Alcohol & Physical Health Effects

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

10 min read

Protect Your Health and Longevity With Reframe

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

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

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

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

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

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

Read Full Article  →

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

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

Does Alcohol Make You Age Faster?

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

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

old business man sitting-sofa with whiskey glass

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

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

Why Does Alcohol Make You Look Older?

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

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

Alcohol's impact on aging

Other Aspects of the Alcohol and Aging Dilemma

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

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

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

Alcohol and Premature Aging: The Bottom Line

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

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

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

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

Does Alcohol Make You Age Faster?

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

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

old business man sitting-sofa with whiskey glass

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

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

Why Does Alcohol Make You Look Older?

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

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

Alcohol's impact on aging

Other Aspects of the Alcohol and Aging Dilemma

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

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

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

Alcohol and Premature Aging: The Bottom Line

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

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

Alcohol & Physical Health Effects
2023-10-24 9:00
Alcohol and Health
7 Tips for Finding the Lowest Calorie Alcohol
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Curious about the caloric content of your drinks? Our latest blog explores the lower-calorie options. Stay informed and make choices that align with your goals!

21 min read

Ready To Change Your Relationship With Alcohol? Reframe Is Here To 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  →

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

Part 1. Calorie Countdown: The Alcohol Basics

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

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

1: Beer

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Part 2. Less Is More: Low-Calorie Options

Want to keep things light? Here are some options:

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

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

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

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

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

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

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

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

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

On the other hand, here are some lighter options:

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

Alcohol and Metabolism: Beyond the Calorie Count

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

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

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

7 Action Steps to Mind Your Calories While Enjoying a Drink

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

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

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

Part 1. Calorie Countdown: The Alcohol Basics

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

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

1: Beer

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Part 2. Less Is More: Low-Calorie Options

Want to keep things light? Here are some options:

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

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

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

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

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

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

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

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

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

On the other hand, here are some lighter options:

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

Alcohol and Metabolism: Beyond the Calorie Count

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

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

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

7 Action Steps to Mind Your Calories While Enjoying a Drink

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

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

Alcohol & Physical Health Effects
2023-10-17 9:00
Alcohol and Health
Alcohol and Cystic Acne: 5 Ways It's Connected
This is some text inside of a div block.

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

12 min read

Boost Your Health With Reframe

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

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

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

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

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

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

Read Full Article  →

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

Understanding Acne

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

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

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

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

Can Alcohol Cause Acne?

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

Weakened Immune System

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

Hormonal Imbalances

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

‍

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

Increased Inflammation

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

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

Excess Toxins

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

Dehydration 

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

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

How Different Types of Alcohol Affect Our Skin

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

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

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

The Bottom Line

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

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

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

Understanding Acne

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

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

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

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

Can Alcohol Cause Acne?

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

Weakened Immune System

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

Hormonal Imbalances

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

‍

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

Increased Inflammation

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

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

Excess Toxins

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

Dehydration 

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

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

How Different Types of Alcohol Affect Our Skin

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

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

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

The Bottom Line

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

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

Alcohol & Physical Health Effects
2023-10-17 9:00
Alcohol and Health
Sunk Cost Fallacy in Relationships: Are You Stuck?
This is some text inside of a div block.

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

23 min read

Steer Clear of the Sunk Cost Fallacy and Change Your Relationship With Alcohol With Reframe!

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

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

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

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

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

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

Read Full Article  →

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

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

From Economic Roots to Psychological Insights

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

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

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

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

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

The Sunk Cost Fallacy Today (and the FarmVille Fiasco)

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

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

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

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

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

The Brain’s Take on Sunk Cost

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

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

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

The Many Faces of the Sunk Cost Fallacy

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

1. Personal Relationships

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

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

2. Business Investments

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

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

3. Education and Career

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

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

4. Entertainment and Leisure

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

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

5. Personal Projects and Hobbies

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

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

6. Political and Societal Decisions

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

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

7. Health and Wellness

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

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

Navigating past sunk cost mistake: moving towards progress

The Sunk Cost Fallacy and the Alcohol Journey

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

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

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

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

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

Navigating the Sunk Cost Fallacy

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

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

Wrapping Up

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

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

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

From Economic Roots to Psychological Insights

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

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

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

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

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

The Sunk Cost Fallacy Today (and the FarmVille Fiasco)

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

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

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

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

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

The Brain’s Take on Sunk Cost

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

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

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

The Many Faces of the Sunk Cost Fallacy

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

1. Personal Relationships

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

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

2. Business Investments

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

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

3. Education and Career

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

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

4. Entertainment and Leisure

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

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

5. Personal Projects and Hobbies

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

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

6. Political and Societal Decisions

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

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

7. Health and Wellness

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

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

Navigating past sunk cost mistake: moving towards progress

The Sunk Cost Fallacy and the Alcohol Journey

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

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

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

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

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

Navigating the Sunk Cost Fallacy

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

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

Wrapping Up

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

Alcohol & Physical Health Effects
2023-10-17 9:00
Alcohol and Health
Humira Side Effects & Alcohol: What You Need to Know
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Wondering how Humira and alcohol mix? Get the science-backed scoop in our latest blog and make informed choices!

18 min read

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

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Read Full Article  →

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

Friendly Fire

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

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

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

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

Autoimmune Diseases: The Main Players

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

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

The Basics of Biologics

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

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

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

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

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

Humira History

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

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

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

Potential Side Effects

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

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

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

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

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

The Alcohol Angle

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

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

1. Liver Function

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

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

Making the Call

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

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

7 Safety Steps 

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

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

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

Friendly Fire

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

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

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

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

Autoimmune Diseases: The Main Players

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

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

The Basics of Biologics

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

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

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

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

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

Humira History

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

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

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

Potential Side Effects

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

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

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

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

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

The Alcohol Angle

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

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

1. Liver Function

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

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

Making the Call

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

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

7 Safety Steps 

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

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

Alcohol & Physical Health Effects
2023-10-12 9:00
Alcohol and Health
Is Alcohol a Carbohydrate? The Truth About Alcohol and Carbs
This is some text inside of a div block.

Is alcohol a carbohydrate? Many popular alcoholic drinks, like beer, contain a lot of carbohydrates, but alcohol itself has the opposite effect of carbohydrates: it causes our blood sugar to drop.

8 min read

Get Healthier 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  →

Low-carb diets have become increasingly popular, particularly among those looking to lose weight and improve their health. These diets typically involve cutting out high-carb foods (such as refined grains, fruits, starchy vegetables and legumes) and focusing instead on healthy fats and proteins.

Most people following low-carb diets also tend to cut back on drinking, believing that alcoholic beverages are full of carbs. But while it’s true that many popular alcoholic drinks contain carbohydrates, alcohol itself is not a carbohydrate. Let’s take a closer look.

What Are Carbohydrates?

An old lady in a bar with different types of alcohol on the counter

Carbohydrates are a macronutrient found in many foods and beverages that our body turns into glucose (sugar) to give us the energy we need to function. The amount of carbs we consume affects our blood sugar. Consuming a lot of carbs can raise our blood sugar levels, while not consuming enough carbs can cause low blood sugar.

There are three main types of carbohydrates found in foods and drinks:

  • Starches. Fruits, vegetables, and whole grains are complex carbohydrates, which means they take longer for our body to break down. As a result, blood sugar levels remain stable and we stay full for longer.
  • Fibers. Fiber is found in plant-based foods. Our body can’t break fiber down, but it helps stimulate and aid in digestion and also regulates blood sugar, lowers cholesterol, and keeps us feeling full longer.
  • Sugars. Both naturally occurring sugars (such as those in milk and fruit) and added sugars are simple carbohydrates, and our body breaks them down very quickly. As a result, sugars cause our blood sugar levels to rise and then drop quickly — the basis of the term “sugar crash.”

Is Alcohol a Carbohydrate?

We typically think of alcohol beverages — such as beer — as being full of carbohydrates, and we assume that they raise our blood glucose level. However, unlike with carbohydrates, alcohol doesn’t turn to sugar in our body. In fact, while sugar and carbohydrate-rich foods raise our blood glucose levels, alcohol actually has the opposite effect: it makes our blood sugar drop.

Here’s what happens: our liver is in charge of turning foods into energy for our cells, usually in the form of glucose. Alcohol, however, primarily gets broken down in the liver — and since it’s considered a toxin, our body works extra hard to get rid of it.

While our liver is working on breaking down the alcohol, it isn’t doing its other jobs as effectively, including regulating the amount of glucose in the blood. This is why our blood glucose can end up dropping. While we’re drinking, our blood sugar will drop even when we eat foods that are high in sugar or carbohydrates.

Simply put, the moment alcohol enters our bloodstream, our liver drops everything else to detoxify our body of the harmful substance. And even when our liver does break down the alcohol, it’s converted into carbon dioxide and water — not sugar.

Does Alcohol Contain Carbohydrates?

Even though alcohol itself isn’t a carbohydrate, there can be many carbs in alcohol. For instance, beer typically contains a lot of carbohydrates, since starch is one of its primary ingredients. Depending on various factors, a 12-oz serving of beer can contain anywhere between 3-12 grams of carbs.

Mixed drinks can also be high in carbs due to ingredients like sugar, juice, sweeteners, and syrups that are added for flavoring. For instance, a margarita has roughly 13 grams of carbs, and a pina colada has about 32 grams of carbs.

There are also carbs in all wines — even the driest ones. Fermentation always leaves some residual sugar in the form of carbs. The only alcoholic beverages that have no carbs are distilled spirits. For instance, there are no carbohydrates in vodka, rum, whiskey, gin, tequila, etc. Although they begin as fermented products, the distillation removes all carbs.

Alcohol Contains No Nutritious Value

From a nutritional standpoint, alcohol is a significant source of calories, but these are considered “empty” calories: they contain few vitamins, minerals, and other essential nutrients our body needs to function properly.

Alcohol is actually the second most calorie-dense “nutrient” after fat — packing 7 calories per gram. Adding even a single serving of alcohol to our diet every day can add hundreds of extra calories while contributing very little of what our body actually needs: protein, fiber, or micronutrients.

Over time, excessive alcohol consumption can lead to weight gain, particularly if we’re not adjusting our diet to account for any extra calories we’re consuming with alcohol. In fact, research shows that heavy drinking can block fat burning and hinder weight loss.

Not only is alcohol devoid of proteins, minerals, and vitamins, but it can actually inhibit the absorption and usage of vital nutrients, such as vitamins B1, B12, folic acid, and zinc, all of which are essential for good health.

The list of how alcohol can negatively impact our health and well-being goes on and on. If you’re looking to change your relationship with alcohol and lead a healthier lifestyle, Reframe can help show you the way.

Low-carb diets have become increasingly popular, particularly among those looking to lose weight and improve their health. These diets typically involve cutting out high-carb foods (such as refined grains, fruits, starchy vegetables and legumes) and focusing instead on healthy fats and proteins.

Most people following low-carb diets also tend to cut back on drinking, believing that alcoholic beverages are full of carbs. But while it’s true that many popular alcoholic drinks contain carbohydrates, alcohol itself is not a carbohydrate. Let’s take a closer look.

What Are Carbohydrates?

An old lady in a bar with different types of alcohol on the counter

Carbohydrates are a macronutrient found in many foods and beverages that our body turns into glucose (sugar) to give us the energy we need to function. The amount of carbs we consume affects our blood sugar. Consuming a lot of carbs can raise our blood sugar levels, while not consuming enough carbs can cause low blood sugar.

There are three main types of carbohydrates found in foods and drinks:

  • Starches. Fruits, vegetables, and whole grains are complex carbohydrates, which means they take longer for our body to break down. As a result, blood sugar levels remain stable and we stay full for longer.
  • Fibers. Fiber is found in plant-based foods. Our body can’t break fiber down, but it helps stimulate and aid in digestion and also regulates blood sugar, lowers cholesterol, and keeps us feeling full longer.
  • Sugars. Both naturally occurring sugars (such as those in milk and fruit) and added sugars are simple carbohydrates, and our body breaks them down very quickly. As a result, sugars cause our blood sugar levels to rise and then drop quickly — the basis of the term “sugar crash.”

Is Alcohol a Carbohydrate?

We typically think of alcohol beverages — such as beer — as being full of carbohydrates, and we assume that they raise our blood glucose level. However, unlike with carbohydrates, alcohol doesn’t turn to sugar in our body. In fact, while sugar and carbohydrate-rich foods raise our blood glucose levels, alcohol actually has the opposite effect: it makes our blood sugar drop.

Here’s what happens: our liver is in charge of turning foods into energy for our cells, usually in the form of glucose. Alcohol, however, primarily gets broken down in the liver — and since it’s considered a toxin, our body works extra hard to get rid of it.

While our liver is working on breaking down the alcohol, it isn’t doing its other jobs as effectively, including regulating the amount of glucose in the blood. This is why our blood glucose can end up dropping. While we’re drinking, our blood sugar will drop even when we eat foods that are high in sugar or carbohydrates.

Simply put, the moment alcohol enters our bloodstream, our liver drops everything else to detoxify our body of the harmful substance. And even when our liver does break down the alcohol, it’s converted into carbon dioxide and water — not sugar.

Does Alcohol Contain Carbohydrates?

Even though alcohol itself isn’t a carbohydrate, there can be many carbs in alcohol. For instance, beer typically contains a lot of carbohydrates, since starch is one of its primary ingredients. Depending on various factors, a 12-oz serving of beer can contain anywhere between 3-12 grams of carbs.

Mixed drinks can also be high in carbs due to ingredients like sugar, juice, sweeteners, and syrups that are added for flavoring. For instance, a margarita has roughly 13 grams of carbs, and a pina colada has about 32 grams of carbs.

There are also carbs in all wines — even the driest ones. Fermentation always leaves some residual sugar in the form of carbs. The only alcoholic beverages that have no carbs are distilled spirits. For instance, there are no carbohydrates in vodka, rum, whiskey, gin, tequila, etc. Although they begin as fermented products, the distillation removes all carbs.

Alcohol Contains No Nutritious Value

From a nutritional standpoint, alcohol is a significant source of calories, but these are considered “empty” calories: they contain few vitamins, minerals, and other essential nutrients our body needs to function properly.

Alcohol is actually the second most calorie-dense “nutrient” after fat — packing 7 calories per gram. Adding even a single serving of alcohol to our diet every day can add hundreds of extra calories while contributing very little of what our body actually needs: protein, fiber, or micronutrients.

Over time, excessive alcohol consumption can lead to weight gain, particularly if we’re not adjusting our diet to account for any extra calories we’re consuming with alcohol. In fact, research shows that heavy drinking can block fat burning and hinder weight loss.

Not only is alcohol devoid of proteins, minerals, and vitamins, but it can actually inhibit the absorption and usage of vital nutrients, such as vitamins B1, B12, folic acid, and zinc, all of which are essential for good health.

The list of how alcohol can negatively impact our health and well-being goes on and on. If you’re looking to change your relationship with alcohol and lead a healthier lifestyle, Reframe can help show you the way.

Alcohol & Physical Health Effects
2023-10-04 9:00
Alcohol and Health
Ozzy Osbourne Death: Alcohol & Brain Damage
This is some text inside of a div block.

Discover how heavy, long-term alcohol use can cause brain damage and put us at risk for developing alcohol-related brain damage – a disorder that causes cognitive and physical impairments.

18 min read

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 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  →

Every night after work, you plop down on the couch and enjoy a glass of wine. You find that it helps you unwind after a busy day. You think you’re doing your brain a favor by giving it a break. But wait: is this actually what’s going on? Or could it be that you’re actually causing it more harm by drinking alcohol? 

In this post, we’ll explore how chronic alcohol use impacts our brain and puts us at risk for developing alcohol-related brain damage. We’ll also share some tips for protecting our brain health. Let’s dive in!

What Is Brain Damage?

Before we look at how alcohol affects our brain health, let’s first get clear on what brain damage is. Brain damage is a broad term used to describe any harm to the brain, whether it's permanent or temporary. For instance, we might suffer a blow to the head that leads to a concussion, as happens with many professional football players. Or brain damage can come in the form of a tumor that results in a neurological illness, such as a stroke. 

These are usually the types of things we think about when we hear “brain damage.” But brain damage can also refer to changes in the way we think or behave resulting from substances we put into our body. These changes are perhaps a bit more subtle and develop over time, but they are no less serious than those caused by a traumatic accident or illness. 

Can Alcohol Cause Brain Damage? 

When it comes to the effect of alcohol on our brain, we typically think about the more immediate effects such as the slower reaction time, slurred speech, coordination problems, and lowered inhibitions. While it’s easy to wave these off as minor, temporary side effects, there’s a lot more going on in our brain than we might realize, especially if we’re drinking heavily over a long period of time. 

In fact, there’s something called alcohol-related brain damage (ARBD), a brain disorder that is caused by regularly drinking too much alcohol over many years. Some people with ARBD experience a decline in their thinking and memory, known as mild cognitive impairment (MCI). They also might experience physical symptoms, such as liver damage, numbness in arms and legs, or muscle weakness. 

The most severe form of ARDB, however, is Wernicke-Korsakoff’s Syndrome (WKS), which causes more serious problems with memory and thinking, similar to dementia or Alzheimer’s disease. People with this type of ARBD can also struggle with day-to-day tasks due to lack of muscle coordination and balance. Otherwise referred to as “wet brain,” this condition is caused by a lack of vitamin B1 (thiamine) in the body as a result of long-term heavy drinking. Unless it is treated promptly, the disease will become irreversible. 

How Does Alcohol Cause Brain Damage?

So how exactly does alcohol cause brain damage? It all comes down to our central nervous system, which includes our brain, spinal cord, and the network of neurons that carry information to other parts of our body. 

Our central nervous system is incredibly sensitive to the effects of alcohol. It is also responsible for causing the immediate side effects we associate with drinking, such as poor coordination and impaired judgment. But over time, drinking too much alcohol can cause brain cells to die and our brain tissue to shrink. As a result, our brain struggles to initiate different tasks, such as moving our muscles or recalling important information. 

Alcohol can also cause brain damage in more indirect ways. For instance, heavy, long-term consumption of alcohol can damage blood vessels in the brain, leading to high blood pressure and irregular heart beats, both of which are risk factors for stroke. A stroke happens when our brain doesn’t get enough blood, starving our brain cells of the oxygen and nutrients they need to survive. This can cause severe and irreversible brain damage. 

Similarly, alcohol-related damage to other parts of our body can affect our brain over time. For instance, alcohol hepatitis is inflammation of the liver caused by years of drinking. Because the liver is responsible for filtering toxins, a dysfunctional liver sends “bad” blood to the brain. The result is hepatic encephalopathy, or a buildup of toxins in the brain, which leads to a decline in brain function. 

What Are the Symptoms of ARBD?

The symptoms of ARBD vary and range from mild to severe depending on how badly alcohol has damaged the brain. They typically include problems with cognitive functioning (like thinking and understanding) and memory, alongside physical symptoms. Most people with ARBD will experience some, rather than all of the symptoms listed below. 

Cognitive and memory problems might include things like:
  • Memory loss, or inability to remember information (such as times, dates, appointments, or people they’ve just met)
  • Difficulty with familiar tasks, like how to use a phone
  • Depression, irritability, or apathy
  • Poor judgment and loss of inhibition
  • Problems with language, like forgetting the end of a sentence
  • Erratic behavior, like rapid mood swings or aggression
  • Difficulty concentrating
  • Poor choices and decision making capabilities
Physical symptoms might include things like:
  • Damage to the liver, stomach and pancreas, all of which can affect brain function
  • Pins and needles, numbness, or burning sensation in arms and legs
  • Slow, wide, stumbling gait (ataxia), making it difficult to walk and balance
  • Poor temperature control, muscle weakness, and distributed sleep patterns, all of which are caused by shrinkage of the brain and tissue damage
Who Develops Alcohol-Related Brain Damage?

Research suggests that approximately 50 percent of people with alcohol use disorder (AUD) in the U.S. have some form of brain damage or neuropsychological problems. 

Generally, people will develop alcohol-related brain damage after 10 to 20 years of heavy drinking, although some have developed brain damage in less time. Heavy drinking is usually defined as consuming 15 drinks or more per week for men, and 8 drinks or more per week for women. 

People who are diagnosed with ARBD are usually between 45 and 60 years old. While the condition tends to affect men more than women, women may develop alcohol-related brain damage in a shorter time span and at a younger age. This is likely because women are more susceptible to alcohol’s damaging effects than men.

Overall, the extent of alcohol’s effect on our brain depends on numerous factors, including the quantity and frequency of alcohol consumed, how long we’ve been drinking, our overall health, gender, and genetics — or if we have a family history of alcohol misuse. 

How Much Alcohol Causes Brain Damage?

So just how much alcohol causes brain damage? Well, it’s tough to say because there’s really no set amount of alcohol that guarantees we’ll develop brain damage. In general, the more alcohol we consume, and the more regularly we consume it, the greater the risk of damaging our brain. 

Also, people with alcohol use disorder (AUD) are likely at a greater risk. This is because heavy drinking over the years can increase our tolerance, which typically leads to higher consumption levels. This is why it’s generally recommended to consume no more than one drink daily for women and two drinks daily for men. 

It’s worth noting that even one night of binge drinking can cause brain damage. While it might not cause some conditions, like Wernicke-Korsakoff’s Syndrome or a stroke, a single night of heavy drinking can lead to impairment that causes a traumatic brain injury. For instance, since alcohol can cause us to lose balance and coordination — as well as impair our judgment — it puts us at a greater risk of falls and accidents that could lead to physical and cognitive injuries. 

Is Alcohol-Related Brain Damage Permanent? 

As for whether brain damage from alcohol use is permanent, it largely depends on the severity and type of damage. For instance, conditions like Wernicke-Korsakoff syndrome can be reversed if treated early. Because it is caused by thiamine-1 deficiency from alcohol use, thiamine and vitamin supplements can help improve brain function. 

Strokes, however, are generally permanent, although a degree of recovery can be achieved. Most alcohol-related brain damage requires ongoing therapy and medical treatments to promote even a partial recovery. Unfortunately, when people typically receive diagnosis, much of the damage is already permanent. However, for all forms of alcohol-related brain damage, quitting drinking is the most important step. 

Tips for Protecting Our Brain Health

One of the best things to do for our brain health is to limit our alcohol consumption or eliminate alcohol from our life entirely. Drinking alcohol can not only cause brain damage but lead to numerous physical and mental health issues, ranging from depression to heart disease. 

With that in mind, here are a few more tips for protecting our brain health:

  • Exercise regularly: Studies have shown that people who exercise for at least 30 minutes 5 times a week are less likely to experience a decline in their mental function and have a lower risk of developing Alzheimer’s disease. These benefits result from increased blood flow to our brain. Aim to get at least 150 minutes of exercise each week (roughly 30 minutes each day). We don’t have to get crazy: even just a brisk walk can be beneficial.
  • Get quality sleep: Sleep is incredibly important for our brain health. Studies suggest that it helps clear abnormal proteins in our brain and consolidates memories, which boosts our overall memory and brain health. Experts recommend getting at least 7-8 consecutive hours of sleep each night. 
  • Eat a brain healthy diet: Our diet also plays a large role in our brain health. Studies have found that following a Mediterranean diet rich in plant-based foods, whole grains, fish, and healthy fats, such as olive oil, can be particularly beneficial for our brain, decreasing our risk of Alzheimer’s disease. Healthy fats help our brain cells function effectively and can increase mental focus. Some examples of healthy fats include avocados, nuts, olive oil, fish, eggs, beans, flaxseed and chia seeds. 
  • Stay mentally active: Our brain is similar to a muscle — we need to use it or we’ll lose it. There are many ways we can “exercise” our brain, such as doing crossword puzzles, Sudoku, reading, playing cards, or putting together a jigsaw puzzle. We can also keep our brain in shape by learning to do something new, whether it’s a new language, instrument, craft, sport, etc. 

The Bottom Line

Alcohol is a toxic substance. Consuming it excessively over a long period of time can cause significant damage not only to our body but to our brain. Research shows that heavy drinking over the years can permanently damage our nervous system and shrink brain volume, ultimately leading to cognitive and physical decline. Alcohol’s effects on other parts of our body, particularly our liver, can contribute to brain-related damage as well. The best way to protect ourselves from alcohol-related brain damage is to limit our consumption of alcohol or eliminate it from our life entirely. 

If you want to cut back on your alcohol consumption but don’t know where to start, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people reduce their alcohol consumption and enhance their physical and cognitive health in the process.

Every night after work, you plop down on the couch and enjoy a glass of wine. You find that it helps you unwind after a busy day. You think you’re doing your brain a favor by giving it a break. But wait: is this actually what’s going on? Or could it be that you’re actually causing it more harm by drinking alcohol? 

In this post, we’ll explore how chronic alcohol use impacts our brain and puts us at risk for developing alcohol-related brain damage. We’ll also share some tips for protecting our brain health. Let’s dive in!

What Is Brain Damage?

Before we look at how alcohol affects our brain health, let’s first get clear on what brain damage is. Brain damage is a broad term used to describe any harm to the brain, whether it's permanent or temporary. For instance, we might suffer a blow to the head that leads to a concussion, as happens with many professional football players. Or brain damage can come in the form of a tumor that results in a neurological illness, such as a stroke. 

These are usually the types of things we think about when we hear “brain damage.” But brain damage can also refer to changes in the way we think or behave resulting from substances we put into our body. These changes are perhaps a bit more subtle and develop over time, but they are no less serious than those caused by a traumatic accident or illness. 

Can Alcohol Cause Brain Damage? 

When it comes to the effect of alcohol on our brain, we typically think about the more immediate effects such as the slower reaction time, slurred speech, coordination problems, and lowered inhibitions. While it’s easy to wave these off as minor, temporary side effects, there’s a lot more going on in our brain than we might realize, especially if we’re drinking heavily over a long period of time. 

In fact, there’s something called alcohol-related brain damage (ARBD), a brain disorder that is caused by regularly drinking too much alcohol over many years. Some people with ARBD experience a decline in their thinking and memory, known as mild cognitive impairment (MCI). They also might experience physical symptoms, such as liver damage, numbness in arms and legs, or muscle weakness. 

The most severe form of ARDB, however, is Wernicke-Korsakoff’s Syndrome (WKS), which causes more serious problems with memory and thinking, similar to dementia or Alzheimer’s disease. People with this type of ARBD can also struggle with day-to-day tasks due to lack of muscle coordination and balance. Otherwise referred to as “wet brain,” this condition is caused by a lack of vitamin B1 (thiamine) in the body as a result of long-term heavy drinking. Unless it is treated promptly, the disease will become irreversible. 

How Does Alcohol Cause Brain Damage?

So how exactly does alcohol cause brain damage? It all comes down to our central nervous system, which includes our brain, spinal cord, and the network of neurons that carry information to other parts of our body. 

Our central nervous system is incredibly sensitive to the effects of alcohol. It is also responsible for causing the immediate side effects we associate with drinking, such as poor coordination and impaired judgment. But over time, drinking too much alcohol can cause brain cells to die and our brain tissue to shrink. As a result, our brain struggles to initiate different tasks, such as moving our muscles or recalling important information. 

Alcohol can also cause brain damage in more indirect ways. For instance, heavy, long-term consumption of alcohol can damage blood vessels in the brain, leading to high blood pressure and irregular heart beats, both of which are risk factors for stroke. A stroke happens when our brain doesn’t get enough blood, starving our brain cells of the oxygen and nutrients they need to survive. This can cause severe and irreversible brain damage. 

Similarly, alcohol-related damage to other parts of our body can affect our brain over time. For instance, alcohol hepatitis is inflammation of the liver caused by years of drinking. Because the liver is responsible for filtering toxins, a dysfunctional liver sends “bad” blood to the brain. The result is hepatic encephalopathy, or a buildup of toxins in the brain, which leads to a decline in brain function. 

What Are the Symptoms of ARBD?

The symptoms of ARBD vary and range from mild to severe depending on how badly alcohol has damaged the brain. They typically include problems with cognitive functioning (like thinking and understanding) and memory, alongside physical symptoms. Most people with ARBD will experience some, rather than all of the symptoms listed below. 

Cognitive and memory problems might include things like:
  • Memory loss, or inability to remember information (such as times, dates, appointments, or people they’ve just met)
  • Difficulty with familiar tasks, like how to use a phone
  • Depression, irritability, or apathy
  • Poor judgment and loss of inhibition
  • Problems with language, like forgetting the end of a sentence
  • Erratic behavior, like rapid mood swings or aggression
  • Difficulty concentrating
  • Poor choices and decision making capabilities
Physical symptoms might include things like:
  • Damage to the liver, stomach and pancreas, all of which can affect brain function
  • Pins and needles, numbness, or burning sensation in arms and legs
  • Slow, wide, stumbling gait (ataxia), making it difficult to walk and balance
  • Poor temperature control, muscle weakness, and distributed sleep patterns, all of which are caused by shrinkage of the brain and tissue damage
Who Develops Alcohol-Related Brain Damage?

Research suggests that approximately 50 percent of people with alcohol use disorder (AUD) in the U.S. have some form of brain damage or neuropsychological problems. 

Generally, people will develop alcohol-related brain damage after 10 to 20 years of heavy drinking, although some have developed brain damage in less time. Heavy drinking is usually defined as consuming 15 drinks or more per week for men, and 8 drinks or more per week for women. 

People who are diagnosed with ARBD are usually between 45 and 60 years old. While the condition tends to affect men more than women, women may develop alcohol-related brain damage in a shorter time span and at a younger age. This is likely because women are more susceptible to alcohol’s damaging effects than men.

Overall, the extent of alcohol’s effect on our brain depends on numerous factors, including the quantity and frequency of alcohol consumed, how long we’ve been drinking, our overall health, gender, and genetics — or if we have a family history of alcohol misuse. 

How Much Alcohol Causes Brain Damage?

So just how much alcohol causes brain damage? Well, it’s tough to say because there’s really no set amount of alcohol that guarantees we’ll develop brain damage. In general, the more alcohol we consume, and the more regularly we consume it, the greater the risk of damaging our brain. 

Also, people with alcohol use disorder (AUD) are likely at a greater risk. This is because heavy drinking over the years can increase our tolerance, which typically leads to higher consumption levels. This is why it’s generally recommended to consume no more than one drink daily for women and two drinks daily for men. 

It’s worth noting that even one night of binge drinking can cause brain damage. While it might not cause some conditions, like Wernicke-Korsakoff’s Syndrome or a stroke, a single night of heavy drinking can lead to impairment that causes a traumatic brain injury. For instance, since alcohol can cause us to lose balance and coordination — as well as impair our judgment — it puts us at a greater risk of falls and accidents that could lead to physical and cognitive injuries. 

Is Alcohol-Related Brain Damage Permanent? 

As for whether brain damage from alcohol use is permanent, it largely depends on the severity and type of damage. For instance, conditions like Wernicke-Korsakoff syndrome can be reversed if treated early. Because it is caused by thiamine-1 deficiency from alcohol use, thiamine and vitamin supplements can help improve brain function. 

Strokes, however, are generally permanent, although a degree of recovery can be achieved. Most alcohol-related brain damage requires ongoing therapy and medical treatments to promote even a partial recovery. Unfortunately, when people typically receive diagnosis, much of the damage is already permanent. However, for all forms of alcohol-related brain damage, quitting drinking is the most important step. 

Tips for Protecting Our Brain Health

One of the best things to do for our brain health is to limit our alcohol consumption or eliminate alcohol from our life entirely. Drinking alcohol can not only cause brain damage but lead to numerous physical and mental health issues, ranging from depression to heart disease. 

With that in mind, here are a few more tips for protecting our brain health:

  • Exercise regularly: Studies have shown that people who exercise for at least 30 minutes 5 times a week are less likely to experience a decline in their mental function and have a lower risk of developing Alzheimer’s disease. These benefits result from increased blood flow to our brain. Aim to get at least 150 minutes of exercise each week (roughly 30 minutes each day). We don’t have to get crazy: even just a brisk walk can be beneficial.
  • Get quality sleep: Sleep is incredibly important for our brain health. Studies suggest that it helps clear abnormal proteins in our brain and consolidates memories, which boosts our overall memory and brain health. Experts recommend getting at least 7-8 consecutive hours of sleep each night. 
  • Eat a brain healthy diet: Our diet also plays a large role in our brain health. Studies have found that following a Mediterranean diet rich in plant-based foods, whole grains, fish, and healthy fats, such as olive oil, can be particularly beneficial for our brain, decreasing our risk of Alzheimer’s disease. Healthy fats help our brain cells function effectively and can increase mental focus. Some examples of healthy fats include avocados, nuts, olive oil, fish, eggs, beans, flaxseed and chia seeds. 
  • Stay mentally active: Our brain is similar to a muscle — we need to use it or we’ll lose it. There are many ways we can “exercise” our brain, such as doing crossword puzzles, Sudoku, reading, playing cards, or putting together a jigsaw puzzle. We can also keep our brain in shape by learning to do something new, whether it’s a new language, instrument, craft, sport, etc. 

The Bottom Line

Alcohol is a toxic substance. Consuming it excessively over a long period of time can cause significant damage not only to our body but to our brain. Research shows that heavy drinking over the years can permanently damage our nervous system and shrink brain volume, ultimately leading to cognitive and physical decline. Alcohol’s effects on other parts of our body, particularly our liver, can contribute to brain-related damage as well. The best way to protect ourselves from alcohol-related brain damage is to limit our consumption of alcohol or eliminate it from our life entirely. 

If you want to cut back on your alcohol consumption but don’t know where to start, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people reduce their alcohol consumption and enhance their physical and cognitive health in the process.

Alcohol & Physical Health Effects
2023-09-16 9:00
Alcohol and Health
Healthy Sleep Hygiene Habits for More Restful Nights
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Struggling to get a good night’s sleep? Explore some of the best sleep hygiene habits and practices for promoting restful sleep.

18 min read

Get Better Sleep 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  →

Every night, it’s the same thing: you get into bed, turn off the light, and close your eyes. But instead of being lulled into a sound, restful sleep, you find yourself staring at the ceiling, tossing and turning, and ruminating over all the tasks on your to-do list. You wake up exhausted and spend your day chugging coffee, only to experience another terrible night of not-sleeping the following night.

In this post, we’ll shed light on the importance of sleep and good sleep hygiene. We’ll also offer tips and tricks for getting a good night’s sleep. Let’s get started!

Why Sleep Is So Important

Ever noticed how things just seem easier when you’ve slept well? Little daily stressors don’t seem to affect you as much, and you tend to feel more alert, energized, and productive. 

On the flip side, a bad night’s sleep can ruin our day; that’s why we talk about “waking up on the wrong side of the bed.” Lack of sleep can cause us to be agitated, irritated, and annoyed — even at little things. It can also make it difficult to focus and concentrate.

There’s a reason sleep affects us so much — it plays a crucial role in nearly every aspect of our health. Let’s take a look at six main reasons why regular quality sleep is so beneficial: 

  • Keeps us mentally sharp. Sleep protects our brain, helping us stay mentally sharp, regardless of our age. During nightly rest, our brain clears out toxins that can build up throughout the day. This includes proteins that can damage brain tissue and impair healthy cognition. Overall, sleep helps enhance important cognitive functions, such as attention and learning.
  • Restores and repairs cells. Studies show that every night of high-quality sleep fuels the restoration and repair of our cells, tissues and organs, contributing to youthful appearance, energy, and strength. 
  • Helps store memories. Research shows that disrupted sleep interferes with our brain’s ability to make and store memories; it also negatively impacts other cognitive functions, such as problem solving and attention to detail. Poor sleep has been shown to increase our risk for Alzheimer’s disease and other neurodegenerative diseases. 
  • Improves mood. Sleep, especially rapid eye movement (REM) sleep, helps our brain process emotions. Studies show that sleep-deprived people report increases in negative moods, such as anger, frustration, irritability and sadness, and decreases in positive moods. Research has also shown a connection between poor sleep quality and mood disorders, such as depression and anxiety. 
  • Supports healthy metabolism. Quality sleep is also important for heart health and a healthy metabolism. Without enough rest, we’re more at risk for high blood pressure and other cardiovascular problems. Chronic sleep issues are also linked to high blood sugar, poor insulin function, and greater risks of prediabetes and type 2 diabetes. 
  • Strengthens immune system. Over time, a pattern of poor sleep impairs the body’s natural disease-preventing defenses, weakening our immune system. It undermines the healthy functioning of cells and the activity of our genes, making us more prone to chronic diseases associated with aging.
  • Boosts longevity. Interestingly, recent research suggests that quality sleep can even add years to our life. One study noted that strong sleep patterns are one hallmark of people who achieve exceptional longevity, living into their 90s and beyond. On the flip side, just a single night of sleep deprivation can speed up biological aging on the cellular level. 

What Is Sleep Hygiene?

The importance of sleep to our physical, mental, and emotional health is clear. But how can we get some better zzz’s?

Enter “sleep hygiene” — the healthy habits and practices that help promote quality sleep. Just as we practice good personal hygiene by brushing our teeth, washing our hands, and showering, good sleep hygiene is about taking certain steps and building healthy habits to help facilitate a good night’s rest. 

Paying attention to sleep hygiene is one of the most important ways that we can set ourselves up for better sleep. Poor sleep hygiene can get in the way of a good night’s rest. And it’s not just about what we do before we go to bed that counts. The habits and practice we engage in during the day can also make a difference.

When we think about our body’s circadian rhythm, this actually makes sense. Our body’s internal clock regulates the timing of periods of sleepiness and wakefulness throughout the day. Light exposure, meal times, physical activity, and other factors can influence our circadian rhythm. 

Additionally, the neurotransmitter adenosine builds up in our brains during wakefulness and decreases during sleep. High levels of adenosine promote sleepiness, so ensuring sufficient wakefulness during the day can help us fall asleep at night.

Sleep Hygiene Tips

Sleep Hygiene Tips

Let’s get practical: what specific sleep hygiene habits and practices can we do to get better sleep? Below are 10 science-backed tips:

1. Be mindful of what you’re consuming — and when.

Try to avoid large meals, caffeine, and alcohol close to bedtime. All of these can disrupt our sleep. In fact, the effects of caffeine can last 3 to 7 hours after we consume it. This means that our afternoon cup of coffee may keep us awake and alert longer than we’d like. 

Similarly, while it can be tempting to indulge in an evening snack, eating signals to the local “clocks” in our liver, heart, muscles, and kidneys that it’s time to work. In other words, food tells our body that it’s time to get moving, not rest. Plus, eating at night results in poorer control of blood glucose, which can lead to metabolic disease. 

2. Reduce or eliminate alcohol consumption.

While alcohol can make it easier to fall asleep, it actually decreases our overall quality of sleep. As our body continues to metabolize the alcohol throughout the night, it can cause wakefulness and sleep disruptions. Research has shown that alcohol suppresses rapid eye movement (REM) sleep, one of the most important sleep stages for physical and mental restoration. Because of this, it’s best to limit our alcohol consumption and avoid it late into the evening. 

3. Avoid long naps.

Taking long naps, particularly late in the day, can interfere with our sleep schedule and lead us to go to bed later. In general, napping during the day can make it harder to fall asleep that evening and may make us more prone to waking up during the night. Those of us who do nap should try not to do so after 2pm and be sure to keep it to 30 minutes or less.

4. Exercise regularly.

Regular exercise can make it easier to sleep at night (in addition to offering many physical and mental health benefits!). In fact, as little as 30 minutes of aerobic exercise per day can improve our sleep quality and overall health. Exercising outdoors is even better! Exposure to natural light helps regulate our sleep cycle. Just make sure to avoid vigorous exercise within an hour or two of bedtime. Exercise increases our energy levels and body temperature, which can make it harder to relax and fall asleep. 

5. Manage stress.

Stress and sleep are closely linked. It’s a cycle: stress adversely affects sleep quality and duration, but insufficient sleep can also increase stress levels. Try incorporating relaxation techniques into your daily and nightly routine, such as meditation, yoga nidra, mindfulness, or deep breathing exercises, such as diaphragmatic breathing or alternate nostril breathing. For more ideas, check out the 10 best meditations for stress relief. You can also explore these 7 science-backed supplements for stress relief. 

6. Restrict in-bed activity.

A comfortable bed is tempting! We might want to use it for reading, working, talking on the phone, or watching TV. But it’s important for our brain to associate our bed with sleep (sex is the only other bed-related activity). If you usually read before going to sleep, try reading on the couch before moving to your bed.

7. Be consistent.

It’s important to go to bed at the same time on most nights and get up at the same time most mornings, even on weekends and holidays. As tempting as it is to sleep in on the weekends, we should still get up at the same time we do during the week. Even a couple of late nights and late wake ups on the weekend can reorder our biological clock and leave us feeling tired and not rested when we get back into our routine. Be sure to set a time for “lights off” — and stick to it! Keep in mind that experts recommend getting at least 7-9 hours of quality sleep per night. 

8. Develop a sleep routine.

Create a bedtime routine that you follow every evening. This signals to our brain that it’s time for sleep. For instance, maybe take a shower or bath, put on pajamas, brush your teeth and start reading. Or try developing the habit of doing 15-20 minutes of meditation, yoga, gentle stretching, or deep breathing before bedtime. The goal is to find activities that help us relax, then condition ourselves to know that our routine means that it’s time to sleep. We can also try incorporating progressive muscle relaxation, a technique in which we focus on one part of our body at a time, tensing and relaxing muscles until our whole body is relaxed. 

9. Unplug from technology and electronics.

Exposure to blue light suppresses the body’s release of melatonin (a hormone that makes us feel drowsy), making it difficult for us to fall and stay asleep. Try to establish an electronic curfew — a time in the evening when all TVs, phones, and computers are turned off. This should be at least 30 minutes before bedtime, ideally an hour before. If you enjoy reading before bed, opt for printed copies of books, newspapers, or magazines rather than an electronic device. 

10. Create an optimal environment.

Make sure your sleeping environment is optimal. Cool, dark rooms are typically more conducive to restorative sleep. Experts recommend setting your thermostat to 60-68 degrees F (65 degrees is usually ideal). If it’s too noisy or too quiet, create white noise in the form of a fan, humidifier, or noise machine. We can also use black out curtains or an eye mask to prevent light from interrupting our sleep. Another tip is to use light smells, such as lavender, which may induce a calmer state of mind and help facilitate sleep.

The Bottom Line

Sleep is vitally important for our physical, mental, and emotional health. Without it, we wouldn’t survive! Practicing good sleep hygiene can help facilitate restful, quality sleep. Poor sleep hygiene, however, can prevent us from getting a restful night’s sleep. What we do during the day is just as important as what we do at night. 

Some of the best sleep hygiene habits we can adopt include not eating late at night, limiting our alcohol consumption, avoiding late afternoon or long naps, exercising regularly, managing stress, using our bed only for sleep and sex, developing a consistent, evening bedtime routine, unplugging from technology, and creating an optimal sleep environment in our bedroom. When we do these things, our mind and body will thank us!

If you want to cut back on your alcohol consumption and start getting better sleep, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people reduce their alcohol consumption and experience more restful nights.

Every night, it’s the same thing: you get into bed, turn off the light, and close your eyes. But instead of being lulled into a sound, restful sleep, you find yourself staring at the ceiling, tossing and turning, and ruminating over all the tasks on your to-do list. You wake up exhausted and spend your day chugging coffee, only to experience another terrible night of not-sleeping the following night.

In this post, we’ll shed light on the importance of sleep and good sleep hygiene. We’ll also offer tips and tricks for getting a good night’s sleep. Let’s get started!

Why Sleep Is So Important

Ever noticed how things just seem easier when you’ve slept well? Little daily stressors don’t seem to affect you as much, and you tend to feel more alert, energized, and productive. 

On the flip side, a bad night’s sleep can ruin our day; that’s why we talk about “waking up on the wrong side of the bed.” Lack of sleep can cause us to be agitated, irritated, and annoyed — even at little things. It can also make it difficult to focus and concentrate.

There’s a reason sleep affects us so much — it plays a crucial role in nearly every aspect of our health. Let’s take a look at six main reasons why regular quality sleep is so beneficial: 

  • Keeps us mentally sharp. Sleep protects our brain, helping us stay mentally sharp, regardless of our age. During nightly rest, our brain clears out toxins that can build up throughout the day. This includes proteins that can damage brain tissue and impair healthy cognition. Overall, sleep helps enhance important cognitive functions, such as attention and learning.
  • Restores and repairs cells. Studies show that every night of high-quality sleep fuels the restoration and repair of our cells, tissues and organs, contributing to youthful appearance, energy, and strength. 
  • Helps store memories. Research shows that disrupted sleep interferes with our brain’s ability to make and store memories; it also negatively impacts other cognitive functions, such as problem solving and attention to detail. Poor sleep has been shown to increase our risk for Alzheimer’s disease and other neurodegenerative diseases. 
  • Improves mood. Sleep, especially rapid eye movement (REM) sleep, helps our brain process emotions. Studies show that sleep-deprived people report increases in negative moods, such as anger, frustration, irritability and sadness, and decreases in positive moods. Research has also shown a connection between poor sleep quality and mood disorders, such as depression and anxiety. 
  • Supports healthy metabolism. Quality sleep is also important for heart health and a healthy metabolism. Without enough rest, we’re more at risk for high blood pressure and other cardiovascular problems. Chronic sleep issues are also linked to high blood sugar, poor insulin function, and greater risks of prediabetes and type 2 diabetes. 
  • Strengthens immune system. Over time, a pattern of poor sleep impairs the body’s natural disease-preventing defenses, weakening our immune system. It undermines the healthy functioning of cells and the activity of our genes, making us more prone to chronic diseases associated with aging.
  • Boosts longevity. Interestingly, recent research suggests that quality sleep can even add years to our life. One study noted that strong sleep patterns are one hallmark of people who achieve exceptional longevity, living into their 90s and beyond. On the flip side, just a single night of sleep deprivation can speed up biological aging on the cellular level. 

What Is Sleep Hygiene?

The importance of sleep to our physical, mental, and emotional health is clear. But how can we get some better zzz’s?

Enter “sleep hygiene” — the healthy habits and practices that help promote quality sleep. Just as we practice good personal hygiene by brushing our teeth, washing our hands, and showering, good sleep hygiene is about taking certain steps and building healthy habits to help facilitate a good night’s rest. 

Paying attention to sleep hygiene is one of the most important ways that we can set ourselves up for better sleep. Poor sleep hygiene can get in the way of a good night’s rest. And it’s not just about what we do before we go to bed that counts. The habits and practice we engage in during the day can also make a difference.

When we think about our body’s circadian rhythm, this actually makes sense. Our body’s internal clock regulates the timing of periods of sleepiness and wakefulness throughout the day. Light exposure, meal times, physical activity, and other factors can influence our circadian rhythm. 

Additionally, the neurotransmitter adenosine builds up in our brains during wakefulness and decreases during sleep. High levels of adenosine promote sleepiness, so ensuring sufficient wakefulness during the day can help us fall asleep at night.

Sleep Hygiene Tips

Sleep Hygiene Tips

Let’s get practical: what specific sleep hygiene habits and practices can we do to get better sleep? Below are 10 science-backed tips:

1. Be mindful of what you’re consuming — and when.

Try to avoid large meals, caffeine, and alcohol close to bedtime. All of these can disrupt our sleep. In fact, the effects of caffeine can last 3 to 7 hours after we consume it. This means that our afternoon cup of coffee may keep us awake and alert longer than we’d like. 

Similarly, while it can be tempting to indulge in an evening snack, eating signals to the local “clocks” in our liver, heart, muscles, and kidneys that it’s time to work. In other words, food tells our body that it’s time to get moving, not rest. Plus, eating at night results in poorer control of blood glucose, which can lead to metabolic disease. 

2. Reduce or eliminate alcohol consumption.

While alcohol can make it easier to fall asleep, it actually decreases our overall quality of sleep. As our body continues to metabolize the alcohol throughout the night, it can cause wakefulness and sleep disruptions. Research has shown that alcohol suppresses rapid eye movement (REM) sleep, one of the most important sleep stages for physical and mental restoration. Because of this, it’s best to limit our alcohol consumption and avoid it late into the evening. 

3. Avoid long naps.

Taking long naps, particularly late in the day, can interfere with our sleep schedule and lead us to go to bed later. In general, napping during the day can make it harder to fall asleep that evening and may make us more prone to waking up during the night. Those of us who do nap should try not to do so after 2pm and be sure to keep it to 30 minutes or less.

4. Exercise regularly.

Regular exercise can make it easier to sleep at night (in addition to offering many physical and mental health benefits!). In fact, as little as 30 minutes of aerobic exercise per day can improve our sleep quality and overall health. Exercising outdoors is even better! Exposure to natural light helps regulate our sleep cycle. Just make sure to avoid vigorous exercise within an hour or two of bedtime. Exercise increases our energy levels and body temperature, which can make it harder to relax and fall asleep. 

5. Manage stress.

Stress and sleep are closely linked. It’s a cycle: stress adversely affects sleep quality and duration, but insufficient sleep can also increase stress levels. Try incorporating relaxation techniques into your daily and nightly routine, such as meditation, yoga nidra, mindfulness, or deep breathing exercises, such as diaphragmatic breathing or alternate nostril breathing. For more ideas, check out the 10 best meditations for stress relief. You can also explore these 7 science-backed supplements for stress relief. 

6. Restrict in-bed activity.

A comfortable bed is tempting! We might want to use it for reading, working, talking on the phone, or watching TV. But it’s important for our brain to associate our bed with sleep (sex is the only other bed-related activity). If you usually read before going to sleep, try reading on the couch before moving to your bed.

7. Be consistent.

It’s important to go to bed at the same time on most nights and get up at the same time most mornings, even on weekends and holidays. As tempting as it is to sleep in on the weekends, we should still get up at the same time we do during the week. Even a couple of late nights and late wake ups on the weekend can reorder our biological clock and leave us feeling tired and not rested when we get back into our routine. Be sure to set a time for “lights off” — and stick to it! Keep in mind that experts recommend getting at least 7-9 hours of quality sleep per night. 

8. Develop a sleep routine.

Create a bedtime routine that you follow every evening. This signals to our brain that it’s time for sleep. For instance, maybe take a shower or bath, put on pajamas, brush your teeth and start reading. Or try developing the habit of doing 15-20 minutes of meditation, yoga, gentle stretching, or deep breathing before bedtime. The goal is to find activities that help us relax, then condition ourselves to know that our routine means that it’s time to sleep. We can also try incorporating progressive muscle relaxation, a technique in which we focus on one part of our body at a time, tensing and relaxing muscles until our whole body is relaxed. 

9. Unplug from technology and electronics.

Exposure to blue light suppresses the body’s release of melatonin (a hormone that makes us feel drowsy), making it difficult for us to fall and stay asleep. Try to establish an electronic curfew — a time in the evening when all TVs, phones, and computers are turned off. This should be at least 30 minutes before bedtime, ideally an hour before. If you enjoy reading before bed, opt for printed copies of books, newspapers, or magazines rather than an electronic device. 

10. Create an optimal environment.

Make sure your sleeping environment is optimal. Cool, dark rooms are typically more conducive to restorative sleep. Experts recommend setting your thermostat to 60-68 degrees F (65 degrees is usually ideal). If it’s too noisy or too quiet, create white noise in the form of a fan, humidifier, or noise machine. We can also use black out curtains or an eye mask to prevent light from interrupting our sleep. Another tip is to use light smells, such as lavender, which may induce a calmer state of mind and help facilitate sleep.

The Bottom Line

Sleep is vitally important for our physical, mental, and emotional health. Without it, we wouldn’t survive! Practicing good sleep hygiene can help facilitate restful, quality sleep. Poor sleep hygiene, however, can prevent us from getting a restful night’s sleep. What we do during the day is just as important as what we do at night. 

Some of the best sleep hygiene habits we can adopt include not eating late at night, limiting our alcohol consumption, avoiding late afternoon or long naps, exercising regularly, managing stress, using our bed only for sleep and sex, developing a consistent, evening bedtime routine, unplugging from technology, and creating an optimal sleep environment in our bedroom. When we do these things, our mind and body will thank us!

If you want to cut back on your alcohol consumption and start getting better sleep, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people reduce their alcohol consumption and experience more restful nights.

Alcohol & Physical Health Effects
2023-09-16 9:00
Alcohol and Health
Does Alcohol Affect Bone Density? The Hidden Link
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Gain insight into how alcohol can interfere with bone growth, reduce bone density, and increase our risk of developing osteoporosis.

19 min read

Stay Strong and Healthy 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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Remember as a kid being told to “drink your milk!”? It may have been annoying at the time, but it was actually great advice. This is because milk contains a lot of calcium — the most important mineral for strong, healthy bones. While we might not give much thought to our bones after entering adulthood, we really should — particularly if we’re regularly consuming alcohol.

What does alcohol do to your bones? Does alcohol affect bone density? And can you drink alcohol if you have osteoporosis? In this post, we’ll explore the connection between alcohol, bone density, and bone health in general. We’ll also see how heavy drinking can put us at risk of developing osteoporosis. We’ll also look at other osteoporosis risk factors and share tips on how to maintain healthy bones. Let’s dive in!

How Does Alcohol Affect Our Bones?

Healthy bones are vital for keeping us healthy and functioning properly. In addition to supporting our body and allowing us to move, they also help protect our internal organs and store many essential nutrients. 

But, as with many other bodily parts, our bones can be affected by certain lifestyle choices, such as the amount of physical exercise we get and the foods or drinks we consume. This is why we’re told to drink our milk as kids!

Given the negative impact alcohol can have on so many bodily systems, it’s perhaps unsurprising to learn that alcohol can also be harmful to bone health. What does alcohol do to your bones, exactly? Multiple studies have shown that chronic, heavy drinking can increase the risk of osteoporosis — a bone disease that weakens our bones, making them thinner and less dense than they should be. It’s estimated that roughly half of those struggling with alcohol misuse also have decreasing bone mass.

So, how does alcohol affect the bones in our body? Does alcohol deplete vitamin D? And can you drink alcohol if you have osteoporosis? Let’s take a closer look at the effects of alcohol on bones and joints.

1. Vitamin D and Alcohol

One way that alcohol directly affects our bone health is by interfering with vitamin and mineral absorption. Our bones are a major storage center for calcium and other important minerals, like vitamin D and magnesium. Calcium is absorbed from our food and drinks via the small intestine, and our kidneys are responsible for getting rid of excess calcium in the body.

Studies show that alcohol consumption disrupts how our body absorbs calcium and vitamin D. This can cause nutrient deficiencies that impact our body’s ability to build strong bones and maintain a strong bone density, putting us at a higher risk for fractures after falls.

2. Bone cell turnover

Other effects of alcohol on bones and joints are more direct. For example, alcohol has a direct effect on our bone cell turnover rate. Our bones are constantly breaking down and rebuilding in small areas through a process called “remodeling.” Bone cells, called osteoclasts, break down parts of our bones to release more calcium into our bloodstream — a process called resorption. Osteoblasts, cells that stimulate bone formation, fill these holes with new, stronger bone.

Research indicates that heavy alcohol consumption increases bone resorption and reduces our body’s ability to promote new bone formation and repair. Over time, this results in impaired bone cell turnover and weaker bones.

3. Hormone production

One indirect way that alcohol affects our bone health is by interfering with the function of the parathyroid hormone (PTH), which regulates calcium levels. Here’s how it works: when we have decreased amounts of calcium in our bloodstream, our body produces PTH. This triggers the activity of osteoclasts, which dissolve small areas of bone and release more calcium into our blood.

Having more PTH tells our kidneys to hold onto calcium and stop eliminating it from our body. PTH also activates vitamin D, which boosts calcium absorption in our intestine. When calcium levels go up, further PTH production stops.

Drinking alcohol interferes with this process because it causes additional PTH to be released. Over time, this can result in too much calcium being drawn directly from our bones. As we’ve learned, when there’s not enough calcium present, our bone density diminishes.

Furthermore, research shows that men who drink heavily produce less testosterone, which is an important hormone for producing osteoblasts. In women, chronic consumption of alcohol can decrease estrogen — an important hormone that can inhibit bone breakdown and stimulate bone formation. (This is why a decrease in estrogen during menopause is often associated with bone loss.)

4. The risk of falling

Another indirect way that alcohol can affect our bone health is by increasing our risk of falling. This may sound obvious, but the more alcohol we consume, the greater our chance of becoming intoxicated and losing our coordination and balance. Falling increases our risk of bone fractures, especially if we’re already prone to thin, weak bones. Perhaps not surprisingly, research shows that in older adults, light to moderate drinking is associated with fewer falls than heavy drinking is.

How Much Alcohol Affects Bone Health?

While the occasional alcoholic beverage likely won’t be harmful, research shows that heavy alcohol consumption can decrease bone strength, increase fracture risk, and lead to osteoporosis. Heavy drinking is defined as more than 4 drinks per day or 14 drinks per week for men, and more than three drinks per day or 7 drinks per week for women.

For this reason, experts recommend that if we do choose to drink, we should only drink light to moderate amounts — one drink per day or fewer for women, and two drinks per day or fewer for men. However, if we’ve already been diagnosed with osteoporosis and continue drinking, it can worsen the condition and increase our risk for bone fractures.

Interestingly, while heavy alcohol consumption negatively impacts bones at all ages, research has also found that excessive drinking is especially harmful to younger bones that are still growing. This is largely because alcohol reduces peak bone mass, which can result in weaker adult bones than normal.

For instance, one study examined binge drinking and college-age women’s bone density. Researchers found decreased bone mineral density in the vertebrae of women who had more instances of binge drinking episodes. They concluded that heavy drinking before women have reached peak bone mass — which usually occurs by the late twenties — could negatively impact skeletal health.

The good news is that studies also suggest that if we have a history of alcohol misuse and quit drinking, our body can restart the healthy bone-building process.

Is Alcohol the Only Risk Factor for Osteoporosis?

As we’ve established, heavy alcohol consumption is certainly a risk factor for osteoporosis. But it’s not the only one: menopause, lifestyle factors, and certain health conditions also play a role. Our risk of developing osteoporosis naturally increases with age. In fact, 25% of women and 6% of men 65 and older have osteoporosis.

During menopause, females are particularly susceptible to losing bone mass. This is largely due to the loss of estrogen, which negatively impacts bone density. In general, women are at a greater risk of osteoporosis than men because they tend to have less bone tissue. However, while males lose bone mass more slowly than females, by 65-70 years old, they typically lose bone mass at the same rate.

Other lifestyle factors that increase our risk of osteoporosis include eating a high calorie diet; not getting enough calcium or vitamin K and D; having a sedentary lifestyle; eating a diet low in fruits, whole grains, and vegetables; smoking; stress; a history of falls; and being underweight.

Some health conditions — such as rheumatoid arthritis, chronic liver disease, diabetes, and cardiovascular disease — can also increase our risk of osteoporosis. Furthermore, prolonged use of some corticosteroid medications, such as prednisone, cortisone, prednisolone and dexamethasone, can be damaging to our bones.

Can You Drink Alcohol if You Have Osteoporosis?

What about those of us who have already been diagnosed with osteoporosis — can you drink alcohol if you have osteoporosis? Science says it’s not a good idea. For one thing, alcohol can further weaken our bones. Besides, it can also interfere with medications and increase the risk of potentially dangerous falls. However, it’s always best to consult with a healthcare provider for personalized advice.

Tips for Protecting Our Bone Health

Tips for Protecting Our Bone Health

In addition to limiting or eliminating our alcohol intake, we can help support optimal bone health and protect ourselves from osteoporosis in several ways:

  • Include plenty of calcium in your diet: A diet low in calcium contributes to diminished bone density, early bone loss, and an increased risk of fractures. We should make it a point to consume calcium-rich foods, including dairy products, almonds, broccoli, kale, canned salmon with bones, sardines, and soy products such as tofu.
    ‍
    The recommended amount of calcium for all adults ages 19 to 50 and men ages 51 to 70 is 1,000 milligrams (mg) a day. The recommendation increases to 1,200 mg a day for women aged 51 and older and for men aged 71 and older. If it’s difficult to get enough calcium from our diet, a doctor can recommend supplements.
  • Pay attention to vitamin D: Vitamin D is important for building strong bones. People with low vitamin D levels tend to have lower bone density and are more at risk for bone loss than people who get enough. The easiest and least expensive way to get vitamin D is to spend time outside in the sun, as our body naturally produces vitamin D when it’s exposed to sunlight. We can also get vitamin D from our diet, but only a handful of foods contain significant amounts of it: cod liver oil, swordfish, mackerel, salmon, canned tuna, beef liver, egg yolks, and sardines.
    ‍
    The recommended amount of vitamin D for adults ages 19 to 70 is 600 international units (IUs) a day. This increases to 800 IUs a day for adults aged 71 and older. Keep in mind that many of us are deficient in vitamin D without realizing it. So it might be a good idea to have our doctor check our vitamin D levels to determine if a vitamin D supplement would be beneficial.
  • Incorporate magnesium and zinc into your diet: Magnesium and zinc promote bone health. Magnesium helps convert vitamin D into a form that boosts calcium absorption; zinc encourages the formation of bone-building cells and prevents excessive bone breakdown. Trace amounts of magnesium are found in most foods, but we might want to take a supplement with magnesium glycinate, citrate, or carbonate. Good sources of zinc include beef, shrimp, spinach, flaxseeds, oysters, and pumpkin seeds.
  • Stay active: Weight-bearing exercises, such as walking, running, climbing stairs, or playing sports, increase bone strength. Other activities that put resistance on the bones, such as weight training or using our own body weight, are beneficial as well. Plus, regular physical activity can improve our balance, helping prevent falls.
  • Don’t smoke: Similar to alcohol, smoking is also linked to an increased risk of developing osteoporosis. If we’re currently smoking, it’s best to quit. If we’ve never smoked, don’t ever start!

The Bottom Line

Alcohol can negatively impact our bone health, particularly if we’re regularly drinking large amounts. Heavy alcohol consumption not only increases our risk of developing osteoporosis, but it affects the absorption of important vitamins and minerals for bone health and reduces our body’s ability to promote new bone formation. In addition to decreasing or eliminating our alcohol intake, we can support optimal bone health and reduce our chance of developing osteoporosis by eating a diet rich in calcium, vitamin D, magnesium and zinc, staying active, and not smoking.

If you want to cut back on your alcohol consumption and start living healthier, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people reduce their alcohol consumption and develop healthier lifestyle habits.

Remember as a kid being told to “drink your milk!”? It may have been annoying at the time, but it was actually great advice. This is because milk contains a lot of calcium — the most important mineral for strong, healthy bones. While we might not give much thought to our bones after entering adulthood, we really should — particularly if we’re regularly consuming alcohol.

What does alcohol do to your bones? Does alcohol affect bone density? And can you drink alcohol if you have osteoporosis? In this post, we’ll explore the connection between alcohol, bone density, and bone health in general. We’ll also see how heavy drinking can put us at risk of developing osteoporosis. We’ll also look at other osteoporosis risk factors and share tips on how to maintain healthy bones. Let’s dive in!

How Does Alcohol Affect Our Bones?

Healthy bones are vital for keeping us healthy and functioning properly. In addition to supporting our body and allowing us to move, they also help protect our internal organs and store many essential nutrients. 

But, as with many other bodily parts, our bones can be affected by certain lifestyle choices, such as the amount of physical exercise we get and the foods or drinks we consume. This is why we’re told to drink our milk as kids!

Given the negative impact alcohol can have on so many bodily systems, it’s perhaps unsurprising to learn that alcohol can also be harmful to bone health. What does alcohol do to your bones, exactly? Multiple studies have shown that chronic, heavy drinking can increase the risk of osteoporosis — a bone disease that weakens our bones, making them thinner and less dense than they should be. It’s estimated that roughly half of those struggling with alcohol misuse also have decreasing bone mass.

So, how does alcohol affect the bones in our body? Does alcohol deplete vitamin D? And can you drink alcohol if you have osteoporosis? Let’s take a closer look at the effects of alcohol on bones and joints.

1. Vitamin D and Alcohol

One way that alcohol directly affects our bone health is by interfering with vitamin and mineral absorption. Our bones are a major storage center for calcium and other important minerals, like vitamin D and magnesium. Calcium is absorbed from our food and drinks via the small intestine, and our kidneys are responsible for getting rid of excess calcium in the body.

Studies show that alcohol consumption disrupts how our body absorbs calcium and vitamin D. This can cause nutrient deficiencies that impact our body’s ability to build strong bones and maintain a strong bone density, putting us at a higher risk for fractures after falls.

2. Bone cell turnover

Other effects of alcohol on bones and joints are more direct. For example, alcohol has a direct effect on our bone cell turnover rate. Our bones are constantly breaking down and rebuilding in small areas through a process called “remodeling.” Bone cells, called osteoclasts, break down parts of our bones to release more calcium into our bloodstream — a process called resorption. Osteoblasts, cells that stimulate bone formation, fill these holes with new, stronger bone.

Research indicates that heavy alcohol consumption increases bone resorption and reduces our body’s ability to promote new bone formation and repair. Over time, this results in impaired bone cell turnover and weaker bones.

3. Hormone production

One indirect way that alcohol affects our bone health is by interfering with the function of the parathyroid hormone (PTH), which regulates calcium levels. Here’s how it works: when we have decreased amounts of calcium in our bloodstream, our body produces PTH. This triggers the activity of osteoclasts, which dissolve small areas of bone and release more calcium into our blood.

Having more PTH tells our kidneys to hold onto calcium and stop eliminating it from our body. PTH also activates vitamin D, which boosts calcium absorption in our intestine. When calcium levels go up, further PTH production stops.

Drinking alcohol interferes with this process because it causes additional PTH to be released. Over time, this can result in too much calcium being drawn directly from our bones. As we’ve learned, when there’s not enough calcium present, our bone density diminishes.

Furthermore, research shows that men who drink heavily produce less testosterone, which is an important hormone for producing osteoblasts. In women, chronic consumption of alcohol can decrease estrogen — an important hormone that can inhibit bone breakdown and stimulate bone formation. (This is why a decrease in estrogen during menopause is often associated with bone loss.)

4. The risk of falling

Another indirect way that alcohol can affect our bone health is by increasing our risk of falling. This may sound obvious, but the more alcohol we consume, the greater our chance of becoming intoxicated and losing our coordination and balance. Falling increases our risk of bone fractures, especially if we’re already prone to thin, weak bones. Perhaps not surprisingly, research shows that in older adults, light to moderate drinking is associated with fewer falls than heavy drinking is.

How Much Alcohol Affects Bone Health?

While the occasional alcoholic beverage likely won’t be harmful, research shows that heavy alcohol consumption can decrease bone strength, increase fracture risk, and lead to osteoporosis. Heavy drinking is defined as more than 4 drinks per day or 14 drinks per week for men, and more than three drinks per day or 7 drinks per week for women.

For this reason, experts recommend that if we do choose to drink, we should only drink light to moderate amounts — one drink per day or fewer for women, and two drinks per day or fewer for men. However, if we’ve already been diagnosed with osteoporosis and continue drinking, it can worsen the condition and increase our risk for bone fractures.

Interestingly, while heavy alcohol consumption negatively impacts bones at all ages, research has also found that excessive drinking is especially harmful to younger bones that are still growing. This is largely because alcohol reduces peak bone mass, which can result in weaker adult bones than normal.

For instance, one study examined binge drinking and college-age women’s bone density. Researchers found decreased bone mineral density in the vertebrae of women who had more instances of binge drinking episodes. They concluded that heavy drinking before women have reached peak bone mass — which usually occurs by the late twenties — could negatively impact skeletal health.

The good news is that studies also suggest that if we have a history of alcohol misuse and quit drinking, our body can restart the healthy bone-building process.

Is Alcohol the Only Risk Factor for Osteoporosis?

As we’ve established, heavy alcohol consumption is certainly a risk factor for osteoporosis. But it’s not the only one: menopause, lifestyle factors, and certain health conditions also play a role. Our risk of developing osteoporosis naturally increases with age. In fact, 25% of women and 6% of men 65 and older have osteoporosis.

During menopause, females are particularly susceptible to losing bone mass. This is largely due to the loss of estrogen, which negatively impacts bone density. In general, women are at a greater risk of osteoporosis than men because they tend to have less bone tissue. However, while males lose bone mass more slowly than females, by 65-70 years old, they typically lose bone mass at the same rate.

Other lifestyle factors that increase our risk of osteoporosis include eating a high calorie diet; not getting enough calcium or vitamin K and D; having a sedentary lifestyle; eating a diet low in fruits, whole grains, and vegetables; smoking; stress; a history of falls; and being underweight.

Some health conditions — such as rheumatoid arthritis, chronic liver disease, diabetes, and cardiovascular disease — can also increase our risk of osteoporosis. Furthermore, prolonged use of some corticosteroid medications, such as prednisone, cortisone, prednisolone and dexamethasone, can be damaging to our bones.

Can You Drink Alcohol if You Have Osteoporosis?

What about those of us who have already been diagnosed with osteoporosis — can you drink alcohol if you have osteoporosis? Science says it’s not a good idea. For one thing, alcohol can further weaken our bones. Besides, it can also interfere with medications and increase the risk of potentially dangerous falls. However, it’s always best to consult with a healthcare provider for personalized advice.

Tips for Protecting Our Bone Health

Tips for Protecting Our Bone Health

In addition to limiting or eliminating our alcohol intake, we can help support optimal bone health and protect ourselves from osteoporosis in several ways:

  • Include plenty of calcium in your diet: A diet low in calcium contributes to diminished bone density, early bone loss, and an increased risk of fractures. We should make it a point to consume calcium-rich foods, including dairy products, almonds, broccoli, kale, canned salmon with bones, sardines, and soy products such as tofu.
    ‍
    The recommended amount of calcium for all adults ages 19 to 50 and men ages 51 to 70 is 1,000 milligrams (mg) a day. The recommendation increases to 1,200 mg a day for women aged 51 and older and for men aged 71 and older. If it’s difficult to get enough calcium from our diet, a doctor can recommend supplements.
  • Pay attention to vitamin D: Vitamin D is important for building strong bones. People with low vitamin D levels tend to have lower bone density and are more at risk for bone loss than people who get enough. The easiest and least expensive way to get vitamin D is to spend time outside in the sun, as our body naturally produces vitamin D when it’s exposed to sunlight. We can also get vitamin D from our diet, but only a handful of foods contain significant amounts of it: cod liver oil, swordfish, mackerel, salmon, canned tuna, beef liver, egg yolks, and sardines.
    ‍
    The recommended amount of vitamin D for adults ages 19 to 70 is 600 international units (IUs) a day. This increases to 800 IUs a day for adults aged 71 and older. Keep in mind that many of us are deficient in vitamin D without realizing it. So it might be a good idea to have our doctor check our vitamin D levels to determine if a vitamin D supplement would be beneficial.
  • Incorporate magnesium and zinc into your diet: Magnesium and zinc promote bone health. Magnesium helps convert vitamin D into a form that boosts calcium absorption; zinc encourages the formation of bone-building cells and prevents excessive bone breakdown. Trace amounts of magnesium are found in most foods, but we might want to take a supplement with magnesium glycinate, citrate, or carbonate. Good sources of zinc include beef, shrimp, spinach, flaxseeds, oysters, and pumpkin seeds.
  • Stay active: Weight-bearing exercises, such as walking, running, climbing stairs, or playing sports, increase bone strength. Other activities that put resistance on the bones, such as weight training or using our own body weight, are beneficial as well. Plus, regular physical activity can improve our balance, helping prevent falls.
  • Don’t smoke: Similar to alcohol, smoking is also linked to an increased risk of developing osteoporosis. If we’re currently smoking, it’s best to quit. If we’ve never smoked, don’t ever start!

The Bottom Line

Alcohol can negatively impact our bone health, particularly if we’re regularly drinking large amounts. Heavy alcohol consumption not only increases our risk of developing osteoporosis, but it affects the absorption of important vitamins and minerals for bone health and reduces our body’s ability to promote new bone formation. In addition to decreasing or eliminating our alcohol intake, we can support optimal bone health and reduce our chance of developing osteoporosis by eating a diet rich in calcium, vitamin D, magnesium and zinc, staying active, and not smoking.

If you want to cut back on your alcohol consumption and start living healthier, consider trying Reframe. We’re a neuroscience-backed app that has helped millions of people reduce their alcohol consumption and develop healthier lifestyle habits.

Alcohol & Physical Health Effects