process of breaking down alcohol, the liver creates byproducts that can influence estrogen levels. Ethanol — the alcohol found in alcoholic beverages — can increase the enzyme aromatase, which converts testosterone and androgens into estrogen.

As a result, the more alcohol we consume, the higher our circulating estrogen levels can become — and the higher the risk for long-term hormonal imbalances.

How Much Alcohol Increases the Risk of Breast Cancer?

A drink here or there likely isn’t a cause for concern. Research shows that it’s mostly heavy, long-term consumption of alcohol that increases our risk for breast cancer due to prolonged high levels of estrogen.

In one study, moderate drinking was found to have little impact, but heavy drinking increases the risk of breast cancer in women with less body mass. However, another study found that moderate alcohol use in younger women increased breast cancer risk by 11 to 16 percent.

Furthermore, a pooled analysis of data from 53 studies found that for each alcohol drink consumed per day, the relative risk of breast cancer increased by 7 percent.

In general, studies indicate that estrogen levels are higher in women who drink alcohol than in non-drinkers. In addition to increasing the risk of breast cancer, heavy drinking can also increase the risk of heart and liver disease, weight gain, and osteoporosis.

Alcohol and estrogens: A glass of wine and a hormone molecule symbolize the potential interaction between alcohol consumption and estrogen levels

How Does Alcohol Affect Estrogen Levels After Menopause?

Estrogen levels typically drop during menopause as our body stops ovulating. This decrease in estrogen can lead to a host of unpleasant symptoms, such as mood changes, vaginal dryness, night sweats, and hot flashes.

Some people assume that because alcohol increases estrogen levels, older women can benefit from consuming small amounts of alcohol. After all, increased estrogen levels in older women can lead to improved cardiovascular health, stronger bone density, and better immune function. Higher estrogen levels may also reduce the risk of Alzheimer’s disease.

However, consuming alcohol to increase our estrogen levels during or after menopause is unwise. We’d be much better off consulting a medical professional who can address any concerns about low estrogen levels. Many older women go through hormone replacement therapy (HRT) to help balance their hormones.

Furthermore, heavy drinking can wreak havoc on older women’s health. During the menopausal years, women are at a greater risk for certain health conditions, such as heart disease, stroke, and osteoporosis. The risk becomes greater the more we drink. Alcohol can also make it more challenging to maintain a healthy weight, which can also increase the risk of certain conditions.

How Does Alcohol Affect Estrogen Levels in Men?

Alcohol also increases estrogen levels in men. While we usually associate estrogen with women, men also have this hormone. Even though women have significantly higher estrogen levels than men, it’s still important for men to maintain a proper balance of estrogen.

High levels of estrogen in men from excessive alcohol consumption can cause both short- and long-term complications, such as:

  • Infertility: Estrogen is one of the hormones used to produce sperm. High estrogen levels can slow down sperm production and make it harder to create healthy sperm.
  • Gynecomastia: Increased estrogen can cause more breast tissue to develop than normal. High levels can lead to the development of a condition called gynecomastia — a condition of overdevelopment or enlargement of the breast tissue in men.
  • Erectile dysfunction (ED): Increased estrogen levels can affect the balance of hormones that are needed to help men get an erection and stay erect. This is especially true if they also experience low testosterone levels.

Other possible symptoms of high estrogen levels that may happen along with other hormone imbalances include reduced sex drive, reduced sperm concentration in semen, feeling exhausted, losing hair, shrinking muscle mass, loss of bone density, hot flashes, and having trouble focusing.

Unlike women, levels of estrogen increase in men as they get older. High levels of estrogen in older men can increase the risk of certain conditions, including diabetes, blood clots, stroke, certain cancers, including breast and prostate cancer.

The Link Between Stress, Alcohol, and Estrogen

Interestingly, stress can exacerbate the effects of alcohol on estrogen levels. When we’re stressed, our bodies release stress hormones like cortisol, which can disrupt the balance of sex hormones, including estrogen. This hormonal shift can further contribute to a host of negative health outcomes, including mood disorders, impaired immune function, and increased risk of chronic diseases.

Tips for Promoting Hormonal Balance and Health

Here are some tips for protecting your estrogen levels and improving your overall hormonal health:

  • Limit alcohol consumption: As we’ve established, consuming alcohol can increase our estrogen levels, which puts us at a greater risk for developing breast cancer. Try limiting your alcohol intake or eliminating alcohol entirely. Mindful drinking can be particularly beneficial in helping us practice moderation.
  • Exercise regularly: Physical activity is beneficial for our overall mental, emotional, and physical health, including hormonal balance. Try to include both aerobic exercises and weight-bearing activities into our fitness routine. Experts recommend getting at least 150 minutes of moderate-intensity exercise per week.
  • Practice good eating habits: Proper nutrition is important for our hormonal health. Reducing foods with sugar and eating foods high in fiber and healthy fats (those found in olive oils, nuts, seeds and fish) can help with hormone balance.
  • Manage stress: Stress can throw our hormones off balance.Try incorporating mindfulness meditation, breathing exercises, yoga, or stretching into our daily routine. These practices can help regulate stress hormones and support a healthier hormonal balance.
  • Prioritize sleep: Sleep deprivation can disrupt hormonal regulation. Aim to get at least 7 hours of quality sleep each night. In addition to supporting hormone health, sleep is important for regulating our metabolism, energy levels, mood, and immune function. Research indicates it can even add years to our life!
  • Minimize exposure to hormone-disrupting chemicals: Limit exposure to chemicals found in pesticides, plastics, and certain personal care products, which can impact our estrogen levels. Instead, try opting for natural, organic products whenever possible.
  • Seek professional guidance: If we’re concerned about our estrogen levels or experiencing health issues related to hormonal imbalance, be sure to consult a medical or healthcare professional. They can run tests and develop a personalized treatment plan.

If we’re curious whether our estrogen levels are high, low, or normal, we can visit our doctor who can order a lab test that measures our levels of estrone (E1), estradiol (E2), or estriol (E3).

The Bottom Line

Alcohol increases estrogen levels in both women and men. High levels of estrogen in women over a long period of time can increase the risk of breast cancer. High levels of estrogen in men can lead to infertility, erectile dysfunction, and increase the risk of certain cancers. The more we drink, the greater the risk. While a drink here and there isn’t necessarily harmful, heavy, long-term consumption of alcohol can lead to a host of health complications. Even though estrogen levels drop during menopause, it’s wise not to consume alcohol, given that it can increase our risk for osteoporosis, heart disease, and other health issues.

If you’re looking to cut back on our alcohol consumption, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people cut back on their alcohol consumption and develop healthier lifestyles.

Alcohol and Health
2023-08-03 9:00
Alcohol and Health
Is It OK To Drink Alcohol During Menopause?
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Does alcohol help or hinder menopause symptoms? Explore how alcohol affects some of menopause’s most unpleasant symptoms, such as hot flashes, night sweats, and mood swings.

17 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  →

It’s a Sunday brunch and a group of life-long friends gather, their laughter echoing as easily as the clinking of their mimosa glasses — a beloved ritual of association and relaxation, with a hint of sophistication. Yet amid the sparkling merriment, one woman sips on a glass of ice tea. The motivation behind her non-alcohol choice is rooted in her new phase of life: menopause. Her decision stems from a nuanced understanding of the complex interplay between her body and alcohol. 

Below, we’ll examine the hormonal changes women go through in menopause and the effect that alcohol can have on women during this stage. Let’s dive in!

What Is Menopause? 

Simply put, menopause is the time that marks the permanent end of a woman’s menstrual cycles. Reaching menopause means a woman is no longer fertile and can no longer conceive children. 

While the average age of menopause is 51, it can happen any time from the 30s to the mid-50s or later. Women who smoke or are underweight tend to have an earlier menopause, while women who are overweight often have a later menopause. 

Menopause is gradual and happens in three stages:

  • Perimenopause (“menopause transition”): This can begin 8-10 years before menopause, when our ovaries gradually produce less estrogen. It usually starts when we’re in our 40s and lasts until menopause, the point when our ovaries stop releasing eggs. In the last one to two years of perimenopause, the drop in estrogen accelerates. At this stage, many women experience menopause symptoms even though they’re still having menstrual cycles and can still get pregnant. 
  • Menopause: This is the point when we no longer have menstrual periods. At this stage, our ovaries have stopped releasing eggs and stopped producing most of their estrogen. Menopause is usually confirmed when we’ve gone without a menstrual period for 12 consecutive months. 
  • Postmenopause: This is the name given to the time after we haven’t had a period for an entire year (or the rest of our life after menopause). During this stage, menopausal symptoms can improve. However, some women continue to experience symptoms for a decade or longer after the menopause transition. As a result of lower estrogen levels, women in the postmenopausal phase are at an increased risk for several health conditions, including osteoporosis and heart disease. 

What Are the Symptoms of Menopause?

The symptoms of menopause are caused by low levels of reproductive hormones, such as estrogen. Many of them are challenging, even unpleasant: 

  • Hot flashes, also known as vasomotor symptoms (a sudden feeling of warmth that spreads over our body)
  • Night sweats and/or cold flashes
  • Vaginal dryness that causes discomfort during sex
  • Insomnia or difficulty sleeping
  • Emotional changes, such as irritability, mood swings, or mild depression
  • Dry skin, dry eyes, or dry mouth
  • Decreased sex drive

How Does Alcohol Affect Menopause Symptoms? 

Drinking alcohol can exacerbate many of the symptoms associated with menopause. In fact, experts recommend limiting alcohol consumption because the physiological reactions to alcohol can either magnify menopause symptoms or destabilize the body’s adaptive capabilities. Let’s take a closer look:

1. Alcohol’s Impact on Hot Flashes During Menopause

The effect of alcohol on hot flashes is complex. Many menopausal women say drinking alcohol — especially red wine — triggers hot flashes. Several studies have supported this finding. However, research suggests that whether alcohol affects hot flashes largely depends on which stage of menopause we’re in.

For instance, one study showed that perimenopausal women who drank had a lower risk for hot flashes compared with women who never drink alcohol. The researchers measured the participants’ sex hormone levels and found them unaffected by alcohol use. 

However, other studies have shown the complete opposite: an increased risk for hot flashes and night sweats for women who drink, especially among postmenopausal women. One survey found that women who drank alcohol daily were much more likely to report hot flashes and night sweats. Drinking alcohol close to bedtime can make night sweats more uncomfortable for some menopausal women. 

The bottom line? Alcohol’s effect on hot flashes may depend on where we are in our menopause transition. Regardless, whether alcohol triggers hot flashes varies widely based on the individual.

2. Alcohol’s Impact on Sleep During Menopause

Research has found that drinking alcohol during menopause increases the risk of disturbed sleep. Even without menopause, alcohol negatively affects our sleep. Many people think alcohol is a beneficial sleep aid because it helps us fall asleep faster. However, it actually reduces our overall quality of sleep. It suppresses and reduces the amount of time we spend in rapid eye movement (REM) sleep — one of the most important stages of sleep for physical and mental restoration. 

If we’re already struggling with sleep due to menopause, alcohol can create further disruptions and contribute to insomnia. 

3. Alcohol’s Impact on Mood During Menopause

During menopause, many women struggle with irritability, mood swings, and depression. This is largely due to decreased amounts of progesterone and estrogen. Estrogen in particular promotes the production of serotonin, a brain chemical that helps regulate our mood. With lower levels of estrogen, serotonin levels also drop, leading to changes in mood. 

Adding alcohol to the mix only makes things worse. Alcohol may provide a temporary mood boost (due to a rush of the “feel good” chemical dopamine), but since alcohol is a depressant, it often makes us feel worse. Since we’re already struggling with mood shifts due to hormonal changes, having a drink will likely exacerbate symptoms. 

In fact, after drinking, many people experience feelings of restlessness, anxiety, and irritability. This is largely due to a disruption in gamma-aminobutyric acid (GABA) and glutamate, two crucial mood-regulating neurotransmitters. 

Lack of sleep during menopause can also contribute to a bad mood. Anxiety and depression symptoms may also contribute to sleep disturbances that are common during menopause. 

4. Alcohol’s Impact on Health During Menopause

During the menopausal years, women are at a greater risk for certain health conditions, such as heart disease, stroke, cancer and osteoporosis. The risk becomes greater the more alcohol we consume. There’s a particularly strong link between alcohol consumption and breast cancer: according to one study, 1 drink per day increases our risk for breast cancer by 12%. In a different five-year study, post-menopausal women who increased their alcohol intake were found to be at a greater risk of breast cancer. 

The increased caloric input from alcohol can contribute to weight gain, which can increase the risk of certain conditions, such as heart disease, diabetes, and arthritis. 

5. Alcohol’s Impact on Our Body During Menopause

As we age, we become more sensitive to the effects of alcohol. This is largely because we metabolize alcohol more slowly due to a decline in the activity of dehydrogenase, an enzyme that breaks down alcohol. This can lead to increased levels of alcohol in the bloodstream for longer periods of time. 

Similarly, as we age, our bodies lose water volume. As a result, we are less able to dilute any alcohol in our system, making us that much more vulnerable to its effects.

Furthermore, our lean body mass also declines with age. With less muscle to absorb alcohol, older adults feel the effects of alcohol more quickly, even while consuming lower amounts of alcohol than when they were younger. 

Since women tend to process alcohol more slowly than men, older women tend to be at higher risk for these effects compared to older men.

How Much Alcohol Can We Drink During Menopause?

Doctors generally recommend limiting alcohol consumption to one drink per day during menopause. Keep in mind that every woman is different, so it’s important to pay attention to how alcohol affects you specifically. Some women may notice just one drink triggers hot flashes or interferes with their sleep, while others might not experience the same effect. 

However, given alcohol’s adverse short- and long-term effects on our physical, mental, and emotional health, it’s worth significantly reducing our consumption or even eliminating alcohol entirely. 

Managing Menopause Symptoms

There’s no doubt about it: menopause is hard. Here are some tips to managing menopause symptoms and staying healthy during this stage in life: 

  • Eat foods rich in calcium and vitamin D: Hormonal changes during menopause can weaken bones, increasing our risk of osteoporosis. Calcium and vitamin D are good for bone health, so it’s important to incorporate more of these nutrients into our diet. Calcium-rich foods include dairy products like yogurt, milk, and cheese. Green, leafy vegetables such as kale, collard greens, and spinach have a lot of calcium as well. 

    As for vitamin D, we might want to talk to our doctor about a vitamin D supplement, as food sources with adequate amounts of vitamin D (fish, eggs, cod liver oil are the primary ones) are limited. Sunlight is our primary source of vitamin D, since our skin produces it when exposed to the sun. As we get older, however, our skin gets less efficient at making it. 
  • Eat foods high in phytoestrogens: Phytoestrogens are naturally occurring plant compounds that mimic the physical effects of estrogen. Our estrogen levels drop during menopause, and phytoestrogens may help balance hormones. In fact, experts believe that the high intake of phytoestrogens in Asian countries is one of the reasons menopausal women in these places rarely experience hot flashes.

    Foods rich in phytoestrogens include soybeans and soy products, tofu, tempeh, flaxseeds, sesame seeds, and beans.
  • Exercise regularly: Physical activity is especially important during menopause, and it can help prevent weight gain. Pilates-based exercise programs in particular may be beneficial; they’ve been shown to provide a range of benefits, such as increased energy and metabolism, healthier joints and bones, decreased stress, and better sleep.

    Regular exercise is also associated with overall health and protection against diseases and conditions that tend to occur during menopause, such as heart disease, cancer, stroke, and osteoporosis. 
  • Drink enough water: Dryness and dehydration are often problematic during menopause, likely caused by decreased estrogen levels. Make sure to stay hydrated by drinking 8-12 glasses of water a day. Drinking water can also reduce any bloating that occurs with hormonal changes in menopause. 

The Bottom Line

Drinking alcohol can worsen many symptoms of menopause, including hot flashes, night sweats, and mood swings. It can also increase our risk of developing serious health conditions, such as heart disease and osteoporosis. If we choose to drink alcohol during menopause, we should limit ourselves to one drink per day. 

If you’re struggling to manage your alcohol consumption, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people cut back on their alcohol consumption and develop healthier lifestyles. It’s never too late to make a change! 

It’s a Sunday brunch and a group of life-long friends gather, their laughter echoing as easily as the clinking of their mimosa glasses — a beloved ritual of association and relaxation, with a hint of sophistication. Yet amid the sparkling merriment, one woman sips on a glass of ice tea. The motivation behind her non-alcohol choice is rooted in her new phase of life: menopause. Her decision stems from a nuanced understanding of the complex interplay between her body and alcohol. 

Below, we’ll examine the hormonal changes women go through in menopause and the effect that alcohol can have on women during this stage. Let’s dive in!

What Is Menopause? 

Simply put, menopause is the time that marks the permanent end of a woman’s menstrual cycles. Reaching menopause means a woman is no longer fertile and can no longer conceive children. 

While the average age of menopause is 51, it can happen any time from the 30s to the mid-50s or later. Women who smoke or are underweight tend to have an earlier menopause, while women who are overweight often have a later menopause. 

Menopause is gradual and happens in three stages:

  • Perimenopause (“menopause transition”): This can begin 8-10 years before menopause, when our ovaries gradually produce less estrogen. It usually starts when we’re in our 40s and lasts until menopause, the point when our ovaries stop releasing eggs. In the last one to two years of perimenopause, the drop in estrogen accelerates. At this stage, many women experience menopause symptoms even though they’re still having menstrual cycles and can still get pregnant. 
  • Menopause: This is the point when we no longer have menstrual periods. At this stage, our ovaries have stopped releasing eggs and stopped producing most of their estrogen. Menopause is usually confirmed when we’ve gone without a menstrual period for 12 consecutive months. 
  • Postmenopause: This is the name given to the time after we haven’t had a period for an entire year (or the rest of our life after menopause). During this stage, menopausal symptoms can improve. However, some women continue to experience symptoms for a decade or longer after the menopause transition. As a result of lower estrogen levels, women in the postmenopausal phase are at an increased risk for several health conditions, including osteoporosis and heart disease. 

What Are the Symptoms of Menopause?

The symptoms of menopause are caused by low levels of reproductive hormones, such as estrogen. Many of them are challenging, even unpleasant: 

  • Hot flashes, also known as vasomotor symptoms (a sudden feeling of warmth that spreads over our body)
  • Night sweats and/or cold flashes
  • Vaginal dryness that causes discomfort during sex
  • Insomnia or difficulty sleeping
  • Emotional changes, such as irritability, mood swings, or mild depression
  • Dry skin, dry eyes, or dry mouth
  • Decreased sex drive

How Does Alcohol Affect Menopause Symptoms? 

Drinking alcohol can exacerbate many of the symptoms associated with menopause. In fact, experts recommend limiting alcohol consumption because the physiological reactions to alcohol can either magnify menopause symptoms or destabilize the body’s adaptive capabilities. Let’s take a closer look:

1. Alcohol’s Impact on Hot Flashes During Menopause

The effect of alcohol on hot flashes is complex. Many menopausal women say drinking alcohol — especially red wine — triggers hot flashes. Several studies have supported this finding. However, research suggests that whether alcohol affects hot flashes largely depends on which stage of menopause we’re in.

For instance, one study showed that perimenopausal women who drank had a lower risk for hot flashes compared with women who never drink alcohol. The researchers measured the participants’ sex hormone levels and found them unaffected by alcohol use. 

However, other studies have shown the complete opposite: an increased risk for hot flashes and night sweats for women who drink, especially among postmenopausal women. One survey found that women who drank alcohol daily were much more likely to report hot flashes and night sweats. Drinking alcohol close to bedtime can make night sweats more uncomfortable for some menopausal women. 

The bottom line? Alcohol’s effect on hot flashes may depend on where we are in our menopause transition. Regardless, whether alcohol triggers hot flashes varies widely based on the individual.

2. Alcohol’s Impact on Sleep During Menopause

Research has found that drinking alcohol during menopause increases the risk of disturbed sleep. Even without menopause, alcohol negatively affects our sleep. Many people think alcohol is a beneficial sleep aid because it helps us fall asleep faster. However, it actually reduces our overall quality of sleep. It suppresses and reduces the amount of time we spend in rapid eye movement (REM) sleep — one of the most important stages of sleep for physical and mental restoration. 

If we’re already struggling with sleep due to menopause, alcohol can create further disruptions and contribute to insomnia. 

3. Alcohol’s Impact on Mood During Menopause

During menopause, many women struggle with irritability, mood swings, and depression. This is largely due to decreased amounts of progesterone and estrogen. Estrogen in particular promotes the production of serotonin, a brain chemical that helps regulate our mood. With lower levels of estrogen, serotonin levels also drop, leading to changes in mood. 

Adding alcohol to the mix only makes things worse. Alcohol may provide a temporary mood boost (due to a rush of the “feel good” chemical dopamine), but since alcohol is a depressant, it often makes us feel worse. Since we’re already struggling with mood shifts due to hormonal changes, having a drink will likely exacerbate symptoms. 

In fact, after drinking, many people experience feelings of restlessness, anxiety, and irritability. This is largely due to a disruption in gamma-aminobutyric acid (GABA) and glutamate, two crucial mood-regulating neurotransmitters. 

Lack of sleep during menopause can also contribute to a bad mood. Anxiety and depression symptoms may also contribute to sleep disturbances that are common during menopause. 

4. Alcohol’s Impact on Health During Menopause

During the menopausal years, women are at a greater risk for certain health conditions, such as heart disease, stroke, cancer and osteoporosis. The risk becomes greater the more alcohol we consume. There’s a particularly strong link between alcohol consumption and breast cancer: according to one study, 1 drink per day increases our risk for breast cancer by 12%. In a different five-year study, post-menopausal women who increased their alcohol intake were found to be at a greater risk of breast cancer. 

The increased caloric input from alcohol can contribute to weight gain, which can increase the risk of certain conditions, such as heart disease, diabetes, and arthritis. 

5. Alcohol’s Impact on Our Body During Menopause

As we age, we become more sensitive to the effects of alcohol. This is largely because we metabolize alcohol more slowly due to a decline in the activity of dehydrogenase, an enzyme that breaks down alcohol. This can lead to increased levels of alcohol in the bloodstream for longer periods of time. 

Similarly, as we age, our bodies lose water volume. As a result, we are less able to dilute any alcohol in our system, making us that much more vulnerable to its effects.

Furthermore, our lean body mass also declines with age. With less muscle to absorb alcohol, older adults feel the effects of alcohol more quickly, even while consuming lower amounts of alcohol than when they were younger. 

Since women tend to process alcohol more slowly than men, older women tend to be at higher risk for these effects compared to older men.

How Much Alcohol Can We Drink During Menopause?

Doctors generally recommend limiting alcohol consumption to one drink per day during menopause. Keep in mind that every woman is different, so it’s important to pay attention to how alcohol affects you specifically. Some women may notice just one drink triggers hot flashes or interferes with their sleep, while others might not experience the same effect. 

However, given alcohol’s adverse short- and long-term effects on our physical, mental, and emotional health, it’s worth significantly reducing our consumption or even eliminating alcohol entirely. 

Managing Menopause Symptoms

There’s no doubt about it: menopause is hard. Here are some tips to managing menopause symptoms and staying healthy during this stage in life: 

  • Eat foods rich in calcium and vitamin D: Hormonal changes during menopause can weaken bones, increasing our risk of osteoporosis. Calcium and vitamin D are good for bone health, so it’s important to incorporate more of these nutrients into our diet. Calcium-rich foods include dairy products like yogurt, milk, and cheese. Green, leafy vegetables such as kale, collard greens, and spinach have a lot of calcium as well. 

    As for vitamin D, we might want to talk to our doctor about a vitamin D supplement, as food sources with adequate amounts of vitamin D (fish, eggs, cod liver oil are the primary ones) are limited. Sunlight is our primary source of vitamin D, since our skin produces it when exposed to the sun. As we get older, however, our skin gets less efficient at making it. 
  • Eat foods high in phytoestrogens: Phytoestrogens are naturally occurring plant compounds that mimic the physical effects of estrogen. Our estrogen levels drop during menopause, and phytoestrogens may help balance hormones. In fact, experts believe that the high intake of phytoestrogens in Asian countries is one of the reasons menopausal women in these places rarely experience hot flashes.

    Foods rich in phytoestrogens include soybeans and soy products, tofu, tempeh, flaxseeds, sesame seeds, and beans.
  • Exercise regularly: Physical activity is especially important during menopause, and it can help prevent weight gain. Pilates-based exercise programs in particular may be beneficial; they’ve been shown to provide a range of benefits, such as increased energy and metabolism, healthier joints and bones, decreased stress, and better sleep.

    Regular exercise is also associated with overall health and protection against diseases and conditions that tend to occur during menopause, such as heart disease, cancer, stroke, and osteoporosis. 
  • Drink enough water: Dryness and dehydration are often problematic during menopause, likely caused by decreased estrogen levels. Make sure to stay hydrated by drinking 8-12 glasses of water a day. Drinking water can also reduce any bloating that occurs with hormonal changes in menopause. 

The Bottom Line

Drinking alcohol can worsen many symptoms of menopause, including hot flashes, night sweats, and mood swings. It can also increase our risk of developing serious health conditions, such as heart disease and osteoporosis. If we choose to drink alcohol during menopause, we should limit ourselves to one drink per day. 

If you’re struggling to manage your alcohol consumption, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people cut back on their alcohol consumption and develop healthier lifestyles. It’s never too late to make a change! 

Alcohol and Health
2023-08-03 9:00
Alcohol and Health
Can Alcohol Cause Acid Reflux?
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Does your favorite drink cause acid reflux? Dive into the science behind alcohol-induced acid reflux and discover strategies to alleviate symptoms.

7 min read

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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.

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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 a cozy night at home. You’re curled up on the couch, catching up with your besties and enjoying a little wine with your gossip. Soon, though, an unwelcome, fiery sensation starts crawling up your throat. Ugh! It’s heartburn — again!

Could this unexpected bout of acid reflux be directly related to the alcohol you're sipping? It’s highly likely! Let’s unpack what’s going on in further detail.

Understanding Acid Reflux

Acid reflux, medically referred to as gastroesophageal reflux, is a condition characterized by the backward flow of stomach acid into the esophagus, leading to a range of discomforts such as heartburn, regurgitation, and even nausea.

While occasional acid reflux is a common response to specific triggers such as certain foods or stress, frequent episodes may suggest a more serious condition known as gastroesophageal reflux disease (GERD). This chronic disorder can lead to more serious complications such esophageal stricture or even Barrett's esophagus if left untreated.

Alcohol and Acid Reflux: What's the Connection?

A substantial amount of research points towards a connection between alcohol consumption and acid reflux. Let's dissect how alcohol contributes to this condition:

  • Relaxing the lower esophageal sphincter (LES). The LES is a muscle ring at the lower end of the esophagus that acts like a one-way valve, preventing stomach acid from flowing back into the esophagus. Alcohol has been found to relax the LES, facilitating the backflow of acid and triggering reflux symptoms.
  • Stimulating stomach acid production. Alcohol can stimulate the production of stomach acid, an excess of which may find its way back to the esophagus, causing acid reflux.
  • Damaging the esophageal lining. Alcohol can weaken and damage the mucous lining of the esophagus, making it more susceptible to the corrosive effects of acid.

Choosing Our Drinks Wisely

While alcohol, in general, can contribute to acid reflux, it's important to note that not all alcoholic beverages are created equal in this context. Research suggests that beer and spirits are more likely to cause acid reflux than wine, owing to their higher alcohol content. However, it's also crucial to remember that individual reactions can vary significantly, so it's beneficial to observe and understand how different drinks affect you personally.

Furthermore, too much of any type of alcoholic beverage can trigger acid reflux symptoms and lead to other forms of digestive discomfort. Stick to healthy limits and avoid greasy foods prior to drinking, as these can exacerbate symptoms.

Managing and Preventing Alcohol-Induced Acid Reflux

Being mindful of our health doesn't mean we need to give up drinking entirely. Here are some proactive steps to manage and prevent acid reflux triggered by alcohol:

  • Choose moderation. Reducing the amount of alcohol consumed can significantly reduce the frequency and severity of acid reflux symptoms.
  • Understand personal triggers. Keeping a note of specific beverages that tend to trigger reflux symptoms can help avoid them in the future.
  • Time your drinks right. Waiting at least two to three hours after drinking alcohol before lying down can help prevent acid from flowing back into the esophagus.
  • Seek professional guidance. If you're frequently experiencing acid reflux, irrespective of alcohol consumption, seek the advice of a healthcare professional. They can help identify underlying issues and provide personalized treatment strategies.

The evidence strongly suggests a connection between alcohol and acid reflux symptoms. However, this link doesn't necessarily imply total abstention from alcoholic beverages. By comprehending our bodies' responses and moderating our consumption, we can continue to partake in social drinking while avoiding the unpleasant aftermath. It's all about striking a balance between enjoyment and health!

It’s a cozy night at home. You’re curled up on the couch, catching up with your besties and enjoying a little wine with your gossip. Soon, though, an unwelcome, fiery sensation starts crawling up your throat. Ugh! It’s heartburn — again!

Could this unexpected bout of acid reflux be directly related to the alcohol you're sipping? It’s highly likely! Let’s unpack what’s going on in further detail.

Understanding Acid Reflux

Acid reflux, medically referred to as gastroesophageal reflux, is a condition characterized by the backward flow of stomach acid into the esophagus, leading to a range of discomforts such as heartburn, regurgitation, and even nausea.

While occasional acid reflux is a common response to specific triggers such as certain foods or stress, frequent episodes may suggest a more serious condition known as gastroesophageal reflux disease (GERD). This chronic disorder can lead to more serious complications such esophageal stricture or even Barrett's esophagus if left untreated.

Alcohol and Acid Reflux: What's the Connection?

A substantial amount of research points towards a connection between alcohol consumption and acid reflux. Let's dissect how alcohol contributes to this condition:

  • Relaxing the lower esophageal sphincter (LES). The LES is a muscle ring at the lower end of the esophagus that acts like a one-way valve, preventing stomach acid from flowing back into the esophagus. Alcohol has been found to relax the LES, facilitating the backflow of acid and triggering reflux symptoms.
  • Stimulating stomach acid production. Alcohol can stimulate the production of stomach acid, an excess of which may find its way back to the esophagus, causing acid reflux.
  • Damaging the esophageal lining. Alcohol can weaken and damage the mucous lining of the esophagus, making it more susceptible to the corrosive effects of acid.

Choosing Our Drinks Wisely

While alcohol, in general, can contribute to acid reflux, it's important to note that not all alcoholic beverages are created equal in this context. Research suggests that beer and spirits are more likely to cause acid reflux than wine, owing to their higher alcohol content. However, it's also crucial to remember that individual reactions can vary significantly, so it's beneficial to observe and understand how different drinks affect you personally.

Furthermore, too much of any type of alcoholic beverage can trigger acid reflux symptoms and lead to other forms of digestive discomfort. Stick to healthy limits and avoid greasy foods prior to drinking, as these can exacerbate symptoms.

Managing and Preventing Alcohol-Induced Acid Reflux

Being mindful of our health doesn't mean we need to give up drinking entirely. Here are some proactive steps to manage and prevent acid reflux triggered by alcohol:

  • Choose moderation. Reducing the amount of alcohol consumed can significantly reduce the frequency and severity of acid reflux symptoms.
  • Understand personal triggers. Keeping a note of specific beverages that tend to trigger reflux symptoms can help avoid them in the future.
  • Time your drinks right. Waiting at least two to three hours after drinking alcohol before lying down can help prevent acid from flowing back into the esophagus.
  • Seek professional guidance. If you're frequently experiencing acid reflux, irrespective of alcohol consumption, seek the advice of a healthcare professional. They can help identify underlying issues and provide personalized treatment strategies.

The evidence strongly suggests a connection between alcohol and acid reflux symptoms. However, this link doesn't necessarily imply total abstention from alcoholic beverages. By comprehending our bodies' responses and moderating our consumption, we can continue to partake in social drinking while avoiding the unpleasant aftermath. It's all about striking a balance between enjoyment and health!

Alcohol and Health