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2023-06-30 9:00
Alcohol and Health
Alcohol’s Long-Term Effects on the Body — Adverse Outcomes To Be Aware Of
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Ever wondered what happens inside your body after the Friday night wine? Dive into our latest blog as we pull back the curtain on alcohol's long-term effects on your health, from your overworked liver to your unsuspecting skin, and even the under-discussed reproductive system.

11 min read

Ready To Rethink Your Relationship With Alcohol?

The Reframe app is here to help! While it might not be a magic wand for alcohol use disorder (AUD), it's a handy tool in helping you reconsider alcohol's role in your life, all thanks to the power of neuroscience. Countless folks worldwide have found our method a big help in shaping up their drinking habits — we're positive it can be a game-changer for you, too!

Reframe’s mission is to give you the know-how and skills not just to cope with less alcohol, but to really thrive on this journey. We serve up daily nuggets of insight supported by research, offering a peek into the neuroscience of alcohol, as well as a Toolkit stuffed with useful resources and activities to help you leap over every roadblock.

Join our 24/7 Forum chat, where you can draw motivation from other Reframers around the world who get what you're going through. Don't forget to check in with our certified coaches for tailored tips and guidance.

We're always sprucing up our app with cool new features to make your experience even better. The latest whiz-kid on the block is Melody, an in-app chatbot supercharged with top-notch AI tech, ready to lend a hand as you transition to a life with less booze — or none at all. Plus, we spice things up with engaging monthly challenges like Dry/Damp January, Mental Health May, and Outdoorsy June. Join in with fellow Reframers or fly solo — you call the shots!

Give Reframe a whirl with a seven-day free trial. No strings attached, so why not dive in? Ready to grab the wheel and explore a life beyond alcohol? Let's get started — download our app today!

Read Full Article  →

After another night of overindulgence, we likely wake up with that “I should probably do this less often” feeling in the morning and just feel plain awful. In addition to wondering if we drunk dialed our ex — or (yikes!) our boss, we might be thinking: How does alcohol affect the body in the long haul? What happens when you drink alcohol every day?

Effects of Alcohol on the Body: When Alcohol Overstays Its Welcome

Consider alcohol like an over-ambitious tenant in our bodies. It rents a small space but insists on rearranging the whole house — the liver, the brain, the heart, as well the digestive and reproductive systems. The impact of long-term, habitual drinking can lead to serious health conditions, including liver disease, cognitive issues, heart diseases, and an increased risk of certain cancers. Here’s a deeper look at each of alcohol’s long-term effects on our bodies.

Liver: The Tireless Workhorse

When we talk about alcohol and its effects, the liver often takes center stage — and for good reason. As our body's primary detoxification center, the liver is the frontline worker that tackles the aftermath of our alcoholic indulgences.

In the short term, the liver can usually handle this job — it dutifully metabolizes the alcohol, breaking it down into substances our body can safely get rid of. However, when we drink excessively or too frequently, we're essentially asking our liver to sprint a marathon — an unrealistic and unfair demand.

Over time, the stress of metabolizing alcohol can take a serious toll on the liver. Alcoholic hepatitis, an inflammation of the liver, is usually first. Symptoms can include nausea, loss of appetite, abdominal pain, and jaundice — a yellowing of the skin and eyes.

If the drinking continues, fibrosis — or scarring of the liver tissue — can develop. Long-term effects of alcohol eventually lead to cirrhosis — the stage where the liver is so scarred it can no longer function properly. This level of damage is serious, and can lead to life-threatening complications. The liver can repair itself from most damage, but cirrhosis isn’t reversible. 

Brain: The Misguided Navigator

Our brain, the hub of cognition and control, isn't immune to alcohol's impact either. While we're aware of the temporary fogginess that alcohol can bring about — those infamous "brain farts" — its long-term impact on our brain and nervous system goes far beyond the occasional memory lapse or slower reaction time.

Chronic alcohol intake can actually change the brain's structure and function. It can shrink brain mass, disrupt the neurotransmitters that the brain uses to communicate, and even impact its ability to create new cells — the process known as neurogenesis. Heavy drinking can switch our brain's autopilot mode into a turbulent, unpredictable ride. Along with these changes, alcohol can also do a number on our mental health, causing depression and anxiety.

Alcohol’s effects on the brain can include more severe memory loss, making existing mental health disorders worse, and even lead to permanent alterations to the brain's structure. It's like converting the sophisticated navigation system of your brain into a malfunctioning GPS that keeps missing its turns.

Outside the brain, alcohol can have a significant impact on our peripheral nervous system, leading to numbness, abnormal sensations, and even changes in motor functions. In severe cases, this can lead to a condition called alcoholic neuropathy — a painful and debilitating disorder that can severely impact quality of life.

Heart: The Silent Sufferer

Our heart bears the brunt of our alcohol indulgence, too. Prolonged drinking can lead to hypertension, stroke, and heart disease. It's as if our heart is on a battlefield, relentlessly being attacked without any protective shield. Short-term effects of alcohol on the heart include an increase in heart rate and blood pressure, as well as irregular heartbeats.

Pancreas: The Sneak Attack

Just like a behind-the-scenes tech crew at a concert, our pancreas diligently manages our blood sugar levels and aids digestion. But when alcohol enters the scene on a regular basis, it causes a system overload.

Over time, alcohol can provoke the pancreas into overproducing enzymes, leading to inflammation — also known as pancreatitis. If it goes on too long, this inflammation can turn chronic, causing malnutrition and diabetes. Severe pancreatitis can even result in hospitalization.

Kidneys: The Subtle Balance Disruptors

Our kidneys — the diligent filtration organs of the body — aren't immune to alcohol's impact either. Long-term drinking can interfere with the normal function of kidneys, affecting their ability to filter blood and maintain balance of bodily fluids.

Chronic alcohol consumption can also lead to high blood pressure, a common cause of kidney disease. It's akin to clogging our plumbing system with inappropriate waste, which eventually disrupts the entire water flow in our house.

Stomach: Not Just a Sour Taste

Moving down the bodily systems, let's address our stomach. While we might associate heavy drinking with temporary discomfort such as nausea or vomiting, alcohol's impact on our stomach goes far beyond that. Social drinking is less fun when vomit is involved.

Prolonged alcohol consumption can damage the stomach lining, leading to gastritis, and also increase the risk of stomach ulcers and cancer. Over time, those "few glasses" add up and can really do a number on your digestive system.

Reproductive System: An Unexpected Intruder

Now, let's discuss an aspect of alcohol's impact that is often overlooked — its effects on the reproductive system.

In individuals assigned male at birth, chronic alcohol consumption can lead to low testosterone levels, resulting in impotence and reduced fertility. As for individuals assigned female at birth, regular drinking can disrupt the menstrual cycle and even lead to fertility issues. Plus, alcohol consumption during pregnancy carries the risk of fetal alcohol syndrome, which affects the healthy development of the fetus and can cause long-term cognitive impairment.

Skin: More Than Skin Deep

Finally, let's not forget our skin. After all, it's our largest organ and our first line of defense against the outside world. Alcohol dehydrates the body, including the skin, making it lose its plump, healthy appearance. Over time, this can lead to an aged, dull complexion and an increased risk of skin conditions, such as rosacea.

Think of it like this: overindulging in alcohol is like sunbathing without sunscreen. It might feel good at the moment, but it leaves lasting, visible damage.

Taking the Reins

Here are some steps to to make mindful drinking a bit easier:

  • Buddy system. Engage a friend or family member in your journey to moderate drinking. It's not about policing each other, but rather providing mutual encouragement.
  • Alternate drinks. For every alcoholic drink, have a glass of water. This will slow down your drinking pace and keep you hydrated.
  • Go for lower alcohol options. Try drinks with a lower ABV (alcohol by volume), or dilute your drinks to make them last longer.
  • Set drinking boundaries. Limit your drinking days and define your sober days. This creates a routine where alcohol isn't the main feature.
  • Re-evaluate your rituals. If alcohol is the center of your relaxation or socialization, it's time to explore other avenues. These could be movie nights, hikes, yoga sessions, or book clubs.  

Remember, it's not about transforming overnight. Small, consistent steps lead to impactful, lasting changes. We have the power to keep alcohol in check and ensure our bodies remain our own.

After another night of overindulgence, we likely wake up with that “I should probably do this less often” feeling in the morning and just feel plain awful. In addition to wondering if we drunk dialed our ex — or (yikes!) our boss, we might be thinking: How does alcohol affect the body in the long haul? What happens when you drink alcohol every day?

Effects of Alcohol on the Body: When Alcohol Overstays Its Welcome

Consider alcohol like an over-ambitious tenant in our bodies. It rents a small space but insists on rearranging the whole house — the liver, the brain, the heart, as well the digestive and reproductive systems. The impact of long-term, habitual drinking can lead to serious health conditions, including liver disease, cognitive issues, heart diseases, and an increased risk of certain cancers. Here’s a deeper look at each of alcohol’s long-term effects on our bodies.

Liver: The Tireless Workhorse

When we talk about alcohol and its effects, the liver often takes center stage — and for good reason. As our body's primary detoxification center, the liver is the frontline worker that tackles the aftermath of our alcoholic indulgences.

In the short term, the liver can usually handle this job — it dutifully metabolizes the alcohol, breaking it down into substances our body can safely get rid of. However, when we drink excessively or too frequently, we're essentially asking our liver to sprint a marathon — an unrealistic and unfair demand.

Over time, the stress of metabolizing alcohol can take a serious toll on the liver. Alcoholic hepatitis, an inflammation of the liver, is usually first. Symptoms can include nausea, loss of appetite, abdominal pain, and jaundice — a yellowing of the skin and eyes.

If the drinking continues, fibrosis — or scarring of the liver tissue — can develop. Long-term effects of alcohol eventually lead to cirrhosis — the stage where the liver is so scarred it can no longer function properly. This level of damage is serious, and can lead to life-threatening complications. The liver can repair itself from most damage, but cirrhosis isn’t reversible. 

Brain: The Misguided Navigator

Our brain, the hub of cognition and control, isn't immune to alcohol's impact either. While we're aware of the temporary fogginess that alcohol can bring about — those infamous "brain farts" — its long-term impact on our brain and nervous system goes far beyond the occasional memory lapse or slower reaction time.

Chronic alcohol intake can actually change the brain's structure and function. It can shrink brain mass, disrupt the neurotransmitters that the brain uses to communicate, and even impact its ability to create new cells — the process known as neurogenesis. Heavy drinking can switch our brain's autopilot mode into a turbulent, unpredictable ride. Along with these changes, alcohol can also do a number on our mental health, causing depression and anxiety.

Alcohol’s effects on the brain can include more severe memory loss, making existing mental health disorders worse, and even lead to permanent alterations to the brain's structure. It's like converting the sophisticated navigation system of your brain into a malfunctioning GPS that keeps missing its turns.

Outside the brain, alcohol can have a significant impact on our peripheral nervous system, leading to numbness, abnormal sensations, and even changes in motor functions. In severe cases, this can lead to a condition called alcoholic neuropathy — a painful and debilitating disorder that can severely impact quality of life.

Heart: The Silent Sufferer

Our heart bears the brunt of our alcohol indulgence, too. Prolonged drinking can lead to hypertension, stroke, and heart disease. It's as if our heart is on a battlefield, relentlessly being attacked without any protective shield. Short-term effects of alcohol on the heart include an increase in heart rate and blood pressure, as well as irregular heartbeats.

Pancreas: The Sneak Attack

Just like a behind-the-scenes tech crew at a concert, our pancreas diligently manages our blood sugar levels and aids digestion. But when alcohol enters the scene on a regular basis, it causes a system overload.

Over time, alcohol can provoke the pancreas into overproducing enzymes, leading to inflammation — also known as pancreatitis. If it goes on too long, this inflammation can turn chronic, causing malnutrition and diabetes. Severe pancreatitis can even result in hospitalization.

Kidneys: The Subtle Balance Disruptors

Our kidneys — the diligent filtration organs of the body — aren't immune to alcohol's impact either. Long-term drinking can interfere with the normal function of kidneys, affecting their ability to filter blood and maintain balance of bodily fluids.

Chronic alcohol consumption can also lead to high blood pressure, a common cause of kidney disease. It's akin to clogging our plumbing system with inappropriate waste, which eventually disrupts the entire water flow in our house.

Stomach: Not Just a Sour Taste

Moving down the bodily systems, let's address our stomach. While we might associate heavy drinking with temporary discomfort such as nausea or vomiting, alcohol's impact on our stomach goes far beyond that. Social drinking is less fun when vomit is involved.

Prolonged alcohol consumption can damage the stomach lining, leading to gastritis, and also increase the risk of stomach ulcers and cancer. Over time, those "few glasses" add up and can really do a number on your digestive system.

Reproductive System: An Unexpected Intruder

Now, let's discuss an aspect of alcohol's impact that is often overlooked — its effects on the reproductive system.

In individuals assigned male at birth, chronic alcohol consumption can lead to low testosterone levels, resulting in impotence and reduced fertility. As for individuals assigned female at birth, regular drinking can disrupt the menstrual cycle and even lead to fertility issues. Plus, alcohol consumption during pregnancy carries the risk of fetal alcohol syndrome, which affects the healthy development of the fetus and can cause long-term cognitive impairment.

Skin: More Than Skin Deep

Finally, let's not forget our skin. After all, it's our largest organ and our first line of defense against the outside world. Alcohol dehydrates the body, including the skin, making it lose its plump, healthy appearance. Over time, this can lead to an aged, dull complexion and an increased risk of skin conditions, such as rosacea.

Think of it like this: overindulging in alcohol is like sunbathing without sunscreen. It might feel good at the moment, but it leaves lasting, visible damage.

Taking the Reins

Here are some steps to to make mindful drinking a bit easier:

  • Buddy system. Engage a friend or family member in your journey to moderate drinking. It's not about policing each other, but rather providing mutual encouragement.
  • Alternate drinks. For every alcoholic drink, have a glass of water. This will slow down your drinking pace and keep you hydrated.
  • Go for lower alcohol options. Try drinks with a lower ABV (alcohol by volume), or dilute your drinks to make them last longer.
  • Set drinking boundaries. Limit your drinking days and define your sober days. This creates a routine where alcohol isn't the main feature.
  • Re-evaluate your rituals. If alcohol is the center of your relaxation or socialization, it's time to explore other avenues. These could be movie nights, hikes, yoga sessions, or book clubs.  

Remember, it's not about transforming overnight. Small, consistent steps lead to impactful, lasting changes. We have the power to keep alcohol in check and ensure our bodies remain our own.

Alcohol and Health
2023-06-30 9:00
Alcohol and Health
How Does Disulfiram Work?
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Looking for a way to make your recovery journey smoother? Discover how the medical wonder — disulfiram — works to keep alcohol cravings at bay in our latest blog!

21 min read

Ready For a Fresh Start?

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 the end of a long week. You're tired, you're stressed, and your brain is nagging you for that one thing you're trying to steer clear from — a glass of wine.

Trying to kick alcohol out of your life can be a challenging journey. You've been doing great, but some days, it’s just harder. And that's okay! But what if there was a simple science-backed tool in our medical arsenal that could make your journey a bit smoother?

Enter disulfiram — a small pill with a big mission! Disulfiram’s brand name, Antabuse, has become a hot topic for those on the alcohol journey. But how does Antabuse work? And how long does disulfiram stay in your system? Let’s find out!

A Glimpse Into the Past: What Is Disulfiram?

Woman holding a pill and glass of water

Alright, first things first. What in the world is disulfiram? While it might sound like something from outer space, disulfiram is a pretty down-to-earth medication that's been helping people navigate their relationship with alcohol for many decades.

Disulfiram's journey began in the 1920s, not in the world of addiction recovery, but — out of all things — in the rubber industry. The compound was first synthesized as part of an effort to develop better rubber accelerators. Its interaction with alcohol was discovered accidentally by factory workers, who noted that exposure to the substance caused severe physical reactions to alcohol — to the point of developing an aversion to it.

Taking note of the workers' observations, researchers began to explore disulfiram’s potential as a treatment for alcohol use disorder. In 1948, Danish researchers Erik Jacobsen, Jens Hald, and Keneth Ferguson confirmed the earlier observations through clinical experiments: disulfiram consistently induced a highly unpleasant reaction when mixed with booze, making it a possible deterrent for those looking to quit!

Based on the promising results from clinical trials, disulfiram was approved by the US Food and Drug Administration in 1951 and has been a fixture in the sobriety scene ever since. It was subsequently marketed under the brand name Antabuse. When combined with comprehensive therapy and support, the drug offers a tangible, science-backed mental and physical barrier against alcohol, providing an added layer of motivation for those committed to abstaining.

The Science of the Disulfiram Reaction

So how does it work? Normally, when we consume alcohol, our body breaks it down into a substance called acetaldehyde — a highly toxic compound that’s responsible for many of the negative side effects associated with drinking. It’s quickly broken down into a harmless substance known as acetate, which is further metabolized and used as fuel for the body.

Disulfiram throws a wrench in this process by blocking aldehyde dehydrogenase — the enzyme that breaks down aldehyde into acetic acid. As a result, acetaldehyde levels skyrocket, causing the so-called “disulfiram reaction.”

To put it mildly, the disulfiram reaction is unpleasant. It includes symptoms such as flushing, nausea, palpitations, headache, and sweating. Think about the worst hangover you've ever had, then yank it up a few notches — that's the kind of unpleasant we're talking about. But remember, the medication isn’t what’s causing the nasty symptoms — it's actually the alcohol. The pill just acts as a spotlight, revealing the true nature of alcohol in all its glory.

A lot of these uncomfortable and potentially risky symptoms are similar to the symptoms of alcohol intolerance caused by a genetic glitch that hinders alcohol metabolism. In other words, this medication is essentially making you allergic to booze.

The degree of the reaction depends on how much alcohol and disulfiram you've got in your system. For some, the side effects aren't too bad — they sort themselves out after 30 to 60 minutes. But that’s not always the case. You might be in for a much rougher experience that can last for several hours or even more. And we're not talking about a mild headache here — it can get as serious as heart failure and seizures and, in some cases, can even be life-threatening.

How long does disulfiram stay in your system? Because it’s eliminated slowly, it can linger in the body for as long as two weeks, although the disulfiram reaction will probably be weaker over time.

Foods To Avoid When Taking Disulfiram

Since many foods contain trace amounts of alcohol, it’s important to keep this in mind to avoid any unpleasant surprises. Here’s a list of foods to avoid on Antabuse:

  • Foods cooked with alcohol could be a problem. While much of the alcohol content evaporates during the cooking process, some dishes may retain enough to cause a reaction.
  • Vinegars are generally considered safe, but some people may choose to avoid them as a precaution.
  • Vanilla and other flavor extracts often contain alcohol, so it’s best to avoid them.
  • Desserts with alcohol, such as certain flambéed dishes or ones that come with liqueur-based sauces.

Cough syrups often contain alcohol, so it's important to always read the labels.

Alcohol-Disulfiram Interactions

Disulfiram: A Decision-Making Tool

The idea is that these discomforts will deter us from drinking. Remembering about the trouble that’s coming our way if we mix alcohol with disulfiram works like an internal alarm bell that reminds us of our commitment to sobriety whenever we’re tempted to take a sip of alcohol — it’s simply not worth it.

More importantly, it also lets us free up mental space for other things, since taking the medication works as a once-and-for-all decision that we’re not planning to drink that day. In other words, there’s no tiresome mental dialogue of “should I or shouldn’t I” going on, leaving us free to think about other things.

It’s important to remember that the decision is still ours — disulfiram isn’t “making” us do anything against our will. It’s simply helping us stick to the plan that we have made, allowing us to see what being alcohol-free is actually like without the clouds of indecision and mental back-and-forth getting in the way.

Is Disulfiram for Everyone?

Just like any treatment plan isn’t a one-size-fits-all scenario, disulfiram isn’t suitable for everyone. After all, every person is unique and has a distinct physiological profile and health history that should be carefully considered with the help of a healthcare professional. That said, there are a few known guidelines that can help in making an informed decision.

Disulfiram might be right for:

  • Determined abstainers. For those who are fully committed to abstaining from alcohol and seeking an added layer of deterrence, disulfiram can be beneficial.
  • People in structured programs. Those participating in comprehensive treatment programs, including therapy and support groups, often find disulfiram to be a helpful addition to their regimen.
  • People with a strong support system. Having friends or family who understand the implications of consuming alcohol while on disulfiram can make the journey smoother.
  • Well-informed patients. Those who have thoroughly discussed the risks and benefits with their healthcare provider and have a clear understanding of the potential side effects and interactions are better prepared for its use.

However, it might not be the best option for:

  • People with certain medical conditions. Those with a history of certain conditions, such as diabetes, heart disease, hypothyroidism, epilepsy, and liver or kidney disease, may face increased risks with disulfiram and are probably better off taking a different approach.
  • Pregnant or breastfeeding mothers. Disulfiram may have adverse effects on the fetus or breastfeeding infant. Consulting a doctor is essential before considering its use during this period.
  • People with certain psychiatric disorders. Some psychiatric disorders might be exacerbated by disulfiram or its side effects, particularly if these conditions are not well-managed.
  • Those on specific medications. Disulfiram can interact with various other medications, leading to potentially harmful effects. It's crucial to discuss any current medications with a healthcare provider before starting disulfiram.
  • Those who are on the fence about quitting. For those not fully committed to abstaining from alcohol, the risks of a severe disulfiram-alcohol reaction might outweigh the benefits.
  • Persons with allergies to the drug. As with any medication, some might be allergic to disulfiram or its components (the inactive ingredients that are part of it, such as crospovidone, lactose monohydrate, magnesium stearate, microcrystalline cellulose, povidone, and silicon dioxide).

And, most importantly, it’s not a magic pill — it’s a tool. Disulfiram works best as part of a comprehensive treatment program that may include therapy, support groups, and a commitment to a healthier lifestyle.

Other Options

It can also be helpful to consider other medications that have been found to be useful in treating substance misuse:

  • Naltrexone (Revia, Vivitrol). Naltrexone is an opioid receptor antagonist. It works by blocking the euphoric and sedative effects of alcohol, making drinking less pleasurable and thereby reducing the urge. However, it doesn’t prevent the effects of alcohol on judgment and coordination and cannot be used in people currently using opioids or with an acute hepatitis or liver failure.
  • Acamprosate (Campral). Acamprosate affects chemicals in the brain that might be imbalanced in a person who is addicted to alcohol. It works to restore this balance, reducing the urge to drink. Since it needs to be taken multiple times a day, it's best suited for those who've already stopped drinking and are looking to avoid relapse.
  • Topiramate (Topamax). Originally an anticonvulsant for epilepsy, topiramate's exact mechanism in treating alcohol dependence is not fully understood. It's believed to reduce dopamine release, which is linked to the pleasurable effects of alcohol. While topiramate is not approved by the FDA specifically for alcohol dependence, it’s sometimes prescribed off-label. Possible side effects include numbness or tingling, weight loss, and difficulty concentrating.

Your Alcohol-Free Journey

Recovery is a marathon, not a sprint, and it's okay to use tools like disulfiram along the way. Think of them as training wheels rather than crutches! Being stuck in a pattern of alcohol misuse can feel like being trapped in a horror movie, wondering what's around the corner. But with the right tools and support, you'll be writing your happy ending in no time!

If you’re considering disulfiram, here are some ideas to think about:

  • Consult with your healthcare provider. Always make sure you're making informed decisions about your health. Discuss your plans and expectations with your healthcare provider to assess if disulfiram is the right choice for you.
  • Compile a medication journal. Keep track of any other medications or supplements you’re taking. This will help in assessing potential interactions and ensuring disulfiram fits seamlessly into your regimen.
  • Set a routine. Once you've started taking disulfiram, consistency is key. Make sure you take your medication as directed, and don’t skip doses. Instead of merely setting a reminder, pair the act of taking disulfiram with a small ritual that you cherish. Maybe it's a moment of deep breathing, listening to a particular song, or sipping your morning herbal tea.
  • Craft a “Why I started” letter. On a day when you feel particularly motivated, write a heartfelt letter to yourself explaining why you chose this path. When temptation strikes, reread it.
  • Plan for contingencies. Prepare for scenarios where you might be tempted to drink. Have a plan in place to handle these situations effectively. For example, if you’re on vacation and are surrounded by new drinking cultures or situations, do some research in advance to find local non-alcoholic specialties, plan activities that don't revolve around drinking, and communicate your desire to stay alcohol free to your travel companions.
  • Build a support network. Sobriety is easier with a strong support network. Include loved ones in your journey and consider joining a support group. Having a check-in buddy can work wonders, so find a friend or family member and plan a weekly chat about your highs, lows, and everything in between.
  • Prioritize your health. Engage in activities that promote both physical and mental wellness. This could include regular exercise, mindfulness, or therapy.
  • Fuel your body right. Consult a nutritionist who can help tailor a diet plan optimized for recovery. Focus on foods that stabilize mood, boost gut health, and energize without spikes and crashes.
  • Keep track of your progress. Start a journal where you jot down your feelings, milestones, challenges, and even random thoughts. Over time, this can serve as a testament to your resilience and growth.

If you choose to give disulfiram a try, next time when the weekend rolls around and the old urge comes knocking, you’ll have a helper in your corner. You’ll be better equipped to say, "Not today, alcohol!" And remember, it’s all about creating better experiences and memories — and every small victory is worth celebrating!

It's the end of a long week. You're tired, you're stressed, and your brain is nagging you for that one thing you're trying to steer clear from — a glass of wine.

Trying to kick alcohol out of your life can be a challenging journey. You've been doing great, but some days, it’s just harder. And that's okay! But what if there was a simple science-backed tool in our medical arsenal that could make your journey a bit smoother?

Enter disulfiram — a small pill with a big mission! Disulfiram’s brand name, Antabuse, has become a hot topic for those on the alcohol journey. But how does Antabuse work? And how long does disulfiram stay in your system? Let’s find out!

A Glimpse Into the Past: What Is Disulfiram?

Woman holding a pill and glass of water

Alright, first things first. What in the world is disulfiram? While it might sound like something from outer space, disulfiram is a pretty down-to-earth medication that's been helping people navigate their relationship with alcohol for many decades.

Disulfiram's journey began in the 1920s, not in the world of addiction recovery, but — out of all things — in the rubber industry. The compound was first synthesized as part of an effort to develop better rubber accelerators. Its interaction with alcohol was discovered accidentally by factory workers, who noted that exposure to the substance caused severe physical reactions to alcohol — to the point of developing an aversion to it.

Taking note of the workers' observations, researchers began to explore disulfiram’s potential as a treatment for alcohol use disorder. In 1948, Danish researchers Erik Jacobsen, Jens Hald, and Keneth Ferguson confirmed the earlier observations through clinical experiments: disulfiram consistently induced a highly unpleasant reaction when mixed with booze, making it a possible deterrent for those looking to quit!

Based on the promising results from clinical trials, disulfiram was approved by the US Food and Drug Administration in 1951 and has been a fixture in the sobriety scene ever since. It was subsequently marketed under the brand name Antabuse. When combined with comprehensive therapy and support, the drug offers a tangible, science-backed mental and physical barrier against alcohol, providing an added layer of motivation for those committed to abstaining.

The Science of the Disulfiram Reaction

So how does it work? Normally, when we consume alcohol, our body breaks it down into a substance called acetaldehyde — a highly toxic compound that’s responsible for many of the negative side effects associated with drinking. It’s quickly broken down into a harmless substance known as acetate, which is further metabolized and used as fuel for the body.

Disulfiram throws a wrench in this process by blocking aldehyde dehydrogenase — the enzyme that breaks down aldehyde into acetic acid. As a result, acetaldehyde levels skyrocket, causing the so-called “disulfiram reaction.”

To put it mildly, the disulfiram reaction is unpleasant. It includes symptoms such as flushing, nausea, palpitations, headache, and sweating. Think about the worst hangover you've ever had, then yank it up a few notches — that's the kind of unpleasant we're talking about. But remember, the medication isn’t what’s causing the nasty symptoms — it's actually the alcohol. The pill just acts as a spotlight, revealing the true nature of alcohol in all its glory.

A lot of these uncomfortable and potentially risky symptoms are similar to the symptoms of alcohol intolerance caused by a genetic glitch that hinders alcohol metabolism. In other words, this medication is essentially making you allergic to booze.

The degree of the reaction depends on how much alcohol and disulfiram you've got in your system. For some, the side effects aren't too bad — they sort themselves out after 30 to 60 minutes. But that’s not always the case. You might be in for a much rougher experience that can last for several hours or even more. And we're not talking about a mild headache here — it can get as serious as heart failure and seizures and, in some cases, can even be life-threatening.

How long does disulfiram stay in your system? Because it’s eliminated slowly, it can linger in the body for as long as two weeks, although the disulfiram reaction will probably be weaker over time.

Foods To Avoid When Taking Disulfiram

Since many foods contain trace amounts of alcohol, it’s important to keep this in mind to avoid any unpleasant surprises. Here’s a list of foods to avoid on Antabuse:

  • Foods cooked with alcohol could be a problem. While much of the alcohol content evaporates during the cooking process, some dishes may retain enough to cause a reaction.
  • Vinegars are generally considered safe, but some people may choose to avoid them as a precaution.
  • Vanilla and other flavor extracts often contain alcohol, so it’s best to avoid them.
  • Desserts with alcohol, such as certain flambéed dishes or ones that come with liqueur-based sauces.

Cough syrups often contain alcohol, so it's important to always read the labels.

Alcohol-Disulfiram Interactions

Disulfiram: A Decision-Making Tool

The idea is that these discomforts will deter us from drinking. Remembering about the trouble that’s coming our way if we mix alcohol with disulfiram works like an internal alarm bell that reminds us of our commitment to sobriety whenever we’re tempted to take a sip of alcohol — it’s simply not worth it.

More importantly, it also lets us free up mental space for other things, since taking the medication works as a once-and-for-all decision that we’re not planning to drink that day. In other words, there’s no tiresome mental dialogue of “should I or shouldn’t I” going on, leaving us free to think about other things.

It’s important to remember that the decision is still ours — disulfiram isn’t “making” us do anything against our will. It’s simply helping us stick to the plan that we have made, allowing us to see what being alcohol-free is actually like without the clouds of indecision and mental back-and-forth getting in the way.

Is Disulfiram for Everyone?

Just like any treatment plan isn’t a one-size-fits-all scenario, disulfiram isn’t suitable for everyone. After all, every person is unique and has a distinct physiological profile and health history that should be carefully considered with the help of a healthcare professional. That said, there are a few known guidelines that can help in making an informed decision.

Disulfiram might be right for:

  • Determined abstainers. For those who are fully committed to abstaining from alcohol and seeking an added layer of deterrence, disulfiram can be beneficial.
  • People in structured programs. Those participating in comprehensive treatment programs, including therapy and support groups, often find disulfiram to be a helpful addition to their regimen.
  • People with a strong support system. Having friends or family who understand the implications of consuming alcohol while on disulfiram can make the journey smoother.
  • Well-informed patients. Those who have thoroughly discussed the risks and benefits with their healthcare provider and have a clear understanding of the potential side effects and interactions are better prepared for its use.

However, it might not be the best option for:

  • People with certain medical conditions. Those with a history of certain conditions, such as diabetes, heart disease, hypothyroidism, epilepsy, and liver or kidney disease, may face increased risks with disulfiram and are probably better off taking a different approach.
  • Pregnant or breastfeeding mothers. Disulfiram may have adverse effects on the fetus or breastfeeding infant. Consulting a doctor is essential before considering its use during this period.
  • People with certain psychiatric disorders. Some psychiatric disorders might be exacerbated by disulfiram or its side effects, particularly if these conditions are not well-managed.
  • Those on specific medications. Disulfiram can interact with various other medications, leading to potentially harmful effects. It's crucial to discuss any current medications with a healthcare provider before starting disulfiram.
  • Those who are on the fence about quitting. For those not fully committed to abstaining from alcohol, the risks of a severe disulfiram-alcohol reaction might outweigh the benefits.
  • Persons with allergies to the drug. As with any medication, some might be allergic to disulfiram or its components (the inactive ingredients that are part of it, such as crospovidone, lactose monohydrate, magnesium stearate, microcrystalline cellulose, povidone, and silicon dioxide).

And, most importantly, it’s not a magic pill — it’s a tool. Disulfiram works best as part of a comprehensive treatment program that may include therapy, support groups, and a commitment to a healthier lifestyle.

Other Options

It can also be helpful to consider other medications that have been found to be useful in treating substance misuse:

  • Naltrexone (Revia, Vivitrol). Naltrexone is an opioid receptor antagonist. It works by blocking the euphoric and sedative effects of alcohol, making drinking less pleasurable and thereby reducing the urge. However, it doesn’t prevent the effects of alcohol on judgment and coordination and cannot be used in people currently using opioids or with an acute hepatitis or liver failure.
  • Acamprosate (Campral). Acamprosate affects chemicals in the brain that might be imbalanced in a person who is addicted to alcohol. It works to restore this balance, reducing the urge to drink. Since it needs to be taken multiple times a day, it's best suited for those who've already stopped drinking and are looking to avoid relapse.
  • Topiramate (Topamax). Originally an anticonvulsant for epilepsy, topiramate's exact mechanism in treating alcohol dependence is not fully understood. It's believed to reduce dopamine release, which is linked to the pleasurable effects of alcohol. While topiramate is not approved by the FDA specifically for alcohol dependence, it’s sometimes prescribed off-label. Possible side effects include numbness or tingling, weight loss, and difficulty concentrating.

Your Alcohol-Free Journey

Recovery is a marathon, not a sprint, and it's okay to use tools like disulfiram along the way. Think of them as training wheels rather than crutches! Being stuck in a pattern of alcohol misuse can feel like being trapped in a horror movie, wondering what's around the corner. But with the right tools and support, you'll be writing your happy ending in no time!

If you’re considering disulfiram, here are some ideas to think about:

  • Consult with your healthcare provider. Always make sure you're making informed decisions about your health. Discuss your plans and expectations with your healthcare provider to assess if disulfiram is the right choice for you.
  • Compile a medication journal. Keep track of any other medications or supplements you’re taking. This will help in assessing potential interactions and ensuring disulfiram fits seamlessly into your regimen.
  • Set a routine. Once you've started taking disulfiram, consistency is key. Make sure you take your medication as directed, and don’t skip doses. Instead of merely setting a reminder, pair the act of taking disulfiram with a small ritual that you cherish. Maybe it's a moment of deep breathing, listening to a particular song, or sipping your morning herbal tea.
  • Craft a “Why I started” letter. On a day when you feel particularly motivated, write a heartfelt letter to yourself explaining why you chose this path. When temptation strikes, reread it.
  • Plan for contingencies. Prepare for scenarios where you might be tempted to drink. Have a plan in place to handle these situations effectively. For example, if you’re on vacation and are surrounded by new drinking cultures or situations, do some research in advance to find local non-alcoholic specialties, plan activities that don't revolve around drinking, and communicate your desire to stay alcohol free to your travel companions.
  • Build a support network. Sobriety is easier with a strong support network. Include loved ones in your journey and consider joining a support group. Having a check-in buddy can work wonders, so find a friend or family member and plan a weekly chat about your highs, lows, and everything in between.
  • Prioritize your health. Engage in activities that promote both physical and mental wellness. This could include regular exercise, mindfulness, or therapy.
  • Fuel your body right. Consult a nutritionist who can help tailor a diet plan optimized for recovery. Focus on foods that stabilize mood, boost gut health, and energize without spikes and crashes.
  • Keep track of your progress. Start a journal where you jot down your feelings, milestones, challenges, and even random thoughts. Over time, this can serve as a testament to your resilience and growth.

If you choose to give disulfiram a try, next time when the weekend rolls around and the old urge comes knocking, you’ll have a helper in your corner. You’ll be better equipped to say, "Not today, alcohol!" And remember, it’s all about creating better experiences and memories — and every small victory is worth celebrating!

Alcohol and Health
2023-06-29 9:00
Alcohol and Health
Defining Cravings: Resisting Alcohol’s Allure
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Why does your brain seem to have a love affair with alcohol, no matter how hard you try to break up? Dive into our latest blog to uncover the secrets of cravings and learn some clever tricks to kick the bottle to the curb.

8 min read
Read Full Article  →

You've survived yet another day of your boss's caffeine-fueled antics, the overflowing email inbox, and the daunting task of pretending to care about your colleague's cat's birthday party. Now, you're back in your sanctuary, shoes tossed to the wind, while an intrusive thought pops up: "How about a chilled glass of the good stuff?"

But alas, you remember the pact — the one you made with your spouse, your kids, your dog, even your ornamental fern. You're on a mission to curb the booze. So, what gives? It’s time to take a deep dive into the world of cravings.

Meet the Culprit

Cravings are like that clingy ex who refuses to accept the breakup — always nudging, whispering, insisting on making a cameo in your life. They're the pesky urges that make us yearn for something oh-so-deliciously forbidden — in our case, alcohol.

In neuroscience terms, cravings are highly complex psychological events that trigger our brain's reward circuitry. This intricate system is a hotspot of brain chemicals such as dopamine — the “feel good” neurotransmitter.

Simply put, when we consume alcohol, dopamine is released, making us feel all warm and fuzzy. Our brain — the sucker for good times that it is — notes this. Later, when we see a frosty beer bottle or even think about alcohol, our brain goes, "Hey, remember the fun we had last time?" That's a craving in action.

Who's the Ringmaster of This Circus?

Our brains love to play ringmaster, and when it comes to cravings, it's center stage with a baton in hand. The hypothalamus, insula, and amygdala — our brain's power trio — are responsible for that burning desire for alcohol.

The amygdala — known as the emotion center of the brain — plays a leading role in the formation of emotional memories, especially those related to reward and pleasure. When we drink, the amygdala records the rewarding experience and later, triggers a desire to recreate it. It's like our personal little scrapbook of good times that, unfortunately, doesn't discriminate between healthy and destructive habits.

Next up, we have the insula — the brain's hub for processing emotions and bodily sensations. Our insula gives cravings a physical dimension, translating our thoughts and desires into a bodily experience. It's the reason why we don't just want a drink but feel a strong, almost physical pull towards it.

Last but not least is the hypothalamus — the brain's command center for keeping the body in balance. It regulates our hunger, thirst, sleep, and even response to stress. When it comes to cravings, the hypothalamus plays a sneaky trick. Remember how prolonged alcohol use leads our brain to associate alcohol with survival? Well, that’s our hypothalamus pulling the strings: it blurs the lines between our basic needs and our desire for alcohol, leading to powerful and persistent cravings.

Outsmart Those Pesky Cravings

So, the billion-dollar question remains: how do we tame these crafty cravings? Luckily, there are some handy-dandy, science-approved tricks. With a little persistence, they'll surely get the job done.

  • Mindfulness. This isn't just some New Age fluff — it's a bona fide craving-crusher. Spot a craving sneaking up on you? Acknowledge it, watch it, but don't act on it. Treat it like a Facebook friend request from an ex — seen, but not accepted.
  • Distraction. The age-old tactic parents use to pry their kids away from the toy aisle works for us grown-ups too. Dive into an activity that consumes your attention — be it creating a new Pinterest board or finally beating that tricky level on Candy Crush.
  • Exercise. Show those cravings who's boss with a hearty dose of physical activity, which is known to give us a high without the hangover. Plus, you’ll get toned muscles as a bonus!
  • Healthy Eating. Surprise, surprise — your diet can help fend off cravings! Eating balanced meals, staying hydrated, and keeping those blood sugar levels steady can keep the alcohol beast at bay.

Untying the Knot

While cravings might seem like the invincible supervillains, with the right tools they are totally manageable. And, best news of all: the more the brain circuitry behind them gets rewired, the easier it is to dismiss unwanted urges.

Remember, it's okay to trip and stumble along the way. Be patient with yourself — every small step you take is a victory!

So next time the booze beast rumbles, take a deep breath, channel your inner craving-fighter, and remember, in the wise words of Thích Nhất Hạnh, ​​“The root of that craving is our habit energy. When we look deeply at it, we can begin to untie the knot.” Now, let's go show those cravings who's boss, shall we?

Start Your Journey With Reframe!

If you're thinking about taking a break from alcohol and treating your body and mind to some TLC, the Reframe app is right here cheering for you! Our app isn't a magic wand for alcohol use disorder (AUD), but it’s your reliable buddy helping you rethink alcohol's role in your life, all backed by neuroscience. Trust us, you're not alone — hundreds of thousands of people across the globe have found our approach a game-changer in reshaping their relationship with alcohol. We're confident you'll find it helpful, too!

We've designed Reframe to be your go-to guide. You’ll access science-backed daily readings to explain the neuroscience of alcohol and an in-app Toolkit chock-full of handy resources and fun activities to tackle each bump in the road.

Join a global team of Reframers ready to share their stories and advice on our 24/7 Forum chat. For a personal touch, our certified coaches are ready to offer advice and guidance tailored to you, as well.

To make your experience even more enjoyable, we regularly spruce up our app with cool new features. Meet Melody, our latest addition — an in-app chatbot powered by state-of-the-art AI technology. She's your friendly companion, ready to help as you journey towards a life with less alcohol — or none at all. Oh, and don't forget our exciting monthly challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You can join the fun with fellow Reframers or go solo — it's your call!

Best news of all? You can take our app for a free spin for seven days! There's absolutely no risk — so, why wait? Ready to start exploring the vibrant life that awaits beyond alcohol? Then download our app through the App Store or Google Play today!

You've survived yet another day of your boss's caffeine-fueled antics, the overflowing email inbox, and the daunting task of pretending to care about your colleague's cat's birthday party. Now, you're back in your sanctuary, shoes tossed to the wind, while an intrusive thought pops up: "How about a chilled glass of the good stuff?"

But alas, you remember the pact — the one you made with your spouse, your kids, your dog, even your ornamental fern. You're on a mission to curb the booze. So, what gives? It’s time to take a deep dive into the world of cravings.

Meet the Culprit

Cravings are like that clingy ex who refuses to accept the breakup — always nudging, whispering, insisting on making a cameo in your life. They're the pesky urges that make us yearn for something oh-so-deliciously forbidden — in our case, alcohol.

In neuroscience terms, cravings are highly complex psychological events that trigger our brain's reward circuitry. This intricate system is a hotspot of brain chemicals such as dopamine — the “feel good” neurotransmitter.

Simply put, when we consume alcohol, dopamine is released, making us feel all warm and fuzzy. Our brain — the sucker for good times that it is — notes this. Later, when we see a frosty beer bottle or even think about alcohol, our brain goes, "Hey, remember the fun we had last time?" That's a craving in action.

Who's the Ringmaster of This Circus?

Our brains love to play ringmaster, and when it comes to cravings, it's center stage with a baton in hand. The hypothalamus, insula, and amygdala — our brain's power trio — are responsible for that burning desire for alcohol.

The amygdala — known as the emotion center of the brain — plays a leading role in the formation of emotional memories, especially those related to reward and pleasure. When we drink, the amygdala records the rewarding experience and later, triggers a desire to recreate it. It's like our personal little scrapbook of good times that, unfortunately, doesn't discriminate between healthy and destructive habits.

Next up, we have the insula — the brain's hub for processing emotions and bodily sensations. Our insula gives cravings a physical dimension, translating our thoughts and desires into a bodily experience. It's the reason why we don't just want a drink but feel a strong, almost physical pull towards it.

Last but not least is the hypothalamus — the brain's command center for keeping the body in balance. It regulates our hunger, thirst, sleep, and even response to stress. When it comes to cravings, the hypothalamus plays a sneaky trick. Remember how prolonged alcohol use leads our brain to associate alcohol with survival? Well, that’s our hypothalamus pulling the strings: it blurs the lines between our basic needs and our desire for alcohol, leading to powerful and persistent cravings.

Outsmart Those Pesky Cravings

So, the billion-dollar question remains: how do we tame these crafty cravings? Luckily, there are some handy-dandy, science-approved tricks. With a little persistence, they'll surely get the job done.

  • Mindfulness. This isn't just some New Age fluff — it's a bona fide craving-crusher. Spot a craving sneaking up on you? Acknowledge it, watch it, but don't act on it. Treat it like a Facebook friend request from an ex — seen, but not accepted.
  • Distraction. The age-old tactic parents use to pry their kids away from the toy aisle works for us grown-ups too. Dive into an activity that consumes your attention — be it creating a new Pinterest board or finally beating that tricky level on Candy Crush.
  • Exercise. Show those cravings who's boss with a hearty dose of physical activity, which is known to give us a high without the hangover. Plus, you’ll get toned muscles as a bonus!
  • Healthy Eating. Surprise, surprise — your diet can help fend off cravings! Eating balanced meals, staying hydrated, and keeping those blood sugar levels steady can keep the alcohol beast at bay.

Untying the Knot

While cravings might seem like the invincible supervillains, with the right tools they are totally manageable. And, best news of all: the more the brain circuitry behind them gets rewired, the easier it is to dismiss unwanted urges.

Remember, it's okay to trip and stumble along the way. Be patient with yourself — every small step you take is a victory!

So next time the booze beast rumbles, take a deep breath, channel your inner craving-fighter, and remember, in the wise words of Thích Nhất Hạnh, ​​“The root of that craving is our habit energy. When we look deeply at it, we can begin to untie the knot.” Now, let's go show those cravings who's boss, shall we?

Start Your Journey With Reframe!

If you're thinking about taking a break from alcohol and treating your body and mind to some TLC, the Reframe app is right here cheering for you! Our app isn't a magic wand for alcohol use disorder (AUD), but it’s your reliable buddy helping you rethink alcohol's role in your life, all backed by neuroscience. Trust us, you're not alone — hundreds of thousands of people across the globe have found our approach a game-changer in reshaping their relationship with alcohol. We're confident you'll find it helpful, too!

We've designed Reframe to be your go-to guide. You’ll access science-backed daily readings to explain the neuroscience of alcohol and an in-app Toolkit chock-full of handy resources and fun activities to tackle each bump in the road.

Join a global team of Reframers ready to share their stories and advice on our 24/7 Forum chat. For a personal touch, our certified coaches are ready to offer advice and guidance tailored to you, as well.

To make your experience even more enjoyable, we regularly spruce up our app with cool new features. Meet Melody, our latest addition — an in-app chatbot powered by state-of-the-art AI technology. She's your friendly companion, ready to help as you journey towards a life with less alcohol — or none at all. Oh, and don't forget our exciting monthly challenges, like Dry/Damp January, Mental Health May, and Outdoorsy June. You can join the fun with fellow Reframers or go solo — it's your call!

Best news of all? You can take our app for a free spin for seven days! There's absolutely no risk — so, why wait? Ready to start exploring the vibrant life that awaits beyond alcohol? Then download our app through the App Store or Google Play today!

Alcohol and Health
2023-06-29 9:00
Alcohol and Health
Liqueurs: What Are the Risks?
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This blog discusses the potential risks associated with consuming liqueurs, such as high sugar content, alcohol content, overconsumption, allergens, and interactions with medications.

24 min read

How the Reframe App Can Help

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

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

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

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

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

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

Read Full Article  →

What is liqueur? While the term sounds like “liquor,” it refers to a particular type of alcohol that’s a bit different from the rest.  Liqueurs, also known as cordials or schnapps, are sweet alcoholic beverages made from distilled spirits that have been flavored with fruit, cream, herbs, spices, flowers, or nuts, and bottled with added sugar or other sweeteners. They are often served as after-dinner drinks, added to cocktails, or used in cooking and baking. 

But is liqueur better than liquor? While liqueurs may seem harmless due to their sweet taste and lower alcohol content compared to spirits like vodka or whiskey, there are still risks associated with consuming them. What are the liqueur dangers? In this blog post, we will explore the potential risks of liqueurs and how the Reframe app can help you make informed decisions about your alcohol consumption.

1. High Sugar Content

As far as liqueur dangers go, one of the main concerns is their high sugar content. The added sugar not only contributes to the overall calorie count but can also lead to health issues.

First of all, sugar is a significant source of empty calories, meaning it provides energy with little to no nutritional benefit. Liqueurs can contain a large amount of added sugar, sometimes rivaling the sugar content found in sodas or candy. When one combines the calories from the alcohol itself with those from the sugar, the caloric intake from a single serving of liqueur can be surprisingly high — the equivalent of eating a couple of donuts. Over time, and especially when consumed regularly, these extra calories can lead to weight gain, which comes with its own set of health risks, including heart disease and high blood pressure.

Regular consumption of high-sugar beverages like liqueurs can also contribute to an increase in body weight. Excess weight, especially when accumulated around the abdomen, is a known risk factor for various health issues. These include cardiovascular diseases, certain types of cancer, and metabolic syndromes. Moreover, carrying additional weight can strain the musculoskeletal system, leading to issues such as osteoarthritis.

Additionally, sugar can wreak havoc on our dental health. Harmful bacteria in the mouth feed on sugars, producing acids in the process. These acids can erode the protective enamel on teeth, leading to cavities. Regularly sipping on sugary liqueurs, especially without appropriate dental hygiene practices like brushing or rinsing afterwards, can accelerate this process. Over time, this can lead to extensive dental decay, gum diseases, and even tooth loss.

Furthermore, consumption of high-sugar products can strain the body's insulin mechanism. Insulin is the hormone responsible for regulating blood sugar levels. When the system is constantly overwhelmed with sugar, the body might eventually become resistant to insulin, a condition that can lead to type 2 diabetes. This chronic illness has wide-ranging effects on health, affecting the heart, kidneys, eyes, and more.

Finally, many of us are probably familiar with the short-term energy boost, often called a "sugar high," after consuming a sugary treat. This happens because sugar provides a quick source of energy. However, this spike is often followed by a sharp drop in energy levels, commonly referred to as a "sugar crash." During this crash, we might feel excessively tired, irritable, and even experience mood swings. When combined with the depressive properties of alcohol, the lows can feel even more profound, affecting mental well-being.

2. Alcohol Content

Next on the list of liqueur dangers is their alcohol content. While liqueurs generally have a lower alcohol content compared to other spirits, they still contain alcohol, which can lead to various health risks when consumed in excess.

drunken man sleeping bar counter

One of these health risks is liver damage. The liver plays a pivotal role in processing and breaking down alcohol. However, excessive and regular alcohol consumption, even from beverages with a lower alcohol content like liqueurs, can strain and damage this vital organ. Over time, this can result in fatty liver disease, hepatitis, fibrosis, and the most severe form, cirrhosis. These conditions can progressively reduce the liver's functionality, leading to potentially fatal complications.

Dependence is another challenge. Continuous, frequent alcohol consumption can lead to both physical and psychological reliance on alcohol. This dependence can have debilitating effects on our lives, affecting relationships, work, and overall well-being. It's a pervasive misconception that only high-proof spirits can lead to misuse; liqueurs can be just as insidious if not consumed responsibly.

Furthermore, research has conclusively shown that alcohol, regardless of its source, is a carcinogen. Chronic overconsumption can increase the risk of developing various types of cancer, including mouth, throat, esophagus, liver, breast, and colorectal cancer. Even beverages with reduced alcohol content, like liqueurs, contribute to this risk when consumed in high amounts over extended periods.

Finally, there’s the issue of cognitive function. Even in modest amounts, alcohol has the potential to impair cognitive abilities, judgment, and motor skills. This impairment can lead to risky behaviors, poor decision-making, and a heightened likelihood of accidents. Whether it's a stumble, a fall, or a catastrophic decision to drive under the influence, the consequences can range from minor injuries to fatal accidents. Liqueurs, with their deceptive sweetness, can sometimes lead us to underestimate their alcohol content, resulting in overconsumption and subsequent impairment.

3. Overconsumption

Unlike the burning sensation or sharpness that many high-proof spirits carry, liqueurs come with a smoothness that can mask their alcoholic strength. This can lead to a false sense of security, making us more likely to consume more than intended. Before realizing it, a couple of glasses can quickly evolve into several more, making it alarmingly easy to exceed recommended alcohol intake levels.

As we’ve touched on, alcohol consumption, even in the form of sweet liqueurs, paves the way for a myriad of health complications. The short-term effects can include nausea, vomiting, dizziness, and impaired judgment, leading to risky behaviors and potential accidents. In the long run, chronic overconsumption can strain vital organs, leading to diseases such as cirrhosis and pancreatitis. Additionally, the risk of developing alcohol dependence grows with regular overindulgence, leading to a cycle that can wreak havoc on personal relationships, mental health, and overall well-being.

Beyond individual health, the overconsumption of liqueurs and the resultant health problems can have broader societal and economic repercussions. Overindulgence can lead to decreased productivity, absenteeism, and increased healthcare costs. The social fabric can also be strained with rising incidents of alcohol-related crimes, family disruptions, and social disintegration.

Risks Associated With Liqueurs

4. Allergens and Sensitivities

Liqueurs owe their distinctive tastes to a wide array of ingredients, from herbs and spices to fruits and even dairy. However, this very diversity can be a double-edged sword. For those with allergies or food sensitivities, these beverages can inadvertently trigger reactions, some of which can be life-threatening. Understanding the potential allergens in liqueurs and adopting an informed approach to consumption is paramount.

A classic example of this is the inclusion of dairy in certain liqueurs. Irish cream, for instance, is a beloved liqueur known for its creamy texture and rich flavor, owed largely to the dairy content. However, for those of us with lactose intolerance — an inability to digest lactose found in milk — consuming such a liqueur can lead to symptoms like bloating, diarrhea, and abdominal cramps. If we’re unaware of the dairy content in our drink, the onset of these symptoms can be both surprising and distressing.

Another significant concern with liqueurs arises from those made with nuts. Nut allergies are among the most common and can range from mild reactions to severe anaphylactic shocks, which can be fatal. Amaretto, Frangelico, and Nocino are just a few examples of popular liqueurs that have nuts as primary ingredients. Even if nuts are not the primary ingredient, cross-contamination during production can still pose a risk, making it crucial for those of us with severe nut allergies to approach all liqueurs with caution.

But it's not just dairy and nuts. Some people might react to exotic fruits, certain herbs, or even specific spices. For instance, those with oral allergy syndrome might experience itching or burning sensations in their mouths when consuming liqueurs made from certain fruits or botanicals. Such reactions, while usually mild, can be disconcerting, especially when unexpected.

In light of these concerns, becoming an avid label reader is essential. While not all liqueur labels will provide a detailed breakdown of ingredients, many will highlight common allergens or provide a general overview of the flavor profile, offering clues about potential triggers.

Various countries have regulations around labeling allergens in food and beverages. However, inconsistencies and gaps exist, especially when it comes to imported products. We must remain proactive in seeking information, whether by researching a particular brand online or contacting the manufacturer directly.

For those of us with known allergies or sensitivities, carrying an allergy card that lists potential triggers can be beneficial. When ordering a drink, showing this card can alert bartenders or servers to any ingredients to avoid. Additionally, those at risk of severe allergic reactions should always carry an epinephrine auto-injector and inform companions about its use in case of emergencies.

5. Interactions With Medications

Alcohol is a central nervous system depressant, which means it slows down brain activity. This effect on its own can be potentiated by various drugs, leading to intensified depressant effects, which can be hazardous. But that's just one facet; alcohol also affects the liver, the primary organ responsible for metabolizing many drugs, potentially altering the way our body processes medications.

Certain medications, especially sedatives and painkillers, when combined with alcohol, can lead to an enhanced sedative effect. This intensified effect can cause severe drowsiness, respiratory depression, and can even be fatal in high amounts. For instance, the combination of opioids and alcohol has been particularly scrutinized given the rising opioid crisis, with alcohol potentiating the risk of an overdose.

Furthermore, belief that alcohol renders antibiotics ineffective is widespread, but the truth is more nuanced. While alcohol may not always "cancel out" an antibiotic, it can interfere with the drug's metabolism, diminish its efficacy, or exacerbate side effects. This could prolong the duration of an infection or make side effects more pronounced.

Additionally, alcohol and antidepressants, especially SSRIs (selective serotonin reuptake inhibitors), can be a dangerous combination. Alcohol can negate the therapeutic effects of antidepressants, potentially plunging individuals deeper into depression. Additionally, alcohol can heighten some side effects of these drugs, such as dizziness or drowsiness.

Beyond the mentioned categories, a plethora of drugs, from antihistamines to antipsychotics, can interact with alcohol in some way. These interactions can range from heightened drowsiness to severe physiological disturbances like arrhythmias.

Given the myriad potential interactions, it's paramount for those of us on medication to consult their healthcare providers before consuming alcohol. A doctor or pharmacist can provide guidance tailored to one's specific medication regime, ensuring both the efficacy of the drugs and our safety.

As consumers, we must also advocate for ourselves. By staying informed about the potential interactions between our medications and alcohol, we can make safer choices. Labels on medication often provide warnings about alcohol consumption; these should not be dismissed or overlooked.

6. Pregnancy and Breastfeeding

Consuming alcohol, including liqueurs, during pregnancy can lead to severe birth defects and developmental issues in the baby. The Centers for Disease Control and Prevention (CDC) recommends that pregnant women and those trying to become pregnant avoid alcohol altogether. Additionally, alcohol can pass through breast milk, potentially affecting the baby's development and health. It's essential for breastfeeding mothers to avoid alcohol consumption to minimize the risk to their baby.

Once ingested, alcohol quickly enters the bloodstream and can cross the placenta, exposing the fetus to similar levels of alcohol as the mother. Since the fetus's liver is underdeveloped, it metabolizes alcohol at a much slower rate, leading to prolonged exposure and increased vulnerability to its harmful effects.

The consumption of alcohol during pregnancy can also lead to a range of disorders collectively referred to as Fetal Alcohol Spectrum Disorders (FASD). These can manifest in various ways, including physical malformations, learning disabilities, behavioral issues, and cognitive impairments. The more alcohol consumed, the higher the risk.

Post-birth, the dangers of alcohol are still very much present. Alcohol can pass into breast milk, leading to potential health and developmental concerns for nursing infants. Babies metabolize alcohol at a much slower pace than adults, and their developing brains are particularly sensitive to its effects.

Infants exposed to alcohol through breast milk might exhibit drowsiness, weakness, and developmental delays. There are also concerns about alcohol affecting an infant's sleeping patterns, eating habits, and even leading to longer-term cognitive and behavioral issues.

Breastfeeding mothers, like their pregnant counterparts, should exercise caution. The safest approach is to abstain from alcohol while nursing. If a mother chooses to drink, it's essential to plan and allow adequate time for the alcohol to leave her system before nursing again.

Despite the risks, the consumption of alcohol during pregnancy and while breastfeeding remains an issue in many societies. A part of the challenge lies in breaking cultural norms, misconceptions, and ensuring that every woman has access to accurate information. Awareness campaigns, educational programs, and counseling can play a pivotal role in changing behaviors.

Drink Liqueurs Mindfully

While liqueurs may seem like a harmless indulgence due to their sweet taste and lower alcohol content, it's essential to be aware of the potential liqueur dangers associated with their consumption. High sugar content, alcohol content, overconsumption, allergens, and interactions with medications are all factors to consider when enjoying liqueurs. 

Here are a few mindful drinking tips to get you started: 

  • Know your limit: Before you start drinking, decide on a limit for yourself and stick to it. This could be based on units of alcohol or the number of drinks.
  • Understand the sugar content: Take a moment to read the label or research the sugar content of the liqueur you’re consuming. This will help you be more aware of the additional calories you're ingesting.
  • Don’t forget to hydrate: To reduce the risk of overconsumption and dehydration, make it a habit to drink a glass of water between every alcoholic drink. This not only keeps you hydrated but also paces your drinking.
  • Savor, don’t chug: Instead of gulping down your drink, take the time to savor each sip. Enjoy the unique flavors and textures of the liqueur. This will also give your body time to process the alcohol.
  • Check for allergens: Always scan the ingredients or ask the bartender about potential allergens, especially if you're prone to food allergies or intolerances.
  • Don’t mix with other alcohols: Combining liqueurs with other types of alcohol can make it harder to track your consumption and increase the risk of over-drinking. Stick to one type of drink for the evening.
  • Use technology: Use apps like Reframe to monitor your alcohol consumption, understand the potential risks associated with what you’re drinking, and get suggestions for mindful drinking.
  • Plan your transportation: Never drink and drive. Always have a designated driver, use public transport, or arrange for a cab if you plan to drink.
  • Engage in informative discussions: Talk with friends or family about your intentions to drink mindfully. They can help hold you accountable, and it might inspire them to do the same.
  • Avoid drinking on an empty stomach: Consuming alcohol without eating can intensify its effects. Have a meal or snack before you start drinking to slow the absorption of alcohol.
  • Limit peer pressure: Choose a group of friends who respect your decision to drink mindfully and don’t push you to overindulge.
  • Consult before combining with medications: If you're on any medication, always consult with your doctor before consuming alcohol to avoid potential interactions.

By incorporating these practices, you can enjoy the delightful experience liqueurs offer while ensuring your safety and health. Remember, it's not just about the quantity, but the quality of your drinking experience.

What is liqueur? While the term sounds like “liquor,” it refers to a particular type of alcohol that’s a bit different from the rest.  Liqueurs, also known as cordials or schnapps, are sweet alcoholic beverages made from distilled spirits that have been flavored with fruit, cream, herbs, spices, flowers, or nuts, and bottled with added sugar or other sweeteners. They are often served as after-dinner drinks, added to cocktails, or used in cooking and baking. 

But is liqueur better than liquor? While liqueurs may seem harmless due to their sweet taste and lower alcohol content compared to spirits like vodka or whiskey, there are still risks associated with consuming them. What are the liqueur dangers? In this blog post, we will explore the potential risks of liqueurs and how the Reframe app can help you make informed decisions about your alcohol consumption.

1. High Sugar Content

As far as liqueur dangers go, one of the main concerns is their high sugar content. The added sugar not only contributes to the overall calorie count but can also lead to health issues.

First of all, sugar is a significant source of empty calories, meaning it provides energy with little to no nutritional benefit. Liqueurs can contain a large amount of added sugar, sometimes rivaling the sugar content found in sodas or candy. When one combines the calories from the alcohol itself with those from the sugar, the caloric intake from a single serving of liqueur can be surprisingly high — the equivalent of eating a couple of donuts. Over time, and especially when consumed regularly, these extra calories can lead to weight gain, which comes with its own set of health risks, including heart disease and high blood pressure.

Regular consumption of high-sugar beverages like liqueurs can also contribute to an increase in body weight. Excess weight, especially when accumulated around the abdomen, is a known risk factor for various health issues. These include cardiovascular diseases, certain types of cancer, and metabolic syndromes. Moreover, carrying additional weight can strain the musculoskeletal system, leading to issues such as osteoarthritis.

Additionally, sugar can wreak havoc on our dental health. Harmful bacteria in the mouth feed on sugars, producing acids in the process. These acids can erode the protective enamel on teeth, leading to cavities. Regularly sipping on sugary liqueurs, especially without appropriate dental hygiene practices like brushing or rinsing afterwards, can accelerate this process. Over time, this can lead to extensive dental decay, gum diseases, and even tooth loss.

Furthermore, consumption of high-sugar products can strain the body's insulin mechanism. Insulin is the hormone responsible for regulating blood sugar levels. When the system is constantly overwhelmed with sugar, the body might eventually become resistant to insulin, a condition that can lead to type 2 diabetes. This chronic illness has wide-ranging effects on health, affecting the heart, kidneys, eyes, and more.

Finally, many of us are probably familiar with the short-term energy boost, often called a "sugar high," after consuming a sugary treat. This happens because sugar provides a quick source of energy. However, this spike is often followed by a sharp drop in energy levels, commonly referred to as a "sugar crash." During this crash, we might feel excessively tired, irritable, and even experience mood swings. When combined with the depressive properties of alcohol, the lows can feel even more profound, affecting mental well-being.

2. Alcohol Content

Next on the list of liqueur dangers is their alcohol content. While liqueurs generally have a lower alcohol content compared to other spirits, they still contain alcohol, which can lead to various health risks when consumed in excess.

drunken man sleeping bar counter

One of these health risks is liver damage. The liver plays a pivotal role in processing and breaking down alcohol. However, excessive and regular alcohol consumption, even from beverages with a lower alcohol content like liqueurs, can strain and damage this vital organ. Over time, this can result in fatty liver disease, hepatitis, fibrosis, and the most severe form, cirrhosis. These conditions can progressively reduce the liver's functionality, leading to potentially fatal complications.

Dependence is another challenge. Continuous, frequent alcohol consumption can lead to both physical and psychological reliance on alcohol. This dependence can have debilitating effects on our lives, affecting relationships, work, and overall well-being. It's a pervasive misconception that only high-proof spirits can lead to misuse; liqueurs can be just as insidious if not consumed responsibly.

Furthermore, research has conclusively shown that alcohol, regardless of its source, is a carcinogen. Chronic overconsumption can increase the risk of developing various types of cancer, including mouth, throat, esophagus, liver, breast, and colorectal cancer. Even beverages with reduced alcohol content, like liqueurs, contribute to this risk when consumed in high amounts over extended periods.

Finally, there’s the issue of cognitive function. Even in modest amounts, alcohol has the potential to impair cognitive abilities, judgment, and motor skills. This impairment can lead to risky behaviors, poor decision-making, and a heightened likelihood of accidents. Whether it's a stumble, a fall, or a catastrophic decision to drive under the influence, the consequences can range from minor injuries to fatal accidents. Liqueurs, with their deceptive sweetness, can sometimes lead us to underestimate their alcohol content, resulting in overconsumption and subsequent impairment.

3. Overconsumption

Unlike the burning sensation or sharpness that many high-proof spirits carry, liqueurs come with a smoothness that can mask their alcoholic strength. This can lead to a false sense of security, making us more likely to consume more than intended. Before realizing it, a couple of glasses can quickly evolve into several more, making it alarmingly easy to exceed recommended alcohol intake levels.

As we’ve touched on, alcohol consumption, even in the form of sweet liqueurs, paves the way for a myriad of health complications. The short-term effects can include nausea, vomiting, dizziness, and impaired judgment, leading to risky behaviors and potential accidents. In the long run, chronic overconsumption can strain vital organs, leading to diseases such as cirrhosis and pancreatitis. Additionally, the risk of developing alcohol dependence grows with regular overindulgence, leading to a cycle that can wreak havoc on personal relationships, mental health, and overall well-being.

Beyond individual health, the overconsumption of liqueurs and the resultant health problems can have broader societal and economic repercussions. Overindulgence can lead to decreased productivity, absenteeism, and increased healthcare costs. The social fabric can also be strained with rising incidents of alcohol-related crimes, family disruptions, and social disintegration.

Risks Associated With Liqueurs

4. Allergens and Sensitivities

Liqueurs owe their distinctive tastes to a wide array of ingredients, from herbs and spices to fruits and even dairy. However, this very diversity can be a double-edged sword. For those with allergies or food sensitivities, these beverages can inadvertently trigger reactions, some of which can be life-threatening. Understanding the potential allergens in liqueurs and adopting an informed approach to consumption is paramount.

A classic example of this is the inclusion of dairy in certain liqueurs. Irish cream, for instance, is a beloved liqueur known for its creamy texture and rich flavor, owed largely to the dairy content. However, for those of us with lactose intolerance — an inability to digest lactose found in milk — consuming such a liqueur can lead to symptoms like bloating, diarrhea, and abdominal cramps. If we’re unaware of the dairy content in our drink, the onset of these symptoms can be both surprising and distressing.

Another significant concern with liqueurs arises from those made with nuts. Nut allergies are among the most common and can range from mild reactions to severe anaphylactic shocks, which can be fatal. Amaretto, Frangelico, and Nocino are just a few examples of popular liqueurs that have nuts as primary ingredients. Even if nuts are not the primary ingredient, cross-contamination during production can still pose a risk, making it crucial for those of us with severe nut allergies to approach all liqueurs with caution.

But it's not just dairy and nuts. Some people might react to exotic fruits, certain herbs, or even specific spices. For instance, those with oral allergy syndrome might experience itching or burning sensations in their mouths when consuming liqueurs made from certain fruits or botanicals. Such reactions, while usually mild, can be disconcerting, especially when unexpected.

In light of these concerns, becoming an avid label reader is essential. While not all liqueur labels will provide a detailed breakdown of ingredients, many will highlight common allergens or provide a general overview of the flavor profile, offering clues about potential triggers.

Various countries have regulations around labeling allergens in food and beverages. However, inconsistencies and gaps exist, especially when it comes to imported products. We must remain proactive in seeking information, whether by researching a particular brand online or contacting the manufacturer directly.

For those of us with known allergies or sensitivities, carrying an allergy card that lists potential triggers can be beneficial. When ordering a drink, showing this card can alert bartenders or servers to any ingredients to avoid. Additionally, those at risk of severe allergic reactions should always carry an epinephrine auto-injector and inform companions about its use in case of emergencies.

5. Interactions With Medications

Alcohol is a central nervous system depressant, which means it slows down brain activity. This effect on its own can be potentiated by various drugs, leading to intensified depressant effects, which can be hazardous. But that's just one facet; alcohol also affects the liver, the primary organ responsible for metabolizing many drugs, potentially altering the way our body processes medications.

Certain medications, especially sedatives and painkillers, when combined with alcohol, can lead to an enhanced sedative effect. This intensified effect can cause severe drowsiness, respiratory depression, and can even be fatal in high amounts. For instance, the combination of opioids and alcohol has been particularly scrutinized given the rising opioid crisis, with alcohol potentiating the risk of an overdose.

Furthermore, belief that alcohol renders antibiotics ineffective is widespread, but the truth is more nuanced. While alcohol may not always "cancel out" an antibiotic, it can interfere with the drug's metabolism, diminish its efficacy, or exacerbate side effects. This could prolong the duration of an infection or make side effects more pronounced.

Additionally, alcohol and antidepressants, especially SSRIs (selective serotonin reuptake inhibitors), can be a dangerous combination. Alcohol can negate the therapeutic effects of antidepressants, potentially plunging individuals deeper into depression. Additionally, alcohol can heighten some side effects of these drugs, such as dizziness or drowsiness.

Beyond the mentioned categories, a plethora of drugs, from antihistamines to antipsychotics, can interact with alcohol in some way. These interactions can range from heightened drowsiness to severe physiological disturbances like arrhythmias.

Given the myriad potential interactions, it's paramount for those of us on medication to consult their healthcare providers before consuming alcohol. A doctor or pharmacist can provide guidance tailored to one's specific medication regime, ensuring both the efficacy of the drugs and our safety.

As consumers, we must also advocate for ourselves. By staying informed about the potential interactions between our medications and alcohol, we can make safer choices. Labels on medication often provide warnings about alcohol consumption; these should not be dismissed or overlooked.

6. Pregnancy and Breastfeeding

Consuming alcohol, including liqueurs, during pregnancy can lead to severe birth defects and developmental issues in the baby. The Centers for Disease Control and Prevention (CDC) recommends that pregnant women and those trying to become pregnant avoid alcohol altogether. Additionally, alcohol can pass through breast milk, potentially affecting the baby's development and health. It's essential for breastfeeding mothers to avoid alcohol consumption to minimize the risk to their baby.

Once ingested, alcohol quickly enters the bloodstream and can cross the placenta, exposing the fetus to similar levels of alcohol as the mother. Since the fetus's liver is underdeveloped, it metabolizes alcohol at a much slower rate, leading to prolonged exposure and increased vulnerability to its harmful effects.

The consumption of alcohol during pregnancy can also lead to a range of disorders collectively referred to as Fetal Alcohol Spectrum Disorders (FASD). These can manifest in various ways, including physical malformations, learning disabilities, behavioral issues, and cognitive impairments. The more alcohol consumed, the higher the risk.

Post-birth, the dangers of alcohol are still very much present. Alcohol can pass into breast milk, leading to potential health and developmental concerns for nursing infants. Babies metabolize alcohol at a much slower pace than adults, and their developing brains are particularly sensitive to its effects.

Infants exposed to alcohol through breast milk might exhibit drowsiness, weakness, and developmental delays. There are also concerns about alcohol affecting an infant's sleeping patterns, eating habits, and even leading to longer-term cognitive and behavioral issues.

Breastfeeding mothers, like their pregnant counterparts, should exercise caution. The safest approach is to abstain from alcohol while nursing. If a mother chooses to drink, it's essential to plan and allow adequate time for the alcohol to leave her system before nursing again.

Despite the risks, the consumption of alcohol during pregnancy and while breastfeeding remains an issue in many societies. A part of the challenge lies in breaking cultural norms, misconceptions, and ensuring that every woman has access to accurate information. Awareness campaigns, educational programs, and counseling can play a pivotal role in changing behaviors.

Drink Liqueurs Mindfully

While liqueurs may seem like a harmless indulgence due to their sweet taste and lower alcohol content, it's essential to be aware of the potential liqueur dangers associated with their consumption. High sugar content, alcohol content, overconsumption, allergens, and interactions with medications are all factors to consider when enjoying liqueurs. 

Here are a few mindful drinking tips to get you started: 

  • Know your limit: Before you start drinking, decide on a limit for yourself and stick to it. This could be based on units of alcohol or the number of drinks.
  • Understand the sugar content: Take a moment to read the label or research the sugar content of the liqueur you’re consuming. This will help you be more aware of the additional calories you're ingesting.
  • Don’t forget to hydrate: To reduce the risk of overconsumption and dehydration, make it a habit to drink a glass of water between every alcoholic drink. This not only keeps you hydrated but also paces your drinking.
  • Savor, don’t chug: Instead of gulping down your drink, take the time to savor each sip. Enjoy the unique flavors and textures of the liqueur. This will also give your body time to process the alcohol.
  • Check for allergens: Always scan the ingredients or ask the bartender about potential allergens, especially if you're prone to food allergies or intolerances.
  • Don’t mix with other alcohols: Combining liqueurs with other types of alcohol can make it harder to track your consumption and increase the risk of over-drinking. Stick to one type of drink for the evening.
  • Use technology: Use apps like Reframe to monitor your alcohol consumption, understand the potential risks associated with what you’re drinking, and get suggestions for mindful drinking.
  • Plan your transportation: Never drink and drive. Always have a designated driver, use public transport, or arrange for a cab if you plan to drink.
  • Engage in informative discussions: Talk with friends or family about your intentions to drink mindfully. They can help hold you accountable, and it might inspire them to do the same.
  • Avoid drinking on an empty stomach: Consuming alcohol without eating can intensify its effects. Have a meal or snack before you start drinking to slow the absorption of alcohol.
  • Limit peer pressure: Choose a group of friends who respect your decision to drink mindfully and don’t push you to overindulge.
  • Consult before combining with medications: If you're on any medication, always consult with your doctor before consuming alcohol to avoid potential interactions.

By incorporating these practices, you can enjoy the delightful experience liqueurs offer while ensuring your safety and health. Remember, it's not just about the quantity, but the quality of your drinking experience.

Alcohol and Health
2023-06-29 9:00
Alcohol and Health
The Best Foods To Cleanse Your Liver: The Science of Healing With Nutrition
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How can you give your liver some much-needed TLC without compromising on taste? Discover a cornucopia of vibrant, delicious foods that are not just a feast for your taste buds but also a treat for your liver in our latest blog post.

19 min read

Make Your Liver Happy 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 today!

Read Full Article  →

Let's be honest, we've all had those wild nights where our liver took one for the team. Or maybe we’re just looking to re-evaluate our relationship with alcohol and give our liver a much-needed break.

Whether we’re cutting back on alcohol or just trying to treat our body better, our diet can play a key role in detoxing our liver. So, let's dive into how we can show it some love with food. And spoiler alert — it's not all about kale! Who knows? You might find that liver cleanse is just as satisfying as a glass of merlot!

Love Your Liver

First, let's start with a quick tribute to the liver. This little powerhouse is busy 24/7, filtering our blood, breaking down harmful substances, and keeping our bodies in balance.

The liver is the largest internal organ (with the skin being the largest overall). Roughly the size of a football, it weighs around three pounds. Unlike other organs, the liver receives blood from two sources: the oxygen-rich arterial system and the nutrient-rich venous system.

The liver is a true multi-tasking champion, performing over 500 different functions! Here are the main ones:

  • Detoxification. As one of the primary filters of the body, the liver processes and eliminates various toxins, including alcohol, medications, and metabolic waste products.
  • Metabolism. The liver is involved in metabolizing carbohydrates, fats, and proteins, ensuring the body receives the energy it requires.
  • Production of essential proteins. The liver synthesizes many vital proteins, including those necessary for blood clotting.
  • Storage. It stores essential vitamins and minerals like vitamin A, D, K, and B12, and releases them when the body needs them.
  • Bile production. Bile, produced by the liver, is essential for digesting and absorbing fats in the small intestine.
  • Immunity boost. The liver plays a role in the body's immune system by producing immune factors and removing harmful bacteria from the bloodstream.

Liver Superpowers

Historical records from ancient civilizations — for example, ancient Egyptian societies — show that our earliest ancestors understood the liver's detoxifying properties. They believed that the liver had a connection to the soul and was the seat of emotions. (Side note: it took a bit longer to realize that the brain was more than cushion stuffing for the head — it was routinely thrown out when bodies of pharaohs were preserved for mummification).

The liver also has a remarkable ability to regenerate. As little as a quarter of the liver can grow back to its full size! This makes “live donor liver transplants” feasible: if a portion of the liver is donated, both donor and recipient's livers can be fully functional soon after.

Alcohol and the Liver

When we drink, alcohol enters our bloodstream and makes its way to the liver. Enzymes in the liver break down the alcohol so it can be eliminated from the body.

However, the liver can only process a certain amount of alcohol at a time — typically one standard drink per hour. In the meantime, any excess alcohol remains in the bloodstream until the liver can get to it.

Alcohol, especially in excessive amounts, can have severe consequences, and understanding its effects on the liver is crucial for anyone trying to stay healthy. Here’s what can happen:

  • Fatty liver disease (alcoholic steatosis). This is an early response to excessive alcohol intake. Fat builds up in the liver cells, making it harder for the liver to function. While it can be reversed with reduced alcohol intake, continued drinking can make it more severe with time.
  • Alcoholic hepatitis. This condition is the result of inflammation and damage to the liver caused by excessive drinking over time. Symptoms can include fever, jaundice, nausea, vomiting, and abdominal pain. Severe alcoholic hepatitis is no joke and can be life-threatening.
  • Cirrhosis. Cirrhosis is the scarring of the liver tissue from long-term damage and may result from many years of heavy drinking. The liver tissue is replaced with scar tissue, preventing the liver from functioning correctly. Cirrhosis is serious, irreversible, and can lead to liver failure.
  • Risk of liver cancer. Chronic alcohol abuse significantly raises the risk of developing liver cancer, especially in those with another liver disease.

Binge drinking (consuming large amounts of alcohol in a short period) and long-term heavy drinking both pose significant risks. Likewise, consuming alcohol with certain medications can intensify the adverse effects on the liver, as do health conditions such as hepatitis B or C.

That said, some people are more susceptible to the harmful effects of alcohol than others, due to genetics, diet, and other factors. Moreover, the liver's remarkable ability to regenerate means that if an individual with early-stage alcohol-related liver disease stops drinking, the liver can often heal itself over time! However, the key is early detection, followed by prompt action.

A Foodie's Guide to a Happy Liver

Now, let’s talk about what foods can help to detoxify the liver. Yes, we'll be talking about the leafy greens, but there's more to the liver-friendly menu than you might think!

1: Green Tea and Coffee

You've probably heard this one before. Green tea is a great source of catechins, a type of antioxidant that studies have suggested can improve liver health.

As for coffee, it turns out that your morning cup of joe is liver-friendly, as well! Studies have shown that coffee can slow down scar tissue growth in the liver.

2: Leafy Green Vegetables

Before you run away, hear us out. We're not saying you need to replace every meal with a salad. But spinach, kale, and other leafy green veggies are loaded with compounds that your liver loves.

These vegetables are rich in chlorophyll, which aids in neutralizing heavy metals, chemicals, and pesticides from our foods while acting as a purifying agent for our blood. By doing so, they reduce the load on the liver and facilitate its detoxifying process.

Additionally, certain leafy greens such as spinach are known to contain glutathione — a potent antioxidant that the liver uses to filter harmful substances. This natural detoxifier helps the liver flush out carcinogens and toxins, improving its overall functionality.

3: Citrus Fruits

Pucker up! Lemons, oranges, and grapefruits aren't just a delicious burst of sunshine on a dreary day. They're also full of antioxidants that can help protect your liver. Plus, they're an excellent source of vitamin C, which helps your body to produce glutathione, a compound that aids in liver detoxification. Even better, they have been shown to prevent fatty liver disease!

4: Turmeric

Spice up your life — and detox your liver — with this golden wonder. Turmeric has a compound called curcumin which is known to have antioxidant and anti-inflammatory properties. This means it can help your liver cells resist damage and has been shown to reduce elevated liver enzymes. Turmeric is a great way to add a splash of color and a burst of flavor to your meals. Go on, get creative!

5: Berries

Bursting with flavor and full of antioxidants, berries are a liver's best friend. Blueberries and cranberries in particular have been shown to keep the liver healthy and protect it from damage.

6: Nuts

Another powerhouse for liver health, nuts are packed with healthy fats and antioxidants that protect the liver. Think of them as a shield, defending your liver against any harmful invaders. Plus, they make a great snack or salad topping.

7: Fatty Fish

Even though the term "fatty fish" might not sound liver-friendly, it's a bit of a misnomer! The real magic of fatty fish lies in their rich content of omega-3 fatty acids, specifically EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). These long-chain fatty acids are integral to various bodily functions, from brain health to inflammation control.

For the liver, omega-3s offer a protective shield. Chronic inflammation is often a precursor to liver damage, and these fatty acids play a pivotal role in reducing it. Moreover, omega-3-rich fish can also prevent the build-up of excess fats in the liver, a condition known as non-alcoholic fatty liver disease (NAFLD) while staving off potential complications, such as liver cirrhosis or liver cancer.

Some champions of the sea deserve special mention:

  • Salmon. Often considered the poster child for omega-3s, salmon, whether wild-caught or farmed, is a delicious and versatile option.
  • Mackerel. A smaller fish that packs a punch when it comes to flavor and omega-3 content.
  • Sardines. In addition to being rich in omega-3s, these tiny fish are also a great source of vitamin D.
  • Herring. Often enjoyed smoked or pickled, herring offers a unique taste profile accompanied by a hearty dose of omega-3s.
  • Anchovies. While they might be known as pizza toppers, anchovies in their fresh form or as oil provide significant omega-3 benefits.

8: Olive Oil

It's smooth, it's versatile, and it's a fantastic ally for your liver. Olive oil provides a healthier form of fat that can help to reduce liver enzyme levels and control weight.

9: Milk Thistle

Why is this plant on our radar? Its active ingredient, silymarin, is where the magic lies. It's a group of compounds known to have antioxidant, anti-inflammatory, and anti-viral properties. Research has shown that silymarin may help to repair liver cells damaged by alcohol or other toxic substances by promoting cell regeneration.

10: Beets

We’ve saved one of the best liver-friendly veggies for last — yes, this is the one that gives you those red-stained hands and makes your salad look like a piece of art. Beets are chock-full of nutrients, including betaine, fiber, iron, betalains, and a range of beneficial plant compounds. Betaine, in particular, is the star player here. It helps protect the liver from toxins and reduces inflammation, making it a powerful ally for liver health. Moreover, the high fiber content in beets helps to increase the production of detoxifying enzymes in the liver.

Tweaking Your Diet

Quitting or cutting back on alcohol doesn't mean you're sentenced to a life of bland food and boring drinks. Quite the opposite! Tweaking your diet for the sake of your liver doesn't mean you have to bid farewell to your favorite foods (well, maybe some of them!). Start slowly, add a few liver-friendly items to your grocery list each week, and before you know it, you'll be a pro at nourishing your body and your liver.

Here are some ideas of how to incorporate liver-friendly foods into your diet:

  • Swap your coffee for green tea at least once a day.
  • Incorporate berries into your breakfast or snacks. Blueberries on your oatmeal or a handful of cranberries in your salad can do the trick.
  • Include leafy green vegetables in at least one meal each day.
  • Incorporate citrus fruits into your diet. Enjoy them as snacks or squeeze them into your water.
  • Experiment with turmeric in your cooking. It can be added to soups, stews, or sprinkled over roasted veggies.
  • Add a handful of nuts to your daily diet. They're perfect as a snack or as a crunchy salad topping.
  • Aim to include fatty fish in your meals a couple of times a week. Remember, grilling or baking is healthier than frying.
  • Swap out other cooking oils for olive oil when you can.

As you embark on your liver detox journey, remember that variety is the spice of life. Different foods offer different benefits, and the key is to include a mix of liver-friendly foods in your diet.

With the right foods, you can support your liver and start to feel better overall. Plus, you'll discover new flavors and maybe even ignite a passion for healthy cooking. So, go ahead and show your liver some love. It's worked hard for you, now it's time to return the favor.

Make It Fun!

As you venture into the realm of liver repair, it's essential to shift the perspective from seeing it as a daunting medical endeavor to thinking of it as an enlightening voyage of self-discovery. It's not just about making dietary adjustments or saying no to certain indulgences — it's an opportunity to embrace new experiences, cuisines, and social activities that both enrich the palate and boost overall wellness. Every meal becomes an adventure!

By embracing a liver-friendly diet as an opportunity rather than a challenge, we're not just healing an organ — we're rejuvenating our soul, enriching our lives, and paving the way for a future full of health, joy, and endless discovery.

Let's be honest, we've all had those wild nights where our liver took one for the team. Or maybe we’re just looking to re-evaluate our relationship with alcohol and give our liver a much-needed break.

Whether we’re cutting back on alcohol or just trying to treat our body better, our diet can play a key role in detoxing our liver. So, let's dive into how we can show it some love with food. And spoiler alert — it's not all about kale! Who knows? You might find that liver cleanse is just as satisfying as a glass of merlot!

Love Your Liver

First, let's start with a quick tribute to the liver. This little powerhouse is busy 24/7, filtering our blood, breaking down harmful substances, and keeping our bodies in balance.

The liver is the largest internal organ (with the skin being the largest overall). Roughly the size of a football, it weighs around three pounds. Unlike other organs, the liver receives blood from two sources: the oxygen-rich arterial system and the nutrient-rich venous system.

The liver is a true multi-tasking champion, performing over 500 different functions! Here are the main ones:

  • Detoxification. As one of the primary filters of the body, the liver processes and eliminates various toxins, including alcohol, medications, and metabolic waste products.
  • Metabolism. The liver is involved in metabolizing carbohydrates, fats, and proteins, ensuring the body receives the energy it requires.
  • Production of essential proteins. The liver synthesizes many vital proteins, including those necessary for blood clotting.
  • Storage. It stores essential vitamins and minerals like vitamin A, D, K, and B12, and releases them when the body needs them.
  • Bile production. Bile, produced by the liver, is essential for digesting and absorbing fats in the small intestine.
  • Immunity boost. The liver plays a role in the body's immune system by producing immune factors and removing harmful bacteria from the bloodstream.

Liver Superpowers

Historical records from ancient civilizations — for example, ancient Egyptian societies — show that our earliest ancestors understood the liver's detoxifying properties. They believed that the liver had a connection to the soul and was the seat of emotions. (Side note: it took a bit longer to realize that the brain was more than cushion stuffing for the head — it was routinely thrown out when bodies of pharaohs were preserved for mummification).

The liver also has a remarkable ability to regenerate. As little as a quarter of the liver can grow back to its full size! This makes “live donor liver transplants” feasible: if a portion of the liver is donated, both donor and recipient's livers can be fully functional soon after.

Alcohol and the Liver

When we drink, alcohol enters our bloodstream and makes its way to the liver. Enzymes in the liver break down the alcohol so it can be eliminated from the body.

However, the liver can only process a certain amount of alcohol at a time — typically one standard drink per hour. In the meantime, any excess alcohol remains in the bloodstream until the liver can get to it.

Alcohol, especially in excessive amounts, can have severe consequences, and understanding its effects on the liver is crucial for anyone trying to stay healthy. Here’s what can happen:

  • Fatty liver disease (alcoholic steatosis). This is an early response to excessive alcohol intake. Fat builds up in the liver cells, making it harder for the liver to function. While it can be reversed with reduced alcohol intake, continued drinking can make it more severe with time.
  • Alcoholic hepatitis. This condition is the result of inflammation and damage to the liver caused by excessive drinking over time. Symptoms can include fever, jaundice, nausea, vomiting, and abdominal pain. Severe alcoholic hepatitis is no joke and can be life-threatening.
  • Cirrhosis. Cirrhosis is the scarring of the liver tissue from long-term damage and may result from many years of heavy drinking. The liver tissue is replaced with scar tissue, preventing the liver from functioning correctly. Cirrhosis is serious, irreversible, and can lead to liver failure.
  • Risk of liver cancer. Chronic alcohol abuse significantly raises the risk of developing liver cancer, especially in those with another liver disease.

Binge drinking (consuming large amounts of alcohol in a short period) and long-term heavy drinking both pose significant risks. Likewise, consuming alcohol with certain medications can intensify the adverse effects on the liver, as do health conditions such as hepatitis B or C.

That said, some people are more susceptible to the harmful effects of alcohol than others, due to genetics, diet, and other factors. Moreover, the liver's remarkable ability to regenerate means that if an individual with early-stage alcohol-related liver disease stops drinking, the liver can often heal itself over time! However, the key is early detection, followed by prompt action.

A Foodie's Guide to a Happy Liver

Now, let’s talk about what foods can help to detoxify the liver. Yes, we'll be talking about the leafy greens, but there's more to the liver-friendly menu than you might think!

1: Green Tea and Coffee

You've probably heard this one before. Green tea is a great source of catechins, a type of antioxidant that studies have suggested can improve liver health.

As for coffee, it turns out that your morning cup of joe is liver-friendly, as well! Studies have shown that coffee can slow down scar tissue growth in the liver.

2: Leafy Green Vegetables

Before you run away, hear us out. We're not saying you need to replace every meal with a salad. But spinach, kale, and other leafy green veggies are loaded with compounds that your liver loves.

These vegetables are rich in chlorophyll, which aids in neutralizing heavy metals, chemicals, and pesticides from our foods while acting as a purifying agent for our blood. By doing so, they reduce the load on the liver and facilitate its detoxifying process.

Additionally, certain leafy greens such as spinach are known to contain glutathione — a potent antioxidant that the liver uses to filter harmful substances. This natural detoxifier helps the liver flush out carcinogens and toxins, improving its overall functionality.

3: Citrus Fruits

Pucker up! Lemons, oranges, and grapefruits aren't just a delicious burst of sunshine on a dreary day. They're also full of antioxidants that can help protect your liver. Plus, they're an excellent source of vitamin C, which helps your body to produce glutathione, a compound that aids in liver detoxification. Even better, they have been shown to prevent fatty liver disease!

4: Turmeric

Spice up your life — and detox your liver — with this golden wonder. Turmeric has a compound called curcumin which is known to have antioxidant and anti-inflammatory properties. This means it can help your liver cells resist damage and has been shown to reduce elevated liver enzymes. Turmeric is a great way to add a splash of color and a burst of flavor to your meals. Go on, get creative!

5: Berries

Bursting with flavor and full of antioxidants, berries are a liver's best friend. Blueberries and cranberries in particular have been shown to keep the liver healthy and protect it from damage.

6: Nuts

Another powerhouse for liver health, nuts are packed with healthy fats and antioxidants that protect the liver. Think of them as a shield, defending your liver against any harmful invaders. Plus, they make a great snack or salad topping.

7: Fatty Fish

Even though the term "fatty fish" might not sound liver-friendly, it's a bit of a misnomer! The real magic of fatty fish lies in their rich content of omega-3 fatty acids, specifically EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). These long-chain fatty acids are integral to various bodily functions, from brain health to inflammation control.

For the liver, omega-3s offer a protective shield. Chronic inflammation is often a precursor to liver damage, and these fatty acids play a pivotal role in reducing it. Moreover, omega-3-rich fish can also prevent the build-up of excess fats in the liver, a condition known as non-alcoholic fatty liver disease (NAFLD) while staving off potential complications, such as liver cirrhosis or liver cancer.

Some champions of the sea deserve special mention:

  • Salmon. Often considered the poster child for omega-3s, salmon, whether wild-caught or farmed, is a delicious and versatile option.
  • Mackerel. A smaller fish that packs a punch when it comes to flavor and omega-3 content.
  • Sardines. In addition to being rich in omega-3s, these tiny fish are also a great source of vitamin D.
  • Herring. Often enjoyed smoked or pickled, herring offers a unique taste profile accompanied by a hearty dose of omega-3s.
  • Anchovies. While they might be known as pizza toppers, anchovies in their fresh form or as oil provide significant omega-3 benefits.

8: Olive Oil

It's smooth, it's versatile, and it's a fantastic ally for your liver. Olive oil provides a healthier form of fat that can help to reduce liver enzyme levels and control weight.

9: Milk Thistle

Why is this plant on our radar? Its active ingredient, silymarin, is where the magic lies. It's a group of compounds known to have antioxidant, anti-inflammatory, and anti-viral properties. Research has shown that silymarin may help to repair liver cells damaged by alcohol or other toxic substances by promoting cell regeneration.

10: Beets

We’ve saved one of the best liver-friendly veggies for last — yes, this is the one that gives you those red-stained hands and makes your salad look like a piece of art. Beets are chock-full of nutrients, including betaine, fiber, iron, betalains, and a range of beneficial plant compounds. Betaine, in particular, is the star player here. It helps protect the liver from toxins and reduces inflammation, making it a powerful ally for liver health. Moreover, the high fiber content in beets helps to increase the production of detoxifying enzymes in the liver.

Tweaking Your Diet

Quitting or cutting back on alcohol doesn't mean you're sentenced to a life of bland food and boring drinks. Quite the opposite! Tweaking your diet for the sake of your liver doesn't mean you have to bid farewell to your favorite foods (well, maybe some of them!). Start slowly, add a few liver-friendly items to your grocery list each week, and before you know it, you'll be a pro at nourishing your body and your liver.

Here are some ideas of how to incorporate liver-friendly foods into your diet:

  • Swap your coffee for green tea at least once a day.
  • Incorporate berries into your breakfast or snacks. Blueberries on your oatmeal or a handful of cranberries in your salad can do the trick.
  • Include leafy green vegetables in at least one meal each day.
  • Incorporate citrus fruits into your diet. Enjoy them as snacks or squeeze them into your water.
  • Experiment with turmeric in your cooking. It can be added to soups, stews, or sprinkled over roasted veggies.
  • Add a handful of nuts to your daily diet. They're perfect as a snack or as a crunchy salad topping.
  • Aim to include fatty fish in your meals a couple of times a week. Remember, grilling or baking is healthier than frying.
  • Swap out other cooking oils for olive oil when you can.

As you embark on your liver detox journey, remember that variety is the spice of life. Different foods offer different benefits, and the key is to include a mix of liver-friendly foods in your diet.

With the right foods, you can support your liver and start to feel better overall. Plus, you'll discover new flavors and maybe even ignite a passion for healthy cooking. So, go ahead and show your liver some love. It's worked hard for you, now it's time to return the favor.

Make It Fun!

As you venture into the realm of liver repair, it's essential to shift the perspective from seeing it as a daunting medical endeavor to thinking of it as an enlightening voyage of self-discovery. It's not just about making dietary adjustments or saying no to certain indulgences — it's an opportunity to embrace new experiences, cuisines, and social activities that both enrich the palate and boost overall wellness. Every meal becomes an adventure!

By embracing a liver-friendly diet as an opportunity rather than a challenge, we're not just healing an organ — we're rejuvenating our soul, enriching our lives, and paving the way for a future full of health, joy, and endless discovery.

Alcohol and Health
2023-06-28 9:00
Alcohol and Health
Popular
Can You Drink Alcohol If You Have an Autoimmune Disease?
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Navigating the world of autoimmune diseases and alcohol is tricky, but science shows that the increase in inflammation spells trouble for conditions such as Lupus, psoriasis, Celiac disease, MS, and Type 1 Diabetes.

19 min read

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Read Full Article  →

It’s Friday night. Ah, the magical allure of the weekend after a long work week! You're sitting in your cozy home, finally unwinding, staring at that inviting bottle of your favorite cabernet. But there's a tiny voice whispering at the back of your mind: “What about that autoimmune disease?” Can you really partake? While it’s always a good idea to check with a healthcare provider first, there are some common patterns when it comes to alcohol and autoimmune diseases. Let’s find out more!

The Invisible Battle

Let's begin by understanding autoimmune diseases. These conditions flare up when our immune system — usually our trusty guardian against viruses and bacteria — gets a little confused. It mistakes our healthy cells for foreign invaders and attacks them accordingly. It’s as if the trusty guard dog suddenly sees the mail carrier as an intruder!

There are over 80 types of autoimmune diseases. Some, like rheumatoid arthritis and lupus, can affect many parts of the body. Others, such as type 1 diabetes and psoriasis, are more specific. Managing these diseases often requires a careful balancing act of lifestyle, diet, medication, and yes — our Friday night libations.

Alcohol: Friend or Foe?

Autoimmune diseases thrive on inflammation. Here's where it gets tricky. Alcohol, in moderate amounts, can have an anti-inflammatory effect. Sounds good, right? Not so fast! Remember, the key word here is "moderate.” Higher amounts of alcohol consumption can lead to chronic inflammation, exacerbating autoimmune diseases.

It's also important to remember that many autoimmune diseases have organ-specific effects. For example, in autoimmune liver disease, consuming alcohol can cause more harm, accelerating liver damage. Similarly, autoimmune diseases that affect the digestive system — such as Crohn's or celiac disease — don’t mix well with alcohol, which can irritate the digestive tract.

In a nutshell, while a glass of wine might not spell disaster for everyone with an autoimmune disease, the effects of alcohol can vary widely depending on the type and severity of the autoimmune disease, the amount and frequency of alcohol intake, and individual genetic factors.

1: The Rheumatoid Arthritis Rollercoaster

Rheumatoid arthritis (RA) isn’t your average joint pain. In this chronic autoimmune condition, the immune system mistakenly attacks the joints, leading to inflammation, swelling, and pain. Over time, it can damage joints and even cause joint deformity. RA can also affect other parts of the body including the skin, eyes, lungs, heart, and blood vessels.

Here are some common symptoms of RA:

  • Tender, warm, swollen joints
  • Joint stiffness that is often worse in the mornings and after inactivity
  • Fatigue, fever, and weight loss

So, where does alcohol fit into the RA picture? There’s good news here: research shows that moderate alcohol consumption won’t increase symptoms for those who already have the disease. But again, the key word is “moderate” — so no more than one drink in a sitting for women and no more than two drinks for men, according to the CDC’s definition of moderate drinking.

The Verdict: Possible Foe

In spite of the low risk associated with moderate drinking and RA, alcohol can interfere with medications commonly used to treat it, such as methotrexate. Mixing alcohol and RA medications can heighten the risk of liver problems and diminish the medication's effectiveness.

Moreover, while alcohol might be anti-inflammatory, it can also cause dehydration which might exacerbate RA symptoms.

2: Lupus and Alcohol: Navigating the Waters

First things first, what is lupus? Like other autoimmune diseases, lupus develops when the immune system turns against parts of the body it's designed to protect, leading to inflammation and damage to various body tissues. Lupus can affect the joints, skin, kidneys, blood cells, brain, heart, and lungs. Think of it like an overeager security system that's a bit too enthusiastic, mistaking friendly visitors (the body's cells) for intruders.

Lupus can be a bit of a chameleon, presenting a range of symptoms that often mimic other ailments. Lupus has some common indicators:

  • Fatigue and fever
  • Joint pain, stiffness, and swelling
  • A butterfly-shaped rash on the face that covers the cheeks and the bridge of the nose
  • Skin lesions that worsen with sun exposure
  • Shortness of breath
  • Chest pain
  • Dry eyes

How does alcohol play with lupus? Can you drink with lupus? Alcohol and lupus together is kind of a mixed bag. The main concern is that alcohol can interact negatively with medications that are often prescribed to treat lupus, such as non-steroidal anti-inflammatory drugs (NSAIDs), antimalarials, and corticosteroids. Combining alcohol with these medications can increase the risk of liver complications and stomach bleeding. Alcohol can also amplify the side effects of these meds, making us feel more tired or dizzy.

Does alcohol cause joint inflammation? Alcohol can exacerbate lupus-related skin flares, especially for someone who is sensitive. Plus, alcohol may exacerbate symptoms such as fatigue and joint pain, adding fuel to the lupus fire.

The Verdict: Possible Foe

The lupus-alcohol equation isn't one-size-fits-all. It's about knowledge, understanding your body, and making choices that support your well-being.

3. Multiple Sclerosis and Alcohol: Decoding the Connection


Multiple sclerosis, commonly known as MS, is a chronic autoimmune disease that affects the central nervous system. Once again, the body's defense system gets a bit too overzealous. In this case, it starts damaging the protective covering of nerve fibers (called myelin), leading to communication issues between the brain and the rest of the body.

MS can also lead to a range of symptoms that differ from person to person, but these are some common signs:

  • Fatigue
  • Numbness or weakness in one or more limbs
  • Electric-shock sensations with neck movement
  • Tremors, unsteady gait
  • Vision problems, including double vision or partial vision loss
  • Slurred speech
  • Dizziness

When it comes to MS and alcohol, things can get tricky. MS already stirs up issues with balance and coordination, and — as we all know — alcohol does, too. Plus, alcohol may not play nice with certain MS medications, so that's another hurdle to watch out for.

The Verdict: More Foe Than Friend

Moderate alcohol consumption does not appear to increase the risk of developing MS, nor does it seem to influence disease progression. However, the keyword here, once again, is "moderate." Binge drinking or consistent heavy drinking can have adverse effects on anyone's health, and with MS, the risks might be even more pronounced.

4. Psoriasis and Alcohol: Peeling Back the Layers

Psoriasis is an autoimmune condition caused by accelerated skin cell growth, which causes thick, red, scaly patches to form on the skin. These patches can be itchy and sometimes painful. Imagine the skin's production line going into overdrive, causing a pile-up of cells on the surface. That is psoriasis in action.

Psoriasis can manifest in various forms, but here are some common signs:

  • Red patches covered with thick, silvery scales
  • Itchy, burning, or sore skin
  • Cracked, possibly bleeding skin
  • Thickened, pitted, or ridged nails
  • Swollen, stiff joints (a sign of psoriatic arthritis)

Alcohol and psoriasis can be a tricky combination. Excessive alcohol consumption is known to trigger psoriasis outbreaks for some people. It can also interfere with the body's ability to process and eliminate medications used to treat psoriasis, rendering them less effective.

Moreover, alcohol can dehydrate the body, including the skin, possibly making psoriasis symptoms worse. And, in some cases, alcohol has been known to have an inflammatory effect which may potentially flare up psoriasis patches.

The Verdict: Mostly Foe

Alcohol consumption, especially in excess, can trigger psoriasis flares and worsen symptoms. That’s why it’s essential for those living with this condition to drink mindfully and consider healthier options such as mocktails.

5. Type 1 Diabetes and Alcohol: Playing With Fire

Type 1 diabetes is an autoimmune condition caused by the immune system mistakenly attacking and destroying the insulin-producing beta cells in the pancreas. Insulin allows glucose (sugar) from our food to enter our cells and provide energy. Without enough insulin, glucose builds up in the bloodstream, leading to high blood sugar levels.

Type 1 diabetes has some hallmark symptoms:

  • Frequent urination and excessive thirst
  • Unexpected weight loss
  • Extreme hunger
  • Blurry vision
  • Fatigue and weakness
  • Mood swings

What happens when type 1 diabetes and alcohol mix? This is a pairing that needs careful attention.

Alcohol can interfere with the liver's ability to release glucose, increasing the risk of low blood sugar (hypoglycemia) for those with type 1 diabetes. While it might initially elevate blood sugar, it can drop later on, especially if we’re taking insulin or other diabetes medications.

Additionally, many alcoholic beverages, especially cocktails, contain sugars and carbs that can spike blood sugar levels. It's essential to factor in these carbs as part of our overall daily intake.

Symptoms of hypoglycemia can sometimes mirror the effects of too much alcohol: dizziness, disorientation, and sleepiness. This can make it challenging for those around us to distinguish between intoxication and a medical emergency.

When navigating the alcohol-diabetes combo, keep these points in mind:

  • Stay informed. Know how alcohol affects your blood sugar levels. Monitor it before drinking, while you drink, and for up to 24 hours after drinking.
  • Count your carbs. If your drink has carbohydrates, ensure you account for them in your daily carb count.
  • Avoid drinking on an empty stomach. This can increase the risk of hypoglycemia. Opt for a balanced meal or snack beforehand.
  • Keep your company informed. Make sure someone you're with knows you have diabetes and understands the risk of hypoglycemia.
The Verdict: Foe

Alcohol consumption, especially in excess, can mess with blood sugar and be potentially dangerous for those living with type 1 diabetes. Always consult with a healthcare provider, such as an endocrinologist, before imbibing when living with this condition.

6. Celiac Disease and Alcohol: Sifting Through the Details

Finally, celiac disease is an autoimmune condition triggered by gluten — a protein found in wheat, barley, and rye — that leads to damage in the small intestine when ingested by those who are sensitive to it. The body misinterprets gluten as a harmful invader and prompts the immune system to attack the inner lining of the small intestine, disrupting the absorption of vital nutrients.

Celiac can be a bit sneaky, presenting a wide array of symptoms. These are some of the common signs to look out for:

  • Diarrhea or constipation
  • Abdominal pain and bloating
  • Fatigue and weakness
  • Skin rashes
  • Anemia
  • Joint pain
  • Headaches and migraines

Where does alcohol stand in the world of celiac disease? Here’s the scoop.

The primary concern with celiac disease and alcohol is the source of the alcohol. Many alcoholic beverages, including beers, ales, lagers, malt beverages, and even some hard ciders, contain gluten. Consuming these would be a no-go for someone with celiac disease.

However, pure distilled spirits, even if they're made from wheat, barley, or rye, are considered gluten-free due to the distillation process. This means spirits like vodka, gin, and whiskey might be safe. Similarly, wines and some ciders are naturally gluten-free and safe for most people with celiac disease. But always read labels or check with manufacturers when in doubt.

The Verdict: Not Necessarily a Friend, But Not a Serious Foe

Considering a drink and living with celiac disease? Here's the mantra: be informed and vigilant. Not all alcoholic beverages will label their gluten content, so doing a bit of homework might be necessary. Additionally, always listen to your body; even gluten-free options might not sit well with everyone.

Diagram about the common autoimmune diseases

So … Can You Drink Alcohol With an Autoimmune Disease?

Well, as you can see, there's really no one-size-fits-all answer here. It all depends on the specific autoimmune disease, your overall health, and the type and amount of alcohol consumed. It’s essential to talk to professionals and take all these factors into consideration to make an informed decision.

Stepping Towards a Healthier Lifestyle

As you figure out how alcohol fits into your life — and whether or not it’s ultimately a no-go because of your autoimmune disease — here are some practical steps to navigate this journey:

  • Dialogue with your doctor. Discuss your questions with your healthcare provider, who can provide tailored advice based on your specific condition and treatment plan.
  • Mindful moderation. If given the green light, remember that moderation is key. The CDC defines moderate drinking as up to one drink per day for women and up to two drinks per day for men.
  • Healthy substitutes. Explore non-alcoholic beverages that can still make your evening special. Herbal tea, fruit-infused water, or fancy mocktails can be refreshing alternatives.
  • Support system. Connect with friends, family, or support groups who understand your journey. Shared experiences and understanding make our lives sparkle.
  • Holistic health. Incorporate a balanced diet, regular exercise, and stress management into your routine. Health is all about balance and teamwork: there are lots of moving parts, and it’s up to us to figure out how to best fit them together.

Listening to the Body

All in all, understanding the interaction between autoimmune diseases and alcohol can be tricky, but ultimately it comes down to understanding your body’s unique needs. It requires patience, discernment, and an appreciation for the nuances. And remember —you're not alone!

Whether we're raising a glass of bubbly or a cup of herbal tea, let's toast to knowledge, health, and the confidence to make the best choices for our wellness.

It’s Friday night. Ah, the magical allure of the weekend after a long work week! You're sitting in your cozy home, finally unwinding, staring at that inviting bottle of your favorite cabernet. But there's a tiny voice whispering at the back of your mind: “What about that autoimmune disease?” Can you really partake? While it’s always a good idea to check with a healthcare provider first, there are some common patterns when it comes to alcohol and autoimmune diseases. Let’s find out more!

The Invisible Battle

Let's begin by understanding autoimmune diseases. These conditions flare up when our immune system — usually our trusty guardian against viruses and bacteria — gets a little confused. It mistakes our healthy cells for foreign invaders and attacks them accordingly. It’s as if the trusty guard dog suddenly sees the mail carrier as an intruder!

There are over 80 types of autoimmune diseases. Some, like rheumatoid arthritis and lupus, can affect many parts of the body. Others, such as type 1 diabetes and psoriasis, are more specific. Managing these diseases often requires a careful balancing act of lifestyle, diet, medication, and yes — our Friday night libations.

Alcohol: Friend or Foe?

Autoimmune diseases thrive on inflammation. Here's where it gets tricky. Alcohol, in moderate amounts, can have an anti-inflammatory effect. Sounds good, right? Not so fast! Remember, the key word here is "moderate.” Higher amounts of alcohol consumption can lead to chronic inflammation, exacerbating autoimmune diseases.

It's also important to remember that many autoimmune diseases have organ-specific effects. For example, in autoimmune liver disease, consuming alcohol can cause more harm, accelerating liver damage. Similarly, autoimmune diseases that affect the digestive system — such as Crohn's or celiac disease — don’t mix well with alcohol, which can irritate the digestive tract.

In a nutshell, while a glass of wine might not spell disaster for everyone with an autoimmune disease, the effects of alcohol can vary widely depending on the type and severity of the autoimmune disease, the amount and frequency of alcohol intake, and individual genetic factors.

1: The Rheumatoid Arthritis Rollercoaster

Rheumatoid arthritis (RA) isn’t your average joint pain. In this chronic autoimmune condition, the immune system mistakenly attacks the joints, leading to inflammation, swelling, and pain. Over time, it can damage joints and even cause joint deformity. RA can also affect other parts of the body including the skin, eyes, lungs, heart, and blood vessels.

Here are some common symptoms of RA:

  • Tender, warm, swollen joints
  • Joint stiffness that is often worse in the mornings and after inactivity
  • Fatigue, fever, and weight loss

So, where does alcohol fit into the RA picture? There’s good news here: research shows that moderate alcohol consumption won’t increase symptoms for those who already have the disease. But again, the key word is “moderate” — so no more than one drink in a sitting for women and no more than two drinks for men, according to the CDC’s definition of moderate drinking.

The Verdict: Possible Foe

In spite of the low risk associated with moderate drinking and RA, alcohol can interfere with medications commonly used to treat it, such as methotrexate. Mixing alcohol and RA medications can heighten the risk of liver problems and diminish the medication's effectiveness.

Moreover, while alcohol might be anti-inflammatory, it can also cause dehydration which might exacerbate RA symptoms.

2: Lupus and Alcohol: Navigating the Waters

First things first, what is lupus? Like other autoimmune diseases, lupus develops when the immune system turns against parts of the body it's designed to protect, leading to inflammation and damage to various body tissues. Lupus can affect the joints, skin, kidneys, blood cells, brain, heart, and lungs. Think of it like an overeager security system that's a bit too enthusiastic, mistaking friendly visitors (the body's cells) for intruders.

Lupus can be a bit of a chameleon, presenting a range of symptoms that often mimic other ailments. Lupus has some common indicators:

  • Fatigue and fever
  • Joint pain, stiffness, and swelling
  • A butterfly-shaped rash on the face that covers the cheeks and the bridge of the nose
  • Skin lesions that worsen with sun exposure
  • Shortness of breath
  • Chest pain
  • Dry eyes

How does alcohol play with lupus? Can you drink with lupus? Alcohol and lupus together is kind of a mixed bag. The main concern is that alcohol can interact negatively with medications that are often prescribed to treat lupus, such as non-steroidal anti-inflammatory drugs (NSAIDs), antimalarials, and corticosteroids. Combining alcohol with these medications can increase the risk of liver complications and stomach bleeding. Alcohol can also amplify the side effects of these meds, making us feel more tired or dizzy.

Does alcohol cause joint inflammation? Alcohol can exacerbate lupus-related skin flares, especially for someone who is sensitive. Plus, alcohol may exacerbate symptoms such as fatigue and joint pain, adding fuel to the lupus fire.

The Verdict: Possible Foe

The lupus-alcohol equation isn't one-size-fits-all. It's about knowledge, understanding your body, and making choices that support your well-being.

3. Multiple Sclerosis and Alcohol: Decoding the Connection


Multiple sclerosis, commonly known as MS, is a chronic autoimmune disease that affects the central nervous system. Once again, the body's defense system gets a bit too overzealous. In this case, it starts damaging the protective covering of nerve fibers (called myelin), leading to communication issues between the brain and the rest of the body.

MS can also lead to a range of symptoms that differ from person to person, but these are some common signs:

  • Fatigue
  • Numbness or weakness in one or more limbs
  • Electric-shock sensations with neck movement
  • Tremors, unsteady gait
  • Vision problems, including double vision or partial vision loss
  • Slurred speech
  • Dizziness

When it comes to MS and alcohol, things can get tricky. MS already stirs up issues with balance and coordination, and — as we all know — alcohol does, too. Plus, alcohol may not play nice with certain MS medications, so that's another hurdle to watch out for.

The Verdict: More Foe Than Friend

Moderate alcohol consumption does not appear to increase the risk of developing MS, nor does it seem to influence disease progression. However, the keyword here, once again, is "moderate." Binge drinking or consistent heavy drinking can have adverse effects on anyone's health, and with MS, the risks might be even more pronounced.

4. Psoriasis and Alcohol: Peeling Back the Layers

Psoriasis is an autoimmune condition caused by accelerated skin cell growth, which causes thick, red, scaly patches to form on the skin. These patches can be itchy and sometimes painful. Imagine the skin's production line going into overdrive, causing a pile-up of cells on the surface. That is psoriasis in action.

Psoriasis can manifest in various forms, but here are some common signs:

  • Red patches covered with thick, silvery scales
  • Itchy, burning, or sore skin
  • Cracked, possibly bleeding skin
  • Thickened, pitted, or ridged nails
  • Swollen, stiff joints (a sign of psoriatic arthritis)

Alcohol and psoriasis can be a tricky combination. Excessive alcohol consumption is known to trigger psoriasis outbreaks for some people. It can also interfere with the body's ability to process and eliminate medications used to treat psoriasis, rendering them less effective.

Moreover, alcohol can dehydrate the body, including the skin, possibly making psoriasis symptoms worse. And, in some cases, alcohol has been known to have an inflammatory effect which may potentially flare up psoriasis patches.

The Verdict: Mostly Foe

Alcohol consumption, especially in excess, can trigger psoriasis flares and worsen symptoms. That’s why it’s essential for those living with this condition to drink mindfully and consider healthier options such as mocktails.

5. Type 1 Diabetes and Alcohol: Playing With Fire

Type 1 diabetes is an autoimmune condition caused by the immune system mistakenly attacking and destroying the insulin-producing beta cells in the pancreas. Insulin allows glucose (sugar) from our food to enter our cells and provide energy. Without enough insulin, glucose builds up in the bloodstream, leading to high blood sugar levels.

Type 1 diabetes has some hallmark symptoms:

  • Frequent urination and excessive thirst
  • Unexpected weight loss
  • Extreme hunger
  • Blurry vision
  • Fatigue and weakness
  • Mood swings

What happens when type 1 diabetes and alcohol mix? This is a pairing that needs careful attention.

Alcohol can interfere with the liver's ability to release glucose, increasing the risk of low blood sugar (hypoglycemia) for those with type 1 diabetes. While it might initially elevate blood sugar, it can drop later on, especially if we’re taking insulin or other diabetes medications.

Additionally, many alcoholic beverages, especially cocktails, contain sugars and carbs that can spike blood sugar levels. It's essential to factor in these carbs as part of our overall daily intake.

Symptoms of hypoglycemia can sometimes mirror the effects of too much alcohol: dizziness, disorientation, and sleepiness. This can make it challenging for those around us to distinguish between intoxication and a medical emergency.

When navigating the alcohol-diabetes combo, keep these points in mind:

  • Stay informed. Know how alcohol affects your blood sugar levels. Monitor it before drinking, while you drink, and for up to 24 hours after drinking.
  • Count your carbs. If your drink has carbohydrates, ensure you account for them in your daily carb count.
  • Avoid drinking on an empty stomach. This can increase the risk of hypoglycemia. Opt for a balanced meal or snack beforehand.
  • Keep your company informed. Make sure someone you're with knows you have diabetes and understands the risk of hypoglycemia.
The Verdict: Foe

Alcohol consumption, especially in excess, can mess with blood sugar and be potentially dangerous for those living with type 1 diabetes. Always consult with a healthcare provider, such as an endocrinologist, before imbibing when living with this condition.

6. Celiac Disease and Alcohol: Sifting Through the Details

Finally, celiac disease is an autoimmune condition triggered by gluten — a protein found in wheat, barley, and rye — that leads to damage in the small intestine when ingested by those who are sensitive to it. The body misinterprets gluten as a harmful invader and prompts the immune system to attack the inner lining of the small intestine, disrupting the absorption of vital nutrients.

Celiac can be a bit sneaky, presenting a wide array of symptoms. These are some of the common signs to look out for:

  • Diarrhea or constipation
  • Abdominal pain and bloating
  • Fatigue and weakness
  • Skin rashes
  • Anemia
  • Joint pain
  • Headaches and migraines

Where does alcohol stand in the world of celiac disease? Here’s the scoop.

The primary concern with celiac disease and alcohol is the source of the alcohol. Many alcoholic beverages, including beers, ales, lagers, malt beverages, and even some hard ciders, contain gluten. Consuming these would be a no-go for someone with celiac disease.

However, pure distilled spirits, even if they're made from wheat, barley, or rye, are considered gluten-free due to the distillation process. This means spirits like vodka, gin, and whiskey might be safe. Similarly, wines and some ciders are naturally gluten-free and safe for most people with celiac disease. But always read labels or check with manufacturers when in doubt.

The Verdict: Not Necessarily a Friend, But Not a Serious Foe

Considering a drink and living with celiac disease? Here's the mantra: be informed and vigilant. Not all alcoholic beverages will label their gluten content, so doing a bit of homework might be necessary. Additionally, always listen to your body; even gluten-free options might not sit well with everyone.

Diagram about the common autoimmune diseases

So … Can You Drink Alcohol With an Autoimmune Disease?

Well, as you can see, there's really no one-size-fits-all answer here. It all depends on the specific autoimmune disease, your overall health, and the type and amount of alcohol consumed. It’s essential to talk to professionals and take all these factors into consideration to make an informed decision.

Stepping Towards a Healthier Lifestyle

As you figure out how alcohol fits into your life — and whether or not it’s ultimately a no-go because of your autoimmune disease — here are some practical steps to navigate this journey:

  • Dialogue with your doctor. Discuss your questions with your healthcare provider, who can provide tailored advice based on your specific condition and treatment plan.
  • Mindful moderation. If given the green light, remember that moderation is key. The CDC defines moderate drinking as up to one drink per day for women and up to two drinks per day for men.
  • Healthy substitutes. Explore non-alcoholic beverages that can still make your evening special. Herbal tea, fruit-infused water, or fancy mocktails can be refreshing alternatives.
  • Support system. Connect with friends, family, or support groups who understand your journey. Shared experiences and understanding make our lives sparkle.
  • Holistic health. Incorporate a balanced diet, regular exercise, and stress management into your routine. Health is all about balance and teamwork: there are lots of moving parts, and it’s up to us to figure out how to best fit them together.

Listening to the Body

All in all, understanding the interaction between autoimmune diseases and alcohol can be tricky, but ultimately it comes down to understanding your body’s unique needs. It requires patience, discernment, and an appreciation for the nuances. And remember —you're not alone!

Whether we're raising a glass of bubbly or a cup of herbal tea, let's toast to knowledge, health, and the confidence to make the best choices for our wellness.

Alcohol and Health
2023-06-28 9:00
Alcohol and Health
What Is Holiday Heart Syndrome?
This is some text inside of a div block.

Holiday heart syndrome refers to an increased risk of heart-related issues during festive periods, often caused by excessive alcohol consumption, overeating, lack of exercise, stress, and sleep deprivation. Learn how to avoid holiday heart in this blog post.

18 min read

Avoid Holiday Heart Syndrome With Reframe!

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

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

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

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

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

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

Read Full Article  →

The holiday season is a time for celebration, indulgence, and relaxation. However, it can also spell trouble for our hearts. 

What is “holiday heart”? The term was first coined in 1978 to describe a sudden increase in heart-related issues during the holiday season. However, this phenomenon is not just limited to the winter holidays — it can occur during any festive period that includes excessive eating, drinking, and stress. What are holiday heart symptoms? In this blog, we’ll explore the concept of holiday heart, its causes, and how to avoid it.

Holiday Heart Syndrome: The Dangers

While “holiday heart syndrome” may sound lighthearted, its implications can be anything but. This condition can result in atrial fibrillation (AFib) (a rapid and irregular heartbeat that can increase the risk of stroke), heart failure, and other heart-related complications. 

Holiday Heart and Atrial Fibrillation (AFib)

AFib occurs when the heart's upper chambers, the atria, beat out of sync with the lower chambers. Instead of maintaining a harmonious and coordinated contraction, the atria begin to quiver, or fibrillate, resulting in a chaotic and rapid heart rhythm. This erratic behavior isn't just a simple flutter in the chest; its ramifications can dramatically affect a person’s overall health.

Common holiday heart symptoms related to AFib include palpitations, breathlessness, and fatigue. Depending on the severity of the person’s condition, these symptoms can range from mild to debilitating. The true danger lurks beneath the surface, though. When the atria are in fibrillation, they aren't efficiently moving blood into the heart's ventricles. This inefficiency can lead to blood pooling in the atria, creating an environment conducive to clot formation.

Holiday Heart and Stroke Risk

The risk of blood clots is one of the most concerning aspects of AFib. These clots can be ejected from the heart’s chambers and travel through the bloodstream. If a clot reaches the brain, it can block vital blood flow, resulting in an ischemic stroke. Strokes can lead to an array of severe neurological consequences, from paralysis to cognitive deficits. Notably, AFib-induced strokes are often more severe and more likely to result in death compared to strokes from other causes.

Beyond stroke risk, the heart's inability to maintain a regular and effective rhythm means that it can't pump blood efficiently to the rest of the body. Over time, this inefficiency can lead to heart failure. The heart begins to weaken and can't meet the body's demand for oxygenated blood, leading to symptoms such swelling of the legs, fluid accumulation in the lungs, and chronic fatigue.

Holiday Heart and Additional Complications

AFib doesn't exist in isolation. Its onset can trigger a domino effect of other cardiac issues. The rapid heart rates often seen in AFib can lead to other forms of arrhythmias, further complicating the clinical picture. Moreover, the persistent strain on the heart muscle can lead to myocardial remodeling, changing the heart's structure and function, making the affected person more susceptible to other heart diseases.

Furthermore, the persistent state of AFib can lead to the enlargement of the heart's chambers, especially the atria. This enlargement, known as atrial dilation, can further increase the risk of clot formation, creating a vicious cycle of increased stroke risk.

What Causes Holiday Heart Syndrome?

Several factors contribute to the development of holiday heart. Let’s take a look at the most common culprits.

Excessive Alcohol Consumption

When consumed excessively, especially in binge patterns, alcohol can lead to dehydration. This dehydration both reduces the volume of blood in circulation, making the heart work harder, and upsets the body's electrolyte balance. Electrolytes such as potassium, sodium, and calcium play pivotal roles in transmitting electrical signals across heart cells. An imbalance can render the heart's electrical system erratic, predisposing it to arrhythmias.

Furthermore, the cardiac muscle is not immune to alcohol’s toxic effects. With excessive consumption, the heart faces undue stress, leading to a state in which it's more susceptible to irregular rhythms. Intriguingly, not everyone needs to consume large volumes to experience these effects. Some people, due to genetic or physiological reasons, might be more sensitive to alcohol, experiencing symptoms with only moderate amounts.

Overeating

Feasts and holidays seem almost synonymous. However, the pleasure of indulging in large, sumptuous meals can reap cardiac consequences. Foods particularly rich in salt can temporarily spike blood pressure. High blood pressure, even if transient, exerts additional pressure on the cardiac walls, potentially leading to arrhythmias.

Furthermore, fatty foods, especially those rich in saturated fats, elevate cholesterol levels, contributing to atherosclerosis — a condition in which arteries become narrowed and hardened. This can further compromise heart health. Additionally, consistent overindulgence can lead to weight gain, a prominent risk factor for both heart diseases and AFib.

Lack of Exercise

Exercise plays a vital role in maintaining cardiovascular health by regulating weight, reducing blood pressure, and enhancing heart efficiency. The holiday season, coupled with the chill of winter (for northern hemisphere folks), can lead many of us away from our exercise routines. 

Abandoning physical activity can lead to weight gain, pushing the heart to work harder. High blood pressure and reduced cardiac efficiency, common consequences of a sedentary lifestyle, set the stage for conditions such as holiday heart syndrome.

Stress

Holidays, while celebratory, come with their share of stressors: the pressures of perfecting celebrations, managing finances, and navigating complex family dynamics. This heightened stress stimulates the adrenal glands to release hormones such as cortisol and adrenaline.

Elevated levels of these hormones increase heart rate and blood pressure — factors known to cause arrhythmias. Moreover, chronic stress can lead to inflammation, further jeopardizing heart health.

Sleep Deprivation

Sleep is the body's natural reset button, especially for the cardiovascular system. Holidays often bring with them late-night revelries, travel across time zones, or simply the anxiety of preparations, all of which can upset regular sleep patterns.

A sleep-deprived body struggles to regulate stress hormones, leading to increased blood pressure and heart rate. Fatigue and irritability stemming from poor sleep can further escalate stress, creating a feedback loop detrimental to heart health.

Diagram about the causes of holiday heart

How Long Does Holiday Heart Syndrome Last?

In most cases, the symptoms of HHS (including palpitations, shortness of breath, or a feeling of unease in the chest) manifest within a few hours to 48 hours after heavy alcohol consumption. Their duration can vary significantly from person to person.

For many, holiday heart syndrome is transient, lasting only a few hours to a couple of days. With adequate rest, hydration, and abstaining from further alcohol or triggering foods, the heart often corrects its rhythm spontaneously, returning to its baseline state without medical intervention. This brief manifestation of holiday heart, especially in those who experience it for the first time, can make it seem unproblematic. However, even transient episodes can have implications for future cardiac health.

In some people, especially those with pre-existing heart conditions or those who have had recurrent episodes of holiday heart syndrome, the irregular rhythm might persist. AFib or other arrhythmias could continue for several days or even weeks, requiring medical intervention. In these cases, healthcare professionals might use medication or electrical cardioversion to restore the heart's normal rhythm.

It's worth noting that even after the heart's rhythm normalizes, some residual effects of holiday heart syndrome might linger. People may feel fatigued, experience bouts of dizziness, or have a general sense of malaise for a few days after the episode. 

Finally, and perhaps most critically, if repeated, even brief episodes of holiday heart syndrome can reshape the heart's electrical framework. The more frequently we experience holiday heart syndrome, the more predisposed we become to potentially more dangerous episodes in the future. This cumulative effect underscores the importance of recognizing and addressing the syndrome early.

Avoid Holiday Heart Syndrome

While the holiday season can be a time of increased risk for heart-related issues, you can protect your heart and enjoy the festivities without worry. Here are some tips for preventing holiday heart.

Limit Alcohol Consumption

Alcohol, while a staple in many celebrations, can slowly take a toll on our heart. Moderation is key! The Centers for Disease Control and Prevention (CDC) has guidelines that recommend no more than one to two alcoholic drinks per day for men and one drink per day for women. Staying within these boundaries shields our heart (and prevents a myriad of other alcohol-related complications!).

Binge drinking, characterized by consuming an excessive amount of alcohol in a short time frame, is particularly detrimental. It can lead to dehydration, electrolyte imbalances, and a transient spike in blood pressure, all of which strain the heart. If alcohol is a part of your holiday festivities, pacing your consumption and interspersing with water can make a significant difference.

Eat Mindfully

Holiday feasts can tempt us to eat more than we’d intended. While indulgence is part of the celebrations, a discerning approach to food choices can stave off potential cardiac repercussions. Foods loaded with excessive fats and salt can acutely raise blood pressure and increase the heart’s workload.

Mindfulness during meals involves being cognizant of portion sizes, savoring each bite, and recognizing satiety cues. Prioritizing fresh, whole foods and limiting processed, high-sodium options can be a game-changer. Additionally, eating substantial meals late into the night can exacerbate reflux and strain the heart, making timing as crucial as the food choices.

Stay Active

The festive season often disrupts regular exercise routines. Physical activity is paramount in safeguarding cardiovascular health. The American Heart Association recommends at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity each week.

Holiday fitness doesn't have to be a structured gym session. Integrating activity into celebrations — a post-feast stroll, dancing the night away, or even participating in themed fun runs — ensures that the heart remains safe.

Manage Stress

The holidays, ironically, often come riddled with stress. From the pressures of executing perfect celebrations to managing year-end deadlines, stress can spike cortisol levels, inadvertently increasing our heart rate and blood pressure. Embracing relaxation techniques such as deep breathing, meditation, or even simple mindfulness practices can mitigate these effects. Setting realistic expectations, delegating tasks, and leaning on loved ones for support can also help diffuse holiday pressures.

Prioritize Sleep

Sleep is the body's natural restorative. Amid the holiday chaos, carve out your regular (we hope!) seven to nine hours of quality sleep. Practice the same good sleep hygiene during the holidays that you practice the rest of the year: regularizing sleep patterns, cultivating a serene bedtime environment, and minimizing screen time before bed. A rested body ensures the heart functions optimally, ready to participate in the festivities with vigor.

Holiday Heart Syndrome: The Takeaways

Holiday heart syndrome is a real phenomenon that can put a damper on your festive celebrations. By understanding the causes and taking steps to prevent it, you can protect your heart and enjoy the holiday season without worry. Remember to practice moderation, maintain a healthy lifestyle, and prioritize self-care during this busy time of year. Doing so not only reduces your risk of holiday heart — it also sets yourself up for a healthier, happier new year.

The holiday season is a time for celebration, indulgence, and relaxation. However, it can also spell trouble for our hearts. 

What is “holiday heart”? The term was first coined in 1978 to describe a sudden increase in heart-related issues during the holiday season. However, this phenomenon is not just limited to the winter holidays — it can occur during any festive period that includes excessive eating, drinking, and stress. What are holiday heart symptoms? In this blog, we’ll explore the concept of holiday heart, its causes, and how to avoid it.

Holiday Heart Syndrome: The Dangers

While “holiday heart syndrome” may sound lighthearted, its implications can be anything but. This condition can result in atrial fibrillation (AFib) (a rapid and irregular heartbeat that can increase the risk of stroke), heart failure, and other heart-related complications. 

Holiday Heart and Atrial Fibrillation (AFib)

AFib occurs when the heart's upper chambers, the atria, beat out of sync with the lower chambers. Instead of maintaining a harmonious and coordinated contraction, the atria begin to quiver, or fibrillate, resulting in a chaotic and rapid heart rhythm. This erratic behavior isn't just a simple flutter in the chest; its ramifications can dramatically affect a person’s overall health.

Common holiday heart symptoms related to AFib include palpitations, breathlessness, and fatigue. Depending on the severity of the person’s condition, these symptoms can range from mild to debilitating. The true danger lurks beneath the surface, though. When the atria are in fibrillation, they aren't efficiently moving blood into the heart's ventricles. This inefficiency can lead to blood pooling in the atria, creating an environment conducive to clot formation.

Holiday Heart and Stroke Risk

The risk of blood clots is one of the most concerning aspects of AFib. These clots can be ejected from the heart’s chambers and travel through the bloodstream. If a clot reaches the brain, it can block vital blood flow, resulting in an ischemic stroke. Strokes can lead to an array of severe neurological consequences, from paralysis to cognitive deficits. Notably, AFib-induced strokes are often more severe and more likely to result in death compared to strokes from other causes.

Beyond stroke risk, the heart's inability to maintain a regular and effective rhythm means that it can't pump blood efficiently to the rest of the body. Over time, this inefficiency can lead to heart failure. The heart begins to weaken and can't meet the body's demand for oxygenated blood, leading to symptoms such swelling of the legs, fluid accumulation in the lungs, and chronic fatigue.

Holiday Heart and Additional Complications

AFib doesn't exist in isolation. Its onset can trigger a domino effect of other cardiac issues. The rapid heart rates often seen in AFib can lead to other forms of arrhythmias, further complicating the clinical picture. Moreover, the persistent strain on the heart muscle can lead to myocardial remodeling, changing the heart's structure and function, making the affected person more susceptible to other heart diseases.

Furthermore, the persistent state of AFib can lead to the enlargement of the heart's chambers, especially the atria. This enlargement, known as atrial dilation, can further increase the risk of clot formation, creating a vicious cycle of increased stroke risk.

What Causes Holiday Heart Syndrome?

Several factors contribute to the development of holiday heart. Let’s take a look at the most common culprits.

Excessive Alcohol Consumption

When consumed excessively, especially in binge patterns, alcohol can lead to dehydration. This dehydration both reduces the volume of blood in circulation, making the heart work harder, and upsets the body's electrolyte balance. Electrolytes such as potassium, sodium, and calcium play pivotal roles in transmitting electrical signals across heart cells. An imbalance can render the heart's electrical system erratic, predisposing it to arrhythmias.

Furthermore, the cardiac muscle is not immune to alcohol’s toxic effects. With excessive consumption, the heart faces undue stress, leading to a state in which it's more susceptible to irregular rhythms. Intriguingly, not everyone needs to consume large volumes to experience these effects. Some people, due to genetic or physiological reasons, might be more sensitive to alcohol, experiencing symptoms with only moderate amounts.

Overeating

Feasts and holidays seem almost synonymous. However, the pleasure of indulging in large, sumptuous meals can reap cardiac consequences. Foods particularly rich in salt can temporarily spike blood pressure. High blood pressure, even if transient, exerts additional pressure on the cardiac walls, potentially leading to arrhythmias.

Furthermore, fatty foods, especially those rich in saturated fats, elevate cholesterol levels, contributing to atherosclerosis — a condition in which arteries become narrowed and hardened. This can further compromise heart health. Additionally, consistent overindulgence can lead to weight gain, a prominent risk factor for both heart diseases and AFib.

Lack of Exercise

Exercise plays a vital role in maintaining cardiovascular health by regulating weight, reducing blood pressure, and enhancing heart efficiency. The holiday season, coupled with the chill of winter (for northern hemisphere folks), can lead many of us away from our exercise routines. 

Abandoning physical activity can lead to weight gain, pushing the heart to work harder. High blood pressure and reduced cardiac efficiency, common consequences of a sedentary lifestyle, set the stage for conditions such as holiday heart syndrome.

Stress

Holidays, while celebratory, come with their share of stressors: the pressures of perfecting celebrations, managing finances, and navigating complex family dynamics. This heightened stress stimulates the adrenal glands to release hormones such as cortisol and adrenaline.

Elevated levels of these hormones increase heart rate and blood pressure — factors known to cause arrhythmias. Moreover, chronic stress can lead to inflammation, further jeopardizing heart health.

Sleep Deprivation

Sleep is the body's natural reset button, especially for the cardiovascular system. Holidays often bring with them late-night revelries, travel across time zones, or simply the anxiety of preparations, all of which can upset regular sleep patterns.

A sleep-deprived body struggles to regulate stress hormones, leading to increased blood pressure and heart rate. Fatigue and irritability stemming from poor sleep can further escalate stress, creating a feedback loop detrimental to heart health.

Diagram about the causes of holiday heart

How Long Does Holiday Heart Syndrome Last?

In most cases, the symptoms of HHS (including palpitations, shortness of breath, or a feeling of unease in the chest) manifest within a few hours to 48 hours after heavy alcohol consumption. Their duration can vary significantly from person to person.

For many, holiday heart syndrome is transient, lasting only a few hours to a couple of days. With adequate rest, hydration, and abstaining from further alcohol or triggering foods, the heart often corrects its rhythm spontaneously, returning to its baseline state without medical intervention. This brief manifestation of holiday heart, especially in those who experience it for the first time, can make it seem unproblematic. However, even transient episodes can have implications for future cardiac health.

In some people, especially those with pre-existing heart conditions or those who have had recurrent episodes of holiday heart syndrome, the irregular rhythm might persist. AFib or other arrhythmias could continue for several days or even weeks, requiring medical intervention. In these cases, healthcare professionals might use medication or electrical cardioversion to restore the heart's normal rhythm.

It's worth noting that even after the heart's rhythm normalizes, some residual effects of holiday heart syndrome might linger. People may feel fatigued, experience bouts of dizziness, or have a general sense of malaise for a few days after the episode. 

Finally, and perhaps most critically, if repeated, even brief episodes of holiday heart syndrome can reshape the heart's electrical framework. The more frequently we experience holiday heart syndrome, the more predisposed we become to potentially more dangerous episodes in the future. This cumulative effect underscores the importance of recognizing and addressing the syndrome early.

Avoid Holiday Heart Syndrome

While the holiday season can be a time of increased risk for heart-related issues, you can protect your heart and enjoy the festivities without worry. Here are some tips for preventing holiday heart.

Limit Alcohol Consumption

Alcohol, while a staple in many celebrations, can slowly take a toll on our heart. Moderation is key! The Centers for Disease Control and Prevention (CDC) has guidelines that recommend no more than one to two alcoholic drinks per day for men and one drink per day for women. Staying within these boundaries shields our heart (and prevents a myriad of other alcohol-related complications!).

Binge drinking, characterized by consuming an excessive amount of alcohol in a short time frame, is particularly detrimental. It can lead to dehydration, electrolyte imbalances, and a transient spike in blood pressure, all of which strain the heart. If alcohol is a part of your holiday festivities, pacing your consumption and interspersing with water can make a significant difference.

Eat Mindfully

Holiday feasts can tempt us to eat more than we’d intended. While indulgence is part of the celebrations, a discerning approach to food choices can stave off potential cardiac repercussions. Foods loaded with excessive fats and salt can acutely raise blood pressure and increase the heart’s workload.

Mindfulness during meals involves being cognizant of portion sizes, savoring each bite, and recognizing satiety cues. Prioritizing fresh, whole foods and limiting processed, high-sodium options can be a game-changer. Additionally, eating substantial meals late into the night can exacerbate reflux and strain the heart, making timing as crucial as the food choices.

Stay Active

The festive season often disrupts regular exercise routines. Physical activity is paramount in safeguarding cardiovascular health. The American Heart Association recommends at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity each week.

Holiday fitness doesn't have to be a structured gym session. Integrating activity into celebrations — a post-feast stroll, dancing the night away, or even participating in themed fun runs — ensures that the heart remains safe.

Manage Stress

The holidays, ironically, often come riddled with stress. From the pressures of executing perfect celebrations to managing year-end deadlines, stress can spike cortisol levels, inadvertently increasing our heart rate and blood pressure. Embracing relaxation techniques such as deep breathing, meditation, or even simple mindfulness practices can mitigate these effects. Setting realistic expectations, delegating tasks, and leaning on loved ones for support can also help diffuse holiday pressures.

Prioritize Sleep

Sleep is the body's natural restorative. Amid the holiday chaos, carve out your regular (we hope!) seven to nine hours of quality sleep. Practice the same good sleep hygiene during the holidays that you practice the rest of the year: regularizing sleep patterns, cultivating a serene bedtime environment, and minimizing screen time before bed. A rested body ensures the heart functions optimally, ready to participate in the festivities with vigor.

Holiday Heart Syndrome: The Takeaways

Holiday heart syndrome is a real phenomenon that can put a damper on your festive celebrations. By understanding the causes and taking steps to prevent it, you can protect your heart and enjoy the holiday season without worry. Remember to practice moderation, maintain a healthy lifestyle, and prioritize self-care during this busy time of year. Doing so not only reduces your risk of holiday heart — it also sets yourself up for a healthier, happier new year.

Alcohol and Health
2023-06-28 9:00
Alcohol and Health
Does Alcohol Raise Blood Sugar?
This is some text inside of a div block.

Does alcohol really raise our blood sugar? And what does this mean for our health? We’ve turned to the science to find some answers.

11 min read

Restore Balance 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  →

An intriguing puzzle resides within our body. It's a complex, delicate system of interconnecting parts, all working to maintain our well-being. Our blood sugar balance, governed by insulin and glucose, is a key piece of this puzzle. Throw alcohol into this intricate mix, and it might just disrupt the equilibrium. 

So, let's delve into this intriguing question: does alcohol raise blood sugar? The short answer is yes. However, we need to fully understand what’s going on here so we can make empowered decisions on our cutback or alcohol-free journey. At the same time, we can address a related question: can diabetics drink alcohol?

The Role of Insulin and Glucose

A person checking blood sugar level

Understanding our blood sugar means understanding two key players: insulin and glucose. Insulin, a hormone made by our pancreas, is like a guide that leads glucose — our body's primary energy source — into our cells. This glucose is necessary fuel for all our activities, from running a marathon to simply breathing. Furthermore, glucose plays a major role in our cognition: it allows us to think clearly and make complex decisions. Without enough glucose, we feel sluggish, irritable, and a bit brain foggy. 

The Impact of Alcohol

Consuming alcohol is like tossing a wildcard into this finely tuned system. Does alcohol lower blood sugar or does alcohol raise blood sugar? Alcohol can cause the pancreas to produce less insulin, which can result in temporarily elevated blood sugar levels. Additionally, alcohol can decrease our cells' sensitivity to insulin, leading to a condition called insulin resistance, which can also elevate blood sugar levels. As we continue to drink habitually, our body’s blood sugar regulation gets significantly impaired. In the long run, this can lead to type 2 diabetes. Alcohol and diabetes can be a dangerous combination. 

Effects of Elevated Blood Sugar

Blood sugar elevations can seriously damage our health, both in the short term and over time. Here are some adverse effects that can occur.

Short-term effects of elevated blood sugar:

  • Increased thirst. When our blood sugar is high, our kidneys work overtime to process and flush out the excess sugar, which can lead to increased thirst.
  • Frequent urination. Along with increased thirst, high blood sugar can result in more frequent urination as the body tries to expel the excess sugar.
  • Blurred vision. Excess sugar can pull fluid from our tissues, including the lenses of our eyes, leading to difficulty focusing and blurred vision.
  • Fatigue. High blood sugar means not all glucose is making it into our cells. This deprives the body of energy, causing tiredness and fatigue.
  • Headaches. High blood sugar levels can lead to dehydration and cause headaches.

Long-term effects of elevated blood sugar:

  • Heart disease. Persistently high blood sugar can damage blood vessels and nerves that control the heart, leading to heart disease over time.
  • Kidney damage (nephropathy). The kidneys' filtering system can be damaged by excess blood sugar, leading to kidney disease or kidney failure in severe cases.
  • Vision problems. High blood sugar levels can damage blood vessels in the retina, causing diabetic retinopathy, which can lead to blindness if left untreated.
  • Nerve damage (Neuropathy). Excess sugar can injure the walls of capillaries that nourish our nerves, particularly in the legs, causing tingling, numbness, pain, or weakness.
  • Slow healing. High blood sugar can affect our blood flow and cause nerve damage, leading to slow wound healing.

Can Diabetics Drink Alcohol?

Now we come to a related question — can diabetics drink alcohol? Specifically, can diabetics drink beer? Or is beer bad for diabetics? And what about wine or hard liquor?

In general, those of us with diabetes can consume alcohol in moderation, but we need to be cautious and mindful of its effects on blood sugar levels. Light beers are a better option, as are dry wines. And while hard liquor doesn’t contain any sugar, the mixers it’s combined with often do, so it’s best to go with the sugar-free varieties for those who do choose to drink.

Five Ways To Maintain Balanced Blood Sugar

So, we now know the damaging effects of high blood sugar on our health. But how can we take steps on our cutback or alcohol-free journeys to mitigate this effect?

  1. Moderation is key. In the case of alcohol and blood sugar, mindful drinking is crucial. Limiting your alcohol intake can help maintain blood sugar levels within a healthy range. This is especially important if you’re at a risk for type 2 diabetes. 

  2. Choose wisely. All alcoholic drinks are not created equal. Sweet cocktails and certain beers pack a high sugar punch, which could send our blood sugar soaring. As you decide which beverages you would like to continue consuming, keep this in mind. Wine can have up to 14 g of sugar per glass. And how about how much sugar in beer? Usually none, but it can be up to 5 g. Keep an eye out for sugar in non-alcoholic beer — it can be much higher than you’d expect!

  3. Don’t drink on an empty stomach. Eating food before drinking can slow down alcohol absorption, reducing its impact on our blood sugar levels. Choose slow-digesting foods, such as complex carbs, high-quality protein, and healthy fats. Avoid greasy options like burgers or fried chicken. 

  4. Hydration helps. Alcohol has a dehydrating effect, which can affect blood sugar. Staying hydrated helps balance our system. Drink plenty of water before consuming any alcohol, and if you do choose to have two drinks, be sure to drink a full glass of water between and after them. 

  5. Exercise regularly. Regular physical activity improves insulin sensitivity, helping our bodies better manage blood sugar levels — even when we've had a drink. When we maintain a consistent exercise routine, our body is more adept at handling the blood sugar fluctuations caused by alcohol.


The Takeaways


As we venture down the path of reducing or eliminating alcohol, we unlock the possibility of better managing our blood sugar levels and creating a healthier lifestyle. You might be surprised by how long alcohol affects blood sugar: up to 12 hours, so following these tips can make a big impact.

Our health is a complex, ever-evolving puzzle. Each choice we make is a piece of this puzzle, shaping the bigger picture of our well-being. By understanding the effects of alcohol on our blood sugar levels and making decisions to manage it, we're building a better, healthier picture. Here's to putting together the pieces for a healthier, happier life!

An intriguing puzzle resides within our body. It's a complex, delicate system of interconnecting parts, all working to maintain our well-being. Our blood sugar balance, governed by insulin and glucose, is a key piece of this puzzle. Throw alcohol into this intricate mix, and it might just disrupt the equilibrium. 

So, let's delve into this intriguing question: does alcohol raise blood sugar? The short answer is yes. However, we need to fully understand what’s going on here so we can make empowered decisions on our cutback or alcohol-free journey. At the same time, we can address a related question: can diabetics drink alcohol?

The Role of Insulin and Glucose

A person checking blood sugar level

Understanding our blood sugar means understanding two key players: insulin and glucose. Insulin, a hormone made by our pancreas, is like a guide that leads glucose — our body's primary energy source — into our cells. This glucose is necessary fuel for all our activities, from running a marathon to simply breathing. Furthermore, glucose plays a major role in our cognition: it allows us to think clearly and make complex decisions. Without enough glucose, we feel sluggish, irritable, and a bit brain foggy. 

The Impact of Alcohol

Consuming alcohol is like tossing a wildcard into this finely tuned system. Does alcohol lower blood sugar or does alcohol raise blood sugar? Alcohol can cause the pancreas to produce less insulin, which can result in temporarily elevated blood sugar levels. Additionally, alcohol can decrease our cells' sensitivity to insulin, leading to a condition called insulin resistance, which can also elevate blood sugar levels. As we continue to drink habitually, our body’s blood sugar regulation gets significantly impaired. In the long run, this can lead to type 2 diabetes. Alcohol and diabetes can be a dangerous combination. 

Effects of Elevated Blood Sugar

Blood sugar elevations can seriously damage our health, both in the short term and over time. Here are some adverse effects that can occur.

Short-term effects of elevated blood sugar:

  • Increased thirst. When our blood sugar is high, our kidneys work overtime to process and flush out the excess sugar, which can lead to increased thirst.
  • Frequent urination. Along with increased thirst, high blood sugar can result in more frequent urination as the body tries to expel the excess sugar.
  • Blurred vision. Excess sugar can pull fluid from our tissues, including the lenses of our eyes, leading to difficulty focusing and blurred vision.
  • Fatigue. High blood sugar means not all glucose is making it into our cells. This deprives the body of energy, causing tiredness and fatigue.
  • Headaches. High blood sugar levels can lead to dehydration and cause headaches.

Long-term effects of elevated blood sugar:

  • Heart disease. Persistently high blood sugar can damage blood vessels and nerves that control the heart, leading to heart disease over time.
  • Kidney damage (nephropathy). The kidneys' filtering system can be damaged by excess blood sugar, leading to kidney disease or kidney failure in severe cases.
  • Vision problems. High blood sugar levels can damage blood vessels in the retina, causing diabetic retinopathy, which can lead to blindness if left untreated.
  • Nerve damage (Neuropathy). Excess sugar can injure the walls of capillaries that nourish our nerves, particularly in the legs, causing tingling, numbness, pain, or weakness.
  • Slow healing. High blood sugar can affect our blood flow and cause nerve damage, leading to slow wound healing.

Can Diabetics Drink Alcohol?

Now we come to a related question — can diabetics drink alcohol? Specifically, can diabetics drink beer? Or is beer bad for diabetics? And what about wine or hard liquor?

In general, those of us with diabetes can consume alcohol in moderation, but we need to be cautious and mindful of its effects on blood sugar levels. Light beers are a better option, as are dry wines. And while hard liquor doesn’t contain any sugar, the mixers it’s combined with often do, so it’s best to go with the sugar-free varieties for those who do choose to drink.

Five Ways To Maintain Balanced Blood Sugar

So, we now know the damaging effects of high blood sugar on our health. But how can we take steps on our cutback or alcohol-free journeys to mitigate this effect?

  1. Moderation is key. In the case of alcohol and blood sugar, mindful drinking is crucial. Limiting your alcohol intake can help maintain blood sugar levels within a healthy range. This is especially important if you’re at a risk for type 2 diabetes. 

  2. Choose wisely. All alcoholic drinks are not created equal. Sweet cocktails and certain beers pack a high sugar punch, which could send our blood sugar soaring. As you decide which beverages you would like to continue consuming, keep this in mind. Wine can have up to 14 g of sugar per glass. And how about how much sugar in beer? Usually none, but it can be up to 5 g. Keep an eye out for sugar in non-alcoholic beer — it can be much higher than you’d expect!

  3. Don’t drink on an empty stomach. Eating food before drinking can slow down alcohol absorption, reducing its impact on our blood sugar levels. Choose slow-digesting foods, such as complex carbs, high-quality protein, and healthy fats. Avoid greasy options like burgers or fried chicken. 

  4. Hydration helps. Alcohol has a dehydrating effect, which can affect blood sugar. Staying hydrated helps balance our system. Drink plenty of water before consuming any alcohol, and if you do choose to have two drinks, be sure to drink a full glass of water between and after them. 

  5. Exercise regularly. Regular physical activity improves insulin sensitivity, helping our bodies better manage blood sugar levels — even when we've had a drink. When we maintain a consistent exercise routine, our body is more adept at handling the blood sugar fluctuations caused by alcohol.


The Takeaways


As we venture down the path of reducing or eliminating alcohol, we unlock the possibility of better managing our blood sugar levels and creating a healthier lifestyle. You might be surprised by how long alcohol affects blood sugar: up to 12 hours, so following these tips can make a big impact.

Our health is a complex, ever-evolving puzzle. Each choice we make is a piece of this puzzle, shaping the bigger picture of our well-being. By understanding the effects of alcohol on our blood sugar levels and making decisions to manage it, we're building a better, healthier picture. Here's to putting together the pieces for a healthier, happier life!

Alcohol and Health
2023-06-27 9:00
Alcohol and Health
5 Ways Alcohol Affects the Stomach and Digestive System
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Alcohol can wreak havoc on our digestive system, causing heartburn, damaging the stomach lining, inflaming the pancreas, disrupting nutrient absorption, and upsetting the balance of bacteria in the large intestine. However, through gradual reduction of alcohol intake, hydration, a nutrient-rich diet, and regular exercise, we can help our bodies heal and promote a healthier digestive system.

11 min read

Say Goodbye to Stomach Pain After Drinking Alcohol and Start Your Journey With Reframe!

If you’re ready to give your stomach — as well as the rest of your body and mind — a break from alcohol, Reframe is here to help! While the Reframe app isn’t a cure for alcohol use disorder (AUD), it serves as a useful tool to help you rethink the role of alcohol in your life in an intuitive way that is backed by neuroscience. Hundreds of thousands of people around the world have found our method to be useful in curbing their drinking habits, and we believe you can, too!

Reframe is designed to provide you with the necessary knowledge and skills that enable you not just to survive with reduced alcohol intake but to flourish throughout this journey. We offer daily readings backed by research, enlightening you on the neuroscience of alcohol, and an in-app Toolkit filled with useful resources and activities to overcome each hurdle.

Join a global community of Reframers on our 24/7 Forum chat to gain motivation from people worldwide who can empathize with your experiences. You can engage with our certified coaches for personalized advice and guidance.

To enhance your user experience, we continually update our app with novel features. Our latest addition is an in-app chatbot, Melody, powered by the most advanced AI technology. Melody is here to assist you as you transition towards a life with less alcohol — or none at all. 

And there’s more! Each month, we present engaging challenges, such as Dry/Damp January, Mental Health May, and Outdoorsy June. Participate with fellow Reframers or individually — the choice is yours!

You can try the Reframe app for free for seven days. Why wait when there's nothing to lose? Are you prepared to take control and explore life beyond alcohol? Download our app today!

Read Full Article  →

In the words of Nancy Mure, “In understanding the basics of digestion, you'll discover who's in charge. Here's a hint. It's not you.”

When all is well, we don’t give digestion much thought. However, as soon as problems arise, it’s hard to think about anything else. For many, stomach pain after drinking alcohol is a recurring problem, while others experience lower abdominal pain after drinking alcohol. So, how does alcohol affect the digestive system? What does alcohol do to your stomach? Does wine help with digestion? Are there any digestive problems caused by alcohol or stomach issues from alcohol misuse? And what is the connection between alcohol and gut health? If you’ve ever wondered what causes stomach inflammation or wanted to explore the link between alcohol and gastritis, alcohol and IBS, alcohol and ulcers, or alcohol and digestive cancer, it’s time to dig deeper. Let’s look at the connection more closely by examining five ways in which alcohol affects the stomach and digestive system.

How Our Digestive System Processes Alcohol

A person experiencing stomach pain

Let’s take a brief tour through the digestive system to see what happens when alcohol enters the scene to understand the link between alcohol and digestive issues and find out how alcohol affects your gut.

1. Mouth and Throat: Making Contact

With our first sip of alcohol, we’re introducing booze to our body through the tissues of our mouth. Alcohol is an irritant, and studies show that excessive intake can increase the chances of mouth and throat cancers.

2. Esophagus: Stoking the Fire

When it comes to alcohol and digestion, one of the first victims is the esophagus. Alcohol relaxes the lower esophageal sphincter (LES), the small ring of muscle separating our esophagus and stomach that keeps stomach acid right in the stomach where it belongs. However, when we drink alcohol, the LES gets a bit lax, and it allows some acid to leak back into the esophagus — a process known as acid reflux.

Picture it like this: the LES is like a bouncer at a club, diligently keeping troublemakers — stomach acid — from entering the esophagus. But when alcohol comes on the scene, the bouncer gets distracted, letting the party crashers slip through and cause a ruckus. Hello, heartburn!

3. Stomach: Lining Under Siege

Alcohol's next target is the stomach lining, the resilient protective layer that keeps stomach acid from harming our stomach tissues. Does wine help with digestion? In fact, it’s more likely to do the opposite. Science says we can get stomach problems from drinking. In fact, alcohol’s effects on the stomach can be quite serious. Does alcohol cause stomach pain? It can indeed. Alcohol can cause inflammation and erosion of the stomach lining, and researchers have found links between alcohol and gastritis, alcohol and ulcers, and alcohol and gi issues that can cause pain and discomfort. While the stomach lining is very durable, the relentless onslaught of booze can gradually wear it down, leaving the stomach tissue increasingly vulnerable.

4. Liver: Detox Dilemma

The liver is the main player when it comes to getting alcohol — a toxin, as far as our body is concerned — out of our system. It does this by converting ethanol to acetaldehyde (a compound that’s actually more toxic than alcohol) before turning it into harmless acetic acid that can be excreted in urine. Needless to say, this process takes a toll. Over time, excessive alcohol use can damage the liver, leading to inflammation, fatty liver, and, eventually, cirrhosis. 

5. Pancreas: Digestive Enzyme Drama

The pancreas — a busy factory producing digestive enzymes and insulin — helps control the body’s blood sugar levels. Under normal conditions, digestive enzymes produced by the pancreas are inactive until they reach the small intestine, where they begin breaking down food.

However, when we drink alcohol, our pancreas gets inflamed, a condition called pancreatitis. In its eagerness to break down alcohol, the pancreas starts to "overheat" and actually begins digesting itself — a process that’s every bit as uncomfortable as it sounds!

Pancreatitis can cause intense abdominal pain and lead to serious complications, including type 1 diabetes if the insulin-producing cells in the pancreas are damaged. It can also result in malnutrition due to our food not being properly broken down and absorbed. In extreme cases, the condition can be life-threatening.

6. Small Intestine: Nutrients Missing in Action

Most nutrient absorption happens in the small intestine, a 20-foot-long tube coiled in our abdomen. Alcohol can interfere with this process, leading to nutrient deficiencies.

How does alcohol slow digestion? Imagine our small intestine as a busy highway, with alcohol a traffic jam blocking the roads and preventing essential nutrients from reaching their destinations. This digestive log jam can wreak havoc on different body systems.

7. Large Intestine: A Shaky Exit Strategy

The final stage of our digestive journey — the large intestine — is not spared alcohol's effects. Regular drinking disrupts the balance of bacteria in the large intestine, leading to issues such as diarrhea and constipation. Picture our large intestine as a well-managed city with a balance of good bacteria (the citizens) and bad bacteria (the troublemakers). When alcohol comes to town, it upsets this balance, causing all kinds of chaos. There is a well-established link between alcohol and IBS, as well as between alcohol and digestive cancer.

Light at the End of the Tunnel

Yes, alcohol can be quite problematic for our digestive system — but our bodies are remarkably resilient. If you frequently experience lower abdominal pain after drinking alcohol or have discomfort anywhere in the digestive tract after drinking, it’s worth taking a closer look at your drinking habits before things get worse. The great news is that as soon as we start cutting back on alcohol, our bodies begin to heal. Now, let's explore some specific actions we can take to support this process:

  • Gradual reduction. Going "cold turkey" can be challenging and potentially dangerous. Instead, try to reduce your alcohol intake gradually.
  • Hydration is key. Alcohol can dehydrate the body, so make sure to drink plenty of water and stay hydrated.
  • Nutrient-rich diet. Alcohol can rob us of nutrients. It’s important to replenish the body with a diet rich in fruits, vegetables, lean proteins, and whole grains.
  • Regular exercise. Exercise can help manage alcohol cravings, promote overall health, and even aid in digestion.

By understanding how alcohol affects our bodies and making an effort to reduce our intake, we're well on our way to a healthier digestive system!

In the words of Nancy Mure, “In understanding the basics of digestion, you'll discover who's in charge. Here's a hint. It's not you.”

When all is well, we don’t give digestion much thought. However, as soon as problems arise, it’s hard to think about anything else. For many, stomach pain after drinking alcohol is a recurring problem, while others experience lower abdominal pain after drinking alcohol. So, how does alcohol affect the digestive system? What does alcohol do to your stomach? Does wine help with digestion? Are there any digestive problems caused by alcohol or stomach issues from alcohol misuse? And what is the connection between alcohol and gut health? If you’ve ever wondered what causes stomach inflammation or wanted to explore the link between alcohol and gastritis, alcohol and IBS, alcohol and ulcers, or alcohol and digestive cancer, it’s time to dig deeper. Let’s look at the connection more closely by examining five ways in which alcohol affects the stomach and digestive system.

How Our Digestive System Processes Alcohol

A person experiencing stomach pain

Let’s take a brief tour through the digestive system to see what happens when alcohol enters the scene to understand the link between alcohol and digestive issues and find out how alcohol affects your gut.

1. Mouth and Throat: Making Contact

With our first sip of alcohol, we’re introducing booze to our body through the tissues of our mouth. Alcohol is an irritant, and studies show that excessive intake can increase the chances of mouth and throat cancers.

2. Esophagus: Stoking the Fire

When it comes to alcohol and digestion, one of the first victims is the esophagus. Alcohol relaxes the lower esophageal sphincter (LES), the small ring of muscle separating our esophagus and stomach that keeps stomach acid right in the stomach where it belongs. However, when we drink alcohol, the LES gets a bit lax, and it allows some acid to leak back into the esophagus — a process known as acid reflux.

Picture it like this: the LES is like a bouncer at a club, diligently keeping troublemakers — stomach acid — from entering the esophagus. But when alcohol comes on the scene, the bouncer gets distracted, letting the party crashers slip through and cause a ruckus. Hello, heartburn!

3. Stomach: Lining Under Siege

Alcohol's next target is the stomach lining, the resilient protective layer that keeps stomach acid from harming our stomach tissues. Does wine help with digestion? In fact, it’s more likely to do the opposite. Science says we can get stomach problems from drinking. In fact, alcohol’s effects on the stomach can be quite serious. Does alcohol cause stomach pain? It can indeed. Alcohol can cause inflammation and erosion of the stomach lining, and researchers have found links between alcohol and gastritis, alcohol and ulcers, and alcohol and gi issues that can cause pain and discomfort. While the stomach lining is very durable, the relentless onslaught of booze can gradually wear it down, leaving the stomach tissue increasingly vulnerable.

4. Liver: Detox Dilemma

The liver is the main player when it comes to getting alcohol — a toxin, as far as our body is concerned — out of our system. It does this by converting ethanol to acetaldehyde (a compound that’s actually more toxic than alcohol) before turning it into harmless acetic acid that can be excreted in urine. Needless to say, this process takes a toll. Over time, excessive alcohol use can damage the liver, leading to inflammation, fatty liver, and, eventually, cirrhosis. 

5. Pancreas: Digestive Enzyme Drama

The pancreas — a busy factory producing digestive enzymes and insulin — helps control the body’s blood sugar levels. Under normal conditions, digestive enzymes produced by the pancreas are inactive until they reach the small intestine, where they begin breaking down food.

However, when we drink alcohol, our pancreas gets inflamed, a condition called pancreatitis. In its eagerness to break down alcohol, the pancreas starts to "overheat" and actually begins digesting itself — a process that’s every bit as uncomfortable as it sounds!

Pancreatitis can cause intense abdominal pain and lead to serious complications, including type 1 diabetes if the insulin-producing cells in the pancreas are damaged. It can also result in malnutrition due to our food not being properly broken down and absorbed. In extreme cases, the condition can be life-threatening.

6. Small Intestine: Nutrients Missing in Action

Most nutrient absorption happens in the small intestine, a 20-foot-long tube coiled in our abdomen. Alcohol can interfere with this process, leading to nutrient deficiencies.

How does alcohol slow digestion? Imagine our small intestine as a busy highway, with alcohol a traffic jam blocking the roads and preventing essential nutrients from reaching their destinations. This digestive log jam can wreak havoc on different body systems.

7. Large Intestine: A Shaky Exit Strategy

The final stage of our digestive journey — the large intestine — is not spared alcohol's effects. Regular drinking disrupts the balance of bacteria in the large intestine, leading to issues such as diarrhea and constipation. Picture our large intestine as a well-managed city with a balance of good bacteria (the citizens) and bad bacteria (the troublemakers). When alcohol comes to town, it upsets this balance, causing all kinds of chaos. There is a well-established link between alcohol and IBS, as well as between alcohol and digestive cancer.

Light at the End of the Tunnel

Yes, alcohol can be quite problematic for our digestive system — but our bodies are remarkably resilient. If you frequently experience lower abdominal pain after drinking alcohol or have discomfort anywhere in the digestive tract after drinking, it’s worth taking a closer look at your drinking habits before things get worse. The great news is that as soon as we start cutting back on alcohol, our bodies begin to heal. Now, let's explore some specific actions we can take to support this process:

  • Gradual reduction. Going "cold turkey" can be challenging and potentially dangerous. Instead, try to reduce your alcohol intake gradually.
  • Hydration is key. Alcohol can dehydrate the body, so make sure to drink plenty of water and stay hydrated.
  • Nutrient-rich diet. Alcohol can rob us of nutrients. It’s important to replenish the body with a diet rich in fruits, vegetables, lean proteins, and whole grains.
  • Regular exercise. Exercise can help manage alcohol cravings, promote overall health, and even aid in digestion.

By understanding how alcohol affects our bodies and making an effort to reduce our intake, we're well on our way to a healthier digestive system!

Alcohol and Health