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Binge Drinking

What Is Gray Area Drinking?

Published:
May 16, 2023
·
20 min read
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Written by
Reframe Content Team
A team of researchers and psychologists who specialize in behavioral health and neuroscience. This group collaborates to produce insightful and evidence-based content.
May 16, 2023
·
20 min read
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Certified recovery coach specialized in helping everyone redefine their relationship with alcohol. His approach in coaching focuses on habit formation and addressing the stress in our lives.
May 16, 2023
·
20 min read
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Recognized by Fortune and Fast Company as a top innovator shaping the future of health and known for his pivotal role in helping individuals change their relationship with alcohol.
May 16, 2023
·
20 min read
Reframe App LogoReframe App Logo
Reframe Content Team
May 16, 2023
·
20 min read

As we journey through life, many of us discover, to our frustration, that not everything is black and white. Though it’s natural to want a clear-cut, “yes” or “no” answer to challenges and conundrums, many aspects of life have shades of gray. And our drinking habits are no exception! In this blog post, we’ll explore the fascinating and often misunderstood world of gray area drinking and offer tips on how to cope if this has been a challenge for you. Let’s dive right in!

Gray Area Drinking Defined

Gray area drinking bridges the gap between being a casual, social drinker and having a diagnosable alcohol use disorder (AUD). We might find ourselves in this territory if we occasionally drink more than intended, feel guilty about our alcohol consumption, or use alcohol to cope with stress or emotions.

Gray area drinkers include men who drink up to 14 drinks per week or up to four drinks on any day. Men in this category typically consume more than two drinks on at least one day. Gray area drinkers also include women who drink up to seven drinks per week or up to three drinks on any day. Women in this category typically consume more than one drink on at least one day.

People who find themselves in the gray area are able to stop drinking, but they struggle to do so. They may not have had a major health scare or a “wake-up” call, but excessive drinking has begun to take its toll on their lives and overall well-being.

Understanding gray area drinking is essential because it can help us recognize when our drinking habits might be a cause for concern, even if they don't fall into a neatly defined box. When we acknowledge the gray area, we empower ourselves to make informed decisions about our alcohol consumption and develop healthier alcohol-related behaviors.

The Research on Gray Area Drinking

Research has shown that alcohol consumption doesn't fit into a simple binary of "problem drinker" or "not a problem drinker." A 2011 study published in the Journal of Studies on Alcohol and Drugs found a continuum of alcohol use behaviors, with varying levels of risk and consequences. This spectrum ranges from low-risk drinking to AUD, with gray area drinking spanning the space in between.

Another study published in JAMA Psychiatry revealed that 18% of American college students suffered from “clinically significant alcohol-related problems in the past year.” Furthermore, the U.S. Surgeon General and the U.S. Department of Health and Human Services consider binge drinking a major public health problem. This suggests that a significant portion of us may be gray area drinkers, experiencing negative consequences from alcohol without being labeled as having an AUD.

Our Brains on Alcohol

It's not just about numbers and statistics. There's fascinating science at play when it comes to understanding gray area drinking. Alcohol affects our brains by interacting with our neurotransmitters, the chemical messengers responsible for transmitting signals between nerve cells.

Consuming alcohol enhances the effects of gamma-aminobutyric acid (GABA), an inhibitory neurotransmitter. This leads to feelings of relaxation and reduced anxiety. Simultaneously, alcohol inhibits the excitatory neurotransmitter glutamate, which can slow down our cognitive functions and motor skills. These combined effects create the pleasurable sensation we often associate with drinking.

However, over time and with increased consumption, our brains adapt to these chemical changes. This can lead to tolerance (we require more alcohol to achieve the same effects) and dependence (our brains crave alcohol to function normally). Gray area drinkers may be at risk for developing these adaptations, potentially escalating their drinking habits.

Signs We Might Be a Gray Area Drinker 

The next question we may be asking ourselves is: "Am I a gray area drinker?" It's a confusing space to navigate. And remember, even if we do fall into this space, the first step to lasting change is awareness. Here are some telling signs to look out for.

  • Unfulfilled intentions. This is when we tell ourselves "I'll just have one," only to find our glass emptying multiple times. This dissonance between intent and behavior is a common trait among gray area drinkers. Sure, we didn't end up binge drinking, but we definitely drank more than we originally planned.
  • Guilt or regret. If we wake up feeling guilty about the number of drinks we had the previous night, even when it didn't lead to any obvious negative consequences like a hangover or poor decisions, we might be in the gray zone. Guilt suggests that we’re aware your behavior might be straying from what we consider ideal or responsible.
  • Reliance. Are we leaning on that glass of wine or pint of beer to unwind after a stressful day more often than not? If alcohol is our go-to stress reliever, it's worth reconsidering our relationship with drinking.
  • Social FOMO. If we’re apprehensive about social gatherings without alcohol or we feel our social life would be less vibrant if we stopped drinking, this could be a sign of gray area drinking.
  • Lingering health concerns. Maybe it's a slight but constant fatigue, a few extra pounds that won't go away, or a general feeling of sluggishness. While we haven't faced a significant health scare, we can't shake off the idea that alcohol may be impacting our well-being.
  • Emotional buffering. If we’re reaching for that glass to avoid dealing with emotional discomfort, be it sadness, loneliness, or even boredom, we might be using alcohol as an emotional crutch. While it's not full-blown dependence, it's a relationship with alcohol worth scrutinizing.
  • Preoccupation. If we catch ourselves frequently thinking about when we’ll have our next drink, even when we’re not drinking, that level of preoccupation may indicate a deeper issue.
  • Justification. Do we find ourselves internally justifying why it's okay to have that extra glass or why we “deserve” to drink? Whether we call it "mommy's juice" or label it as “liquid courage,” these justifications may be masking a gray area relationship with alcohol.
  • Lack of interest in other activities. When alcohol becomes a predominant theme in our social calendar or relaxation rituals, it might be taking up too much space in our life. If we’re not as interested in other activities that we once enjoyed, we should take note.
  • Selective memory. Gray area drinkers often only focus on the fun aspects of drinking while ignoring the downsides. If we find ourselves selectively remembering only the good times associated with alcohol, it could be a way to avoid facing any potential issues.

Let's be clear: recognizing one or more of these signs in ourselves doesn't mean we have an alcohol use disorder (AUD). What it does mean is that it may be time to evaluate our drinking habits and consider if they align with the life we want to lead. Acknowledging that we’re in the gray area isn't an indictment. It's an invitation for self-awareness and positive change.

How Does Gray Area Drinking Affect Our Health?

That gray area drinking doesn’t qualify as a full-blown disorder doesn’t mean that the behavior is free from adverse health outcomes. Here are some of the effects it can have on our health.

Physical Health Effects

We don't have to be a heavy drinker to experience stomach issues like bloating, indigestion, or acid reflux. Regularly reaching for that extra glass of wine could irritate our digestive system, leaving us uncomfortable more often than we’d like.

Additionally, calories in alcoholic drinks add up quickly, and those in the gray area may overlook this. This can sabotage weight loss efforts and put us at greater risk for conditions such as heart disease and diabetes.

Of course, we can’t skip over sleep. While alcohol may help us fall asleep quicker, it often disrupts our sleep cycle, affecting the quality of our rest. We might wake up feeling tired even after a full night's sleep. Over time, this sleep deprivation can impact our cognitive function and overall well-being.

Furthermore, consuming alcohol more frequently, even in moderate amounts, can suppress the immune system. We may find ourselves catching colds or viral infections more easily than before. Prolonged immune dysfunction can even put us at greater risk of developing certain autoimmune diseases or cancers.

Finally, alcohol has the potential to mess with our body's hormonal balance, which could lead to mood swings and reduced libido. While the effects might be subtle, they do add up over time.

Emotional Health Effects

Ever heard of the term “hangxiety?” Even moderate drinking can lead to feelings of anxiety the day after. If we’re consistently in the gray area, we might experience a steady level of anxiety that we can't quite put our finger on.

Alcohol also messes with our neurotransmitters, such as dopamine and serotonin. These fluctuations in our brain chemicals can result in emotional ups and downs. This moodiness can become an additional source of stress, as our emotional states become unpredictable and difficult to manage.

Furthermore, while we may not have drunken fights or arguments, the cumulative emotional toll can affect our interpersonal relationships. Mood swings, insensitive communication, or a lack of presence can contribute to frayed relationships over time.

Finally, drinking excessively also hurts our self-esteem. Whether it's the guilt, the compromised physical health, or the emotional turbulence, gray area drinking can subtly erode our self-esteem. We may not notice it initially, but over time, we might feel less confident and capable than we once did.

Navigating Gray Area Drinking

Being in the gray area doesn't mean we're powerless! In fact, it provides us with the opportunity to evaluate our relationship with alcohol and make conscious choices about our consumption. Here are a few tips to help us navigate the gray and establish healthier habits:

  1. Practice mindful drinking. By tuning into our emotions and physical sensations when drinking, we can become more aware of how alcohol affects us. This heightened awareness can help us identify when our drinking might be veering into the gray area.
  2. Set limits. Establishing boundaries around our alcohol consumption can reduce the likelihood of slipping into gray area drinking. Consider setting a limit on the number of drinks per occasion or committing to a specific number of alcohol-free days each week.
  3. Seek support. There's strength in numbers! Connecting with others who share our goals for healthier drinking habits can help us stay accountable. Our 24/7 anonymous community forum was designed for this very reason. (Come join us!)

  4. Find alternative coping strategies. Gray area drinking often arises from using alcohol to cope with stress, anxiety, or other uncomfortable emotions. By exploring alternative coping mechanisms like meditating, exercising, or engaging in hobbies, we can develop healthier ways to manage our emotions without relying on alcohol.
  5. Prioritize self-care. Taking care of our mental, emotional, and physical well-being is crucial in our journey to navigate gray area drinking. Getting enough sleep, eating a balanced diet, and practicing self-compassion can help us build resilience and maintain a healthier relationship with alcohol. These behaviors also make us much less likely to give into cravings.
  6. Monitor progress and celebrate successes. Keeping track of our drinking habits, such as using the Drink Tracker on the Reframe app, provides valuable insights into our patterns and triggers. Regularly assessing our progress and celebrating small victories — like achieving an alcohol-free day or sticking to our drink limits — can help reinforce our commitment to change and boost our confidence.

  7. Be flexible and adaptable. Our journey to navigate gray area drinking might not be a linear path, and that's perfectly okay! We may encounter setbacks or face unexpected challenges, but it's essential to be kind to ourselves as we adjust to changes. If our initial strategies aren't working, we can remain open to trying new approaches or seeking professional guidance.

Breaking the Stigma

One of the most significant hurdles we might face when navigating gray area drinking is the stigma surrounding alcohol consumption. We might feel judged, misunderstood, or even ashamed of our drinking habits, which can hinder our progress and make it challenging to seek support. Furthermore, we may feel like we don’t “have it as bad” as those who are struggling with an alcohol use disorder.

To overcome this, it's vital that we create a culture of openness and understanding around gray area drinking. By acknowledging that gray area drinking is a common and complex issue, we can foster a more supportive environment, one in which we feel comfortable discussing our experiences and seeking help when needed. Above all, we have to remember that our struggles are valid, even if they don’t warrant a diagnosis.

So, let's break the stigma together! By sharing our stories, raising awareness, and showing empathy towards others who are navigating the gray area, we can build a stronger, more compassionate society.

As we journey through life, many of us discover, to our frustration, that not everything is black and white. Though it’s natural to want a clear-cut, “yes” or “no” answer to challenges and conundrums, many aspects of life have shades of gray. And our drinking habits are no exception! In this blog post, we’ll explore the fascinating and often misunderstood world of gray area drinking and offer tips on how to cope if this has been a challenge for you. Let’s dive right in!

Gray Area Drinking Defined

Gray area drinking bridges the gap between being a casual, social drinker and having a diagnosable alcohol use disorder (AUD). We might find ourselves in this territory if we occasionally drink more than intended, feel guilty about our alcohol consumption, or use alcohol to cope with stress or emotions.

Gray area drinkers include men who drink up to 14 drinks per week or up to four drinks on any day. Men in this category typically consume more than two drinks on at least one day. Gray area drinkers also include women who drink up to seven drinks per week or up to three drinks on any day. Women in this category typically consume more than one drink on at least one day.

People who find themselves in the gray area are able to stop drinking, but they struggle to do so. They may not have had a major health scare or a “wake-up” call, but excessive drinking has begun to take its toll on their lives and overall well-being.

Understanding gray area drinking is essential because it can help us recognize when our drinking habits might be a cause for concern, even if they don't fall into a neatly defined box. When we acknowledge the gray area, we empower ourselves to make informed decisions about our alcohol consumption and develop healthier alcohol-related behaviors.

The Research on Gray Area Drinking

Research has shown that alcohol consumption doesn't fit into a simple binary of "problem drinker" or "not a problem drinker." A 2011 study published in the Journal of Studies on Alcohol and Drugs found a continuum of alcohol use behaviors, with varying levels of risk and consequences. This spectrum ranges from low-risk drinking to AUD, with gray area drinking spanning the space in between.

Another study published in JAMA Psychiatry revealed that 18% of American college students suffered from “clinically significant alcohol-related problems in the past year.” Furthermore, the U.S. Surgeon General and the U.S. Department of Health and Human Services consider binge drinking a major public health problem. This suggests that a significant portion of us may be gray area drinkers, experiencing negative consequences from alcohol without being labeled as having an AUD.

Our Brains on Alcohol

It's not just about numbers and statistics. There's fascinating science at play when it comes to understanding gray area drinking. Alcohol affects our brains by interacting with our neurotransmitters, the chemical messengers responsible for transmitting signals between nerve cells.

Consuming alcohol enhances the effects of gamma-aminobutyric acid (GABA), an inhibitory neurotransmitter. This leads to feelings of relaxation and reduced anxiety. Simultaneously, alcohol inhibits the excitatory neurotransmitter glutamate, which can slow down our cognitive functions and motor skills. These combined effects create the pleasurable sensation we often associate with drinking.

However, over time and with increased consumption, our brains adapt to these chemical changes. This can lead to tolerance (we require more alcohol to achieve the same effects) and dependence (our brains crave alcohol to function normally). Gray area drinkers may be at risk for developing these adaptations, potentially escalating their drinking habits.

Signs We Might Be a Gray Area Drinker 

The next question we may be asking ourselves is: "Am I a gray area drinker?" It's a confusing space to navigate. And remember, even if we do fall into this space, the first step to lasting change is awareness. Here are some telling signs to look out for.

  • Unfulfilled intentions. This is when we tell ourselves "I'll just have one," only to find our glass emptying multiple times. This dissonance between intent and behavior is a common trait among gray area drinkers. Sure, we didn't end up binge drinking, but we definitely drank more than we originally planned.
  • Guilt or regret. If we wake up feeling guilty about the number of drinks we had the previous night, even when it didn't lead to any obvious negative consequences like a hangover or poor decisions, we might be in the gray zone. Guilt suggests that we’re aware your behavior might be straying from what we consider ideal or responsible.
  • Reliance. Are we leaning on that glass of wine or pint of beer to unwind after a stressful day more often than not? If alcohol is our go-to stress reliever, it's worth reconsidering our relationship with drinking.
  • Social FOMO. If we’re apprehensive about social gatherings without alcohol or we feel our social life would be less vibrant if we stopped drinking, this could be a sign of gray area drinking.
  • Lingering health concerns. Maybe it's a slight but constant fatigue, a few extra pounds that won't go away, or a general feeling of sluggishness. While we haven't faced a significant health scare, we can't shake off the idea that alcohol may be impacting our well-being.
  • Emotional buffering. If we’re reaching for that glass to avoid dealing with emotional discomfort, be it sadness, loneliness, or even boredom, we might be using alcohol as an emotional crutch. While it's not full-blown dependence, it's a relationship with alcohol worth scrutinizing.
  • Preoccupation. If we catch ourselves frequently thinking about when we’ll have our next drink, even when we’re not drinking, that level of preoccupation may indicate a deeper issue.
  • Justification. Do we find ourselves internally justifying why it's okay to have that extra glass or why we “deserve” to drink? Whether we call it "mommy's juice" or label it as “liquid courage,” these justifications may be masking a gray area relationship with alcohol.
  • Lack of interest in other activities. When alcohol becomes a predominant theme in our social calendar or relaxation rituals, it might be taking up too much space in our life. If we’re not as interested in other activities that we once enjoyed, we should take note.
  • Selective memory. Gray area drinkers often only focus on the fun aspects of drinking while ignoring the downsides. If we find ourselves selectively remembering only the good times associated with alcohol, it could be a way to avoid facing any potential issues.

Let's be clear: recognizing one or more of these signs in ourselves doesn't mean we have an alcohol use disorder (AUD). What it does mean is that it may be time to evaluate our drinking habits and consider if they align with the life we want to lead. Acknowledging that we’re in the gray area isn't an indictment. It's an invitation for self-awareness and positive change.

How Does Gray Area Drinking Affect Our Health?

That gray area drinking doesn’t qualify as a full-blown disorder doesn’t mean that the behavior is free from adverse health outcomes. Here are some of the effects it can have on our health.

Physical Health Effects

We don't have to be a heavy drinker to experience stomach issues like bloating, indigestion, or acid reflux. Regularly reaching for that extra glass of wine could irritate our digestive system, leaving us uncomfortable more often than we’d like.

Additionally, calories in alcoholic drinks add up quickly, and those in the gray area may overlook this. This can sabotage weight loss efforts and put us at greater risk for conditions such as heart disease and diabetes.

Of course, we can’t skip over sleep. While alcohol may help us fall asleep quicker, it often disrupts our sleep cycle, affecting the quality of our rest. We might wake up feeling tired even after a full night's sleep. Over time, this sleep deprivation can impact our cognitive function and overall well-being.

Furthermore, consuming alcohol more frequently, even in moderate amounts, can suppress the immune system. We may find ourselves catching colds or viral infections more easily than before. Prolonged immune dysfunction can even put us at greater risk of developing certain autoimmune diseases or cancers.

Finally, alcohol has the potential to mess with our body's hormonal balance, which could lead to mood swings and reduced libido. While the effects might be subtle, they do add up over time.

Emotional Health Effects

Ever heard of the term “hangxiety?” Even moderate drinking can lead to feelings of anxiety the day after. If we’re consistently in the gray area, we might experience a steady level of anxiety that we can't quite put our finger on.

Alcohol also messes with our neurotransmitters, such as dopamine and serotonin. These fluctuations in our brain chemicals can result in emotional ups and downs. This moodiness can become an additional source of stress, as our emotional states become unpredictable and difficult to manage.

Furthermore, while we may not have drunken fights or arguments, the cumulative emotional toll can affect our interpersonal relationships. Mood swings, insensitive communication, or a lack of presence can contribute to frayed relationships over time.

Finally, drinking excessively also hurts our self-esteem. Whether it's the guilt, the compromised physical health, or the emotional turbulence, gray area drinking can subtly erode our self-esteem. We may not notice it initially, but over time, we might feel less confident and capable than we once did.

Navigating Gray Area Drinking

Being in the gray area doesn't mean we're powerless! In fact, it provides us with the opportunity to evaluate our relationship with alcohol and make conscious choices about our consumption. Here are a few tips to help us navigate the gray and establish healthier habits:

  1. Practice mindful drinking. By tuning into our emotions and physical sensations when drinking, we can become more aware of how alcohol affects us. This heightened awareness can help us identify when our drinking might be veering into the gray area.
  2. Set limits. Establishing boundaries around our alcohol consumption can reduce the likelihood of slipping into gray area drinking. Consider setting a limit on the number of drinks per occasion or committing to a specific number of alcohol-free days each week.
  3. Seek support. There's strength in numbers! Connecting with others who share our goals for healthier drinking habits can help us stay accountable. Our 24/7 anonymous community forum was designed for this very reason. (Come join us!)

  4. Find alternative coping strategies. Gray area drinking often arises from using alcohol to cope with stress, anxiety, or other uncomfortable emotions. By exploring alternative coping mechanisms like meditating, exercising, or engaging in hobbies, we can develop healthier ways to manage our emotions without relying on alcohol.
  5. Prioritize self-care. Taking care of our mental, emotional, and physical well-being is crucial in our journey to navigate gray area drinking. Getting enough sleep, eating a balanced diet, and practicing self-compassion can help us build resilience and maintain a healthier relationship with alcohol. These behaviors also make us much less likely to give into cravings.
  6. Monitor progress and celebrate successes. Keeping track of our drinking habits, such as using the Drink Tracker on the Reframe app, provides valuable insights into our patterns and triggers. Regularly assessing our progress and celebrating small victories — like achieving an alcohol-free day or sticking to our drink limits — can help reinforce our commitment to change and boost our confidence.

  7. Be flexible and adaptable. Our journey to navigate gray area drinking might not be a linear path, and that's perfectly okay! We may encounter setbacks or face unexpected challenges, but it's essential to be kind to ourselves as we adjust to changes. If our initial strategies aren't working, we can remain open to trying new approaches or seeking professional guidance.

Breaking the Stigma

One of the most significant hurdles we might face when navigating gray area drinking is the stigma surrounding alcohol consumption. We might feel judged, misunderstood, or even ashamed of our drinking habits, which can hinder our progress and make it challenging to seek support. Furthermore, we may feel like we don’t “have it as bad” as those who are struggling with an alcohol use disorder.

To overcome this, it's vital that we create a culture of openness and understanding around gray area drinking. By acknowledging that gray area drinking is a common and complex issue, we can foster a more supportive environment, one in which we feel comfortable discussing our experiences and seeking help when needed. Above all, we have to remember that our struggles are valid, even if they don’t warrant a diagnosis.

So, let's break the stigma together! By sharing our stories, raising awareness, and showing empathy towards others who are navigating the gray area, we can build a stronger, more compassionate society.

Summary FAQs 

1. What is gray area drinking?

Gray area drinking is a behavioral pattern that falls between casual, social drinking and a diagnosable alcohol use disorder (AUD). Gray area drinkers are typically able to stop drinking but find it difficult to do so consistently.

2. How common is gray area drinking?

While exact statistics on gray area drinking are not readily available, research suggests that alcohol consumption falls on a continuum. Studies show that a significant percentage of Americans, including 18% of college students, experience "clinically significant alcohol-related problems" without necessarily having an AUD. 

3. What are the signs that I might be a gray area drinker?

Some signs include frequently drinking more than intended, feeling guilty about alcohol consumption, using alcohol to relieve stress, and experiencing FOMO (fear of missing out) in social settings without alcohol. 

4. How does gray area drinking affect physical health?

While the physical effects are often subtler than those associated with heavy drinking, gray area drinking can lead to digestive issues, weight gain, disrupted sleep, reduced immune function, and hormonal imbalances. 

5. How does gray area drinking affect emotional health?

Gray area drinking can lead to a range of emotional health issues, including anxiety, emotional instability, and reduced ability to cope with stress. It can also strain interpersonal relationships and subtly erode self-esteem.

6. What can I do if I identify as a gray area drinker?

Acknowledging that you might be a gray area drinker is the first step toward making conscious choices about your alcohol consumption. If you're concerned about your drinking habits, consider evaluating the frequency and reasons behind your drinking. You might want to consult healthcare professionals for personalized advice or seek community support to develop healthier drinking habits.

Build Healthier Drinking Habits With Reframe!

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

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

You’ll meet hundreds 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!

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