Protect Yourself Against the Adverse Effects of 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!

Pregnancy is a wonderful, beautiful thing! But it also brings with it a variety of challenges. The hormonal mood swings, the cramping, the cravings, the swelling — not to mention the list of activities we can and can’t do, and the foods and drinks we should avoid.

Chances are we know that drinking alcohol during pregnancy can be dangerous. But how much alcohol is too much? Can we have an occasional sip? In this post, we’ll explore how drinking alcohol can cause fetal alcohol syndrome and whether it’s safe to drink any amount during pregnancy. Let’s dive in!

What Is Fetal Alcohol Syndrome?

Fetal alcohol syndrome (FAS) is a type of fetal alcohol spectrum disorder (FASD) that results from alcohol exposure during a mother’s pregnancy. It affects roughly 2-5% of the U.S. population.

Children born with FAS can have multiple issues, such as intellectual and learning disabilities, physical differences in growth and development, and neurobehavioral issues that cause social challenges.

How Much Drinking Causes Fetal Alcohol Syndrome?

Despite what we might hear, any amount of alcohol during pregnancy can cause fetal alcohol syndrome: no safe amount can be consumed. However, research suggests that both binge drinking (defined as having four or more drinks on one occasion) and drinking regularly during pregnancy put a fetus at the greatest risk for FAS.

But even low to moderate amounts of alcohol can have adverse effects on the developing fetus’ brain and organs. In fact, one study found that children whose mother drank any amount of alcohol during pregnancy were more likely to have impulsiveness, difficulty paying attention, and a mental health diagnosis, such as separation anxiety or oppositional defiant disorder.

Other studies have shown that drinking one drink a day during pregnancy can lead to IQ scores reduced by as many as 7 points, or problems in academic achievement, such as reading, spelling, and arithmetic.

What About Drinking Alcohol During the Second and Third Trimester?

Drinking during the first trimester — when we often don’t even know we’re pregnant — can have a particularly dramatic impact on fetal development. This is when the baby’s brain is undergoing tremendous growth and development.

However, drinking during the second and third trimesters can still greatly affect the fetus, since the brain and other organs continue to develop throughout pregnancy.

Keep in mind that alcohol can affect fetal development differently from person to person and pregnancy to pregnancy. For instance, even if a person drank some alcohol during a previous pregnancy and had a healthy baby, it doesn’t mean future pregnancies will have the same outcome.

How Does Alcohol Interfere With Fetal Development?

One reason alcohol is dangerous during pregnancy is that it’s passed through our bloodstream to the fetus via the umbilical cord. Fetuses don’t metabolize alcohol in the same way we do, so it stays in their body for a longer period of time. This can interfere with normal development. More specifically, alcohol can harm the fetus in these ways:

• Interfere with nerve cells: Alcohol can interfere with the way nerve cells develop in the fetus and how they travel to and from different parts of the brain.
• Kill cells: Alcohol can kill cells in different parts of the fetus, causing abnormal physical development.
• Constrict blood vessels: Alcohol constricts blood vessels, which slows blood flow to the placenta — the baby’s food supply while in the uterus. This can cause a shortage of oxygen and nutrients to the fetus. One research study noted that after 1-2 glasses of wine, fetal breathing is almost completely suppressed, a sign of fetal distress.

What Are the Symptoms of Fetal Alcohol Syndrome (FAS)?

The severity of FAS symptoms varies, with some children experiencing them to a far greater degree than others. Here’s a closer look at the effects of FAS:

• Physical effects: People with FAS typically have distinctive facial features, including small eyes, an exceptionally thin upper lip, a short, upturned nose. They also might have deformities of joints, limb and fingers; slow physical growth before and after birth; a small head circumference and brain size; vision difficulties or hearing problems; heart defects; and problems with kidneys and bones.
• Brain and central nervous system effects: People with FAS might have poor coordination or balance; learning disorders; poor memory; trouble with attention and processing information; poor judgment skills; difficulty with reasoning and problem solving; jitteriness or hyperactivity; and rapidly changing moods.
• Social and behavioral effects: People with FAS might have trouble functioning, coping, and interacting with others. This might lead to difficulty in school, trouble getting along with others, poor social skills, problems with impulse control, problems staying on task, a poor concept of time, and difficulty working toward a goal.

While there is no medical test (like a blood test) to diagnose FAS, doctors typically make a diagnosis by looking at the child’s signs and symptoms.

Other Factors Increasing Risk of Fetal Alcohol Syndrome

Research indicates that certain environmental factors can increase the risk of a fetus developing fetal alcohol syndrome. Fetuses may be more affected by prenatal alcohol exposure if their mothers fall into any of these categories:

• Have poor nutrition
• Have had multiple pregnancies and births
• Have lower-than-average weight, height, and body mass index (BMI)
• Smoke
• Are older
• Don’t have access to proper prenatal care
• Come from a family of people who drink heavily

Research also suggests that children can be more affected by prenatal alcohol exposure if their mothers experience adverse living conditions and high levels of stress.

Should We Drink Alcohol If We’re Trying To Become Pregnant?

If we’re trying to become pregnant, experts recommend avoiding alcohol entirely. This is because alcohol can cause damage to the fetus at any point during pregnancy — even before we know we’re pregnant.

One study found that mothers who drink more than 5 drinks in a single day before finding out they’re pregnant have an increased risk their child will be 1-3 months behind their peers in reading and math at the end of 1st grade.

Furthermore, alcohol is linked to fertility problems in both men and women. If we drink a lot and often, we may find it more difficult to get pregnant.

Are There Other Risks of Drinking Alcohol During Pregnancy?

In addition to increasing the risk of fetal alcohol syndrome, drinking alcohol during pregnancy can also increase the risk of miscarriage, stillbirth, premature labor, and sudden infant death syndrome. The more we drink, the greater the risks.

One study noted that each week a woman drinks alcohol during the first five to 10 weeks of pregnancy is associated with an incremental 8% increase in risk of miscarriage. Another study found a 40% increase in likelihood of stillbirth for women who consumed any amount of alcohol compared with those who didn’t consume any alcohol.

What Is the Treatment for Fetal Alcohol Syndrome?

Unfortunately, there is no cure for FAS, and the damage to the child’s brain and organs can’t be reversed. However, an early diagnosis and support can help manage symptoms. For instance, a doctor might prescribe medication to help with attention and behavior issues or recommend behavior and education therapy for emotional and learning concerns.

Parental training programs can help parents and families cope with any behavioral, educational, and social challenges.

Caring for Children With Fetal Alcohol Syndrome

Certain “protective factors” can help reduce the effects of fetal alcohol syndrome and help those with FAS reach their full potential:

• Being diagnosed before 6 years of age
• A loving, nurturing, and stable home environment during the school years
• Absence of violence around them
• Involvement in special education and social services

Often, growing up in a stable, loving, and nurturing home can help children with FAS avoid developing mental and emotional difficulties as they get older. There are also several practical things we can do to help a child with fetal alcohol syndrome:

• Enlist a family member to assist with caregiving
• Block out disruptive noises when putting your baby to sleep
• Feed your baby in a relatively quiet space
• Ensure a predictable daily routine
• Engage your baby in fun activities at home, such as reading books out loud or playing games
• Talk to your child with simple words and ask them to repeat words back to you
• If you’re taking your child to a new place, talk to them about where you’re going and what they can expect
• Use rewards to reinforce acceptable behavior

What Should We Drink During Pregnancy?

So what are some of the healthiest things to drink during pregnancy? Here are some of the best drinks to keep you and your baby safe and healthy:

• Water: We know, it sounds boring! But water should be your go-to beverage during pregnancy. Water helps our body absorb important nutrients that we’re getting from prenatal vitamins or our baby-friendly diet. Aim to get at least six to eight 8-ounce glasses per day. Remember: you’re not just trying to keep yourself hydrated, but your baby, too. Plus, water can help reduce or prevent cramps, constipating, fatigue, and urinary tract infections (UTIs).
• Flavored water: Ok, so you’re sick of regular water! Try adding a little flavor to your H20, which might make it easier to consume. For instance, mint, berries, cucumber, watermelon, and citrus (lemon, lime, oranges) offer particularly refreshing tastes. Plus, the scent and flavor of lemons can ease nausea symptoms.
• Milk: Milk, full of calcium and protein, is another healthy option, particularly toward the end of pregnancy when our baby’s bones are forming. Try to ensure the milk you’re drinking is pasteurized, as the pasteurization process kills off harmful bacteria like Listeria and E. Coli. If you’re worried about fat, opt for skim or low-fat milk. If you’re lactose intolerant, try non-dairy alternatives that are fortified with calcium.
• Herbal tea: Regular tea, such as green tea, black tea, or oolong tea, contains caffeine, which we should avoid while pregnant. Herbal teas, however, don’t contain caffeine and are safe to consume. Ginger, lemon balm, and peppermint teas have been known to lessen morning sickness symptoms, and raspberry fruit teas can give us an antioxidant boost. (Save raspberry leaf tea till much later in pregnancy, since it is thought to hasten labor.)
• Fruit and veggie smoothies: Blended fruits and veggies are a great way to meet your daily produce needs and stay hydrated at the same time. Keep added sugar low by sticking with liquids such as water, milk, or plain yogurt instead of juice. Also be sure to keep an eye out for added sodium in premixed veggie drinks. To make your smoothie even more satisfying, try adding a source of healthy fat, such as peanut butter, almond butter, or avocado.

The Bottom Line

Fetal alcohol syndrome (FAS) is entirely preventable by choosing not to drink alcohol while we’re pregnant. Consuming alcohol — even small amounts — at any point during pregnancy can be harmful. If you’re pregnant and drinking alcohol, it’s important to contact a medical professional right away. Stopping alcohol consumption at any point is better than not stopping at all.

If you’re experiencing difficulty eliminating alcohol from our life, consider trying Reframe. We can help empower you to cut back on drinking gradually, allowing you to live a healthier, happier life.

Pregnancy is a wonderful, beautiful thing! But it also brings with it a variety of challenges. The hormonal mood swings, the cramping, the cravings, the swelling — not to mention the list of activities we can and can’t do, and the foods and drinks we should avoid.

Chances are we know that drinking alcohol during pregnancy can be dangerous. But how much alcohol is too much? Can we have an occasional sip? In this post, we’ll explore how drinking alcohol can cause fetal alcohol syndrome and whether it’s safe to drink any amount during pregnancy. Let’s dive in!

What Is Fetal Alcohol Syndrome?

Fetal alcohol syndrome (FAS) is a type of fetal alcohol spectrum disorder (FASD) that results from alcohol exposure during a mother’s pregnancy. It affects roughly 2-5% of the U.S. population.

Children born with FAS can have multiple issues, such as intellectual and learning disabilities, physical differences in growth and development, and neurobehavioral issues that cause social challenges.

How Much Drinking Causes Fetal Alcohol Syndrome?

Despite what we might hear, any amount of alcohol during pregnancy can cause fetal alcohol syndrome: no safe amount can be consumed. However, research suggests that both binge drinking (defined as having four or more drinks on one occasion) and drinking regularly during pregnancy put a fetus at the greatest risk for FAS.

But even low to moderate amounts of alcohol can have adverse effects on the developing fetus’ brain and organs. In fact, one study found that children whose mother drank any amount of alcohol during pregnancy were more likely to have impulsiveness, difficulty paying attention, and a mental health diagnosis, such as separation anxiety or oppositional defiant disorder.

Other studies have shown that drinking one drink a day during pregnancy can lead to IQ scores reduced by as many as 7 points, or problems in academic achievement, such as reading, spelling, and arithmetic.

What About Drinking Alcohol During the Second and Third Trimester?

Drinking during the first trimester — when we often don’t even know we’re pregnant — can have a particularly dramatic impact on fetal development. This is when the baby’s brain is undergoing tremendous growth and development.

However, drinking during the second and third trimesters can still greatly affect the fetus, since the brain and other organs continue to develop throughout pregnancy.

Keep in mind that alcohol can affect fetal development differently from person to person and pregnancy to pregnancy. For instance, even if a person drank some alcohol during a previous pregnancy and had a healthy baby, it doesn’t mean future pregnancies will have the same outcome.

How Does Alcohol Interfere With Fetal Development?

One reason alcohol is dangerous during pregnancy is that it’s passed through our bloodstream to the fetus via the umbilical cord. Fetuses don’t metabolize alcohol in the same way we do, so it stays in their body for a longer period of time. This can interfere with normal development. More specifically, alcohol can harm the fetus in these ways:

• Interfere with nerve cells: Alcohol can interfere with the way nerve cells develop in the fetus and how they travel to and from different parts of the brain.
• Kill cells: Alcohol can kill cells in different parts of the fetus, causing abnormal physical development.
• Constrict blood vessels: Alcohol constricts blood vessels, which slows blood flow to the placenta — the baby’s food supply while in the uterus. This can cause a shortage of oxygen and nutrients to the fetus. One research study noted that after 1-2 glasses of wine, fetal breathing is almost completely suppressed, a sign of fetal distress.

What Are the Symptoms of Fetal Alcohol Syndrome (FAS)?

The severity of FAS symptoms varies, with some children experiencing them to a far greater degree than others. Here’s a closer look at the effects of FAS:

• Physical effects: People with FAS typically have distinctive facial features, including small eyes, an exceptionally thin upper lip, a short, upturned nose. They also might have deformities of joints, limb and fingers; slow physical growth before and after birth; a small head circumference and brain size; vision difficulties or hearing problems; heart defects; and problems with kidneys and bones.
• Brain and central nervous system effects: People with FAS might have poor coordination or balance; learning disorders; poor memory; trouble with attention and processing information; poor judgment skills; difficulty with reasoning and problem solving; jitteriness or hyperactivity; and rapidly changing moods.
• Social and behavioral effects: People with FAS might have trouble functioning, coping, and interacting with others. This might lead to difficulty in school, trouble getting along with others, poor social skills, problems with impulse control, problems staying on task, a poor concept of time, and difficulty working toward a goal.

While there is no medical test (like a blood test) to diagnose FAS, doctors typically make a diagnosis by looking at the child’s signs and symptoms.

Other Factors Increasing Risk of Fetal Alcohol Syndrome

Research indicates that certain environmental factors can increase the risk of a fetus developing fetal alcohol syndrome. Fetuses may be more affected by prenatal alcohol exposure if their mothers fall into any of these categories:

• Have poor nutrition
• Have had multiple pregnancies and births
• Have lower-than-average weight, height, and body mass index (BMI)
• Smoke
• Are older
• Don’t have access to proper prenatal care
• Come from a family of people who drink heavily

Research also suggests that children can be more affected by prenatal alcohol exposure if their mothers experience adverse living conditions and high levels of stress.

Should We Drink Alcohol If We’re Trying To Become Pregnant?

If we’re trying to become pregnant, experts recommend avoiding alcohol entirely. This is because alcohol can cause damage to the fetus at any point during pregnancy — even before we know we’re pregnant.

One study found that mothers who drink more than 5 drinks in a single day before finding out they’re pregnant have an increased risk their child will be 1-3 months behind their peers in reading and math at the end of 1st grade.

Furthermore, alcohol is linked to fertility problems in both men and women. If we drink a lot and often, we may find it more difficult to get pregnant.

Are There Other Risks of Drinking Alcohol During Pregnancy?

In addition to increasing the risk of fetal alcohol syndrome, drinking alcohol during pregnancy can also increase the risk of miscarriage, stillbirth, premature labor, and sudden infant death syndrome. The more we drink, the greater the risks.

One study noted that each week a woman drinks alcohol during the first five to 10 weeks of pregnancy is associated with an incremental 8% increase in risk of miscarriage. Another study found a 40% increase in likelihood of stillbirth for women who consumed any amount of alcohol compared with those who didn’t consume any alcohol.

What Is the Treatment for Fetal Alcohol Syndrome?

Unfortunately, there is no cure for FAS, and the damage to the child’s brain and organs can’t be reversed. However, an early diagnosis and support can help manage symptoms. For instance, a doctor might prescribe medication to help with attention and behavior issues or recommend behavior and education therapy for emotional and learning concerns.

Parental training programs can help parents and families cope with any behavioral, educational, and social challenges.

Caring for Children With Fetal Alcohol Syndrome

Certain “protective factors” can help reduce the effects of fetal alcohol syndrome and help those with FAS reach their full potential:

• Being diagnosed before 6 years of age
• A loving, nurturing, and stable home environment during the school years
• Absence of violence around them
• Involvement in special education and social services

Often, growing up in a stable, loving, and nurturing home can help children with FAS avoid developing mental and emotional difficulties as they get older. There are also several practical things we can do to help a child with fetal alcohol syndrome:

• Enlist a family member to assist with caregiving
• Block out disruptive noises when putting your baby to sleep
• Feed your baby in a relatively quiet space
• Ensure a predictable daily routine
• Engage your baby in fun activities at home, such as reading books out loud or playing games
• Talk to your child with simple words and ask them to repeat words back to you
• If you’re taking your child to a new place, talk to them about where you’re going and what they can expect
• Use rewards to reinforce acceptable behavior

What Should We Drink During Pregnancy?

So what are some of the healthiest things to drink during pregnancy? Here are some of the best drinks to keep you and your baby safe and healthy:

• Water: We know, it sounds boring! But water should be your go-to beverage during pregnancy. Water helps our body absorb important nutrients that we’re getting from prenatal vitamins or our baby-friendly diet. Aim to get at least six to eight 8-ounce glasses per day. Remember: you’re not just trying to keep yourself hydrated, but your baby, too. Plus, water can help reduce or prevent cramps, constipating, fatigue, and urinary tract infections (UTIs).
• Flavored water: Ok, so you’re sick of regular water! Try adding a little flavor to your H20, which might make it easier to consume. For instance, mint, berries, cucumber, watermelon, and citrus (lemon, lime, oranges) offer particularly refreshing tastes. Plus, the scent and flavor of lemons can ease nausea symptoms.
• Milk: Milk, full of calcium and protein, is another healthy option, particularly toward the end of pregnancy when our baby’s bones are forming. Try to ensure the milk you’re drinking is pasteurized, as the pasteurization process kills off harmful bacteria like Listeria and E. Coli. If you’re worried about fat, opt for skim or low-fat milk. If you’re lactose intolerant, try non-dairy alternatives that are fortified with calcium.
• Herbal tea: Regular tea, such as green tea, black tea, or oolong tea, contains caffeine, which we should avoid while pregnant. Herbal teas, however, don’t contain caffeine and are safe to consume. Ginger, lemon balm, and peppermint teas have been known to lessen morning sickness symptoms, and raspberry fruit teas can give us an antioxidant boost. (Save raspberry leaf tea till much later in pregnancy, since it is thought to hasten labor.)
• Fruit and veggie smoothies: Blended fruits and veggies are a great way to meet your daily produce needs and stay hydrated at the same time. Keep added sugar low by sticking with liquids such as water, milk, or plain yogurt instead of juice. Also be sure to keep an eye out for added sodium in premixed veggie drinks. To make your smoothie even more satisfying, try adding a source of healthy fat, such as peanut butter, almond butter, or avocado.

The Bottom Line

Fetal alcohol syndrome (FAS) is entirely preventable by choosing not to drink alcohol while we’re pregnant. Consuming alcohol — even small amounts — at any point during pregnancy can be harmful. If you’re pregnant and drinking alcohol, it’s important to contact a medical professional right away. Stopping alcohol consumption at any point is better than not stopping at all.

If you’re experiencing difficulty eliminating alcohol from our life, consider trying Reframe. We can help empower you to cut back on drinking gradually, allowing you to live a healthier, happier life.

Live Well and Thrive 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!

Life can feel like navigating a teeming city, bustling with activity, dazzling lights, and swarms of people. Those of us living with attention-deficit/hyperactivity disorder (ADHD), however, experience this city without a guide or map. Each day can feel like a constant exploration of a busy metropolis marked by uncharted routes and unexpected detours.

What happens when we throw alcohol into the mix, though? Well, quite a bit — and the relationship between the two can be cyclic. Alcohol can exacerbate ADHD symptoms, and living with ADHD can increase the risk for alcohol misuse. What are the ins and outs of the link between ADHD and alcoholism, ADHD and binge drinking, and ADHD and alcohol in general? Does alcohol help those with ADHD focus better, or does it make it worse? If you’re living with ADHD (or know someone who is), read on to understand the complexities and how to prioritize well-being.

What Is ADHD?

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental condition that typically shows up in childhood and can persist into adulthood. The nature of this disorder is intricate, enveloping a person's cognitive, emotional, and behavioral dimensions.

According to recent data, up to 5% of Americans, or over 8 million adults, are currently living with ADHD. Alarmingly, a vast majority of these adults remain undiagnosed, keeping them unaware of the root cause behind their struggles.

The hallmark characteristics of ADHD are not just limited to distractibility; they extend to impulsivity and hyperactivity. These symptoms manifest uniquely in each person. For some, the challenge might be an inability to focus on tasks, leading to incomplete projects or frequent errors. Others might grapple with impulsivity, making hasty decisions without considering the consequences, or hyperactivity, exhibiting constant restlessness.

The strategies employed to handle ADHD vary widely: including behavioral therapies that focus on coping mechanisms, lifestyle changes that include structured routines, and medications that aid in enhancing focus and reducing impulsivity. Each person finds their unique combination to navigate life efficiently.

But like everyone else, people with ADHD also find themselves in situations where alcohol plays a significant role. But adding alcohol to the ADHD equation, it creates various complexities that require further examination.

ADHD and Alcohol: What Are the Effects?

How does alcohol affect those with ADHD? Clinical research points towards a robust connection between ADHD and an escalated risk of alcohol misuse, as well as misuse of other substances. But why is this link so significant, and what is the connection between ADHD and alcohol abuse? To answer these questions, let's delve deeper into the science to uncover ways this interaction impacts individuals with ADHD.

Exacerbation of Symptoms

Does alcohol help ADHD symptoms? To the contrary, it makes the situation worse. ADHD inherently complicates the cognitive and behavioral processes of those affected. Alcohol heightens existing ADHD symptoms, which makes it a potentially detrimental choice for those living with the condition. After consuming alcohol, people with ADHD might experience amplified issues concerning concentration, impulsivity, and hyperactivity, adding an additional layer of complexity to their already-challenging daily lives.

What might this look like? Imagine you've spent the previous evening at a social gathering where you enjoyed a few drinks. The next day, as you sit down to work, you realize your concentration is even more fragmented than usual. You're more impulsive in your choices, perhaps cutting off your colleagues mid-sentence instead of hearing them out. Your thoughts race and your mind is chattering incessantly. Focusing on any single task is an uphill battle — and because you can’t seem to concentrate on anything, you barely finish any of your day’s assignments. This is a glimpse of how alcohol can exacerbate the symptoms of ADHD, adding fuel to the fire of an already intricate condition.

Increased Risk of Substance Misuse

Studies have indicated that people with ADHD may be more susceptible to falling into patterns of substance misuse — and often, alcohol is the gateway.

Impulsivity, a core symptom of ADHD, is a key player in this risk. It can steer individuals towards risky behaviors, including binge drinking or alcohol dependence. The lure of immediate gratification can be especially strong for someone with ADHD, and resisting the allure of alcohol is daunting.

Interference With ADHD Treatments

Alcohol's impact on ADHD is not just limited to amplifying symptoms or escalating the risk of substance misuse. Many people rely on a combination of therapies, including behavioral techniques and prescribed medications, to manage their ADHD symptoms. Adding alcohol to the mix can potentially hamper the effectiveness of these interventions.

Furthermore, mixing alcohol with Ritalin (a prescription medication commonly used to treat ADHD) can increase heart rates to dangerous levels, disrupt sleep patterns, and potentially worsen mood. Ritalin is a stimulant and alcohol is a depressant; since they counteract each other’s effects, the combination can lead to an increased risk of misuse of both substances.

ADHD and Alcohol: What Can We Do?

By adopting proactive measures, those of us with ADHD can strike a balance. Here are seven ways to do so:

1. Seek Knowledge 

Before addressing the interaction of ADHD and alcohol, it's imperative to have a clear understanding of the potential implications. Recognizing the nuances of how alcohol affects ADHD symptoms and any medications can be pivotal in making informed decisions. The good news is that by reading this blog, you’re doing just that!

This can also mean immersing ourselves in research to build a solid foundation. We can do this by actively seeking out literature, articles, or scientific papers that delve into the topic. ADDitude is an excellent resource for catching up on current events relating to ADHD, as well as for finding additional ways to manage symptoms.

This form of self-education illuminates the potential risks, such as how alcohol might counteract or reduce the efficacy of ADHD medications or intensify ADHD symptoms.

2. Drink Mindfully

ADHD increases impulsivity, as we’ve discussed. This trait can sometimes spur decisions without thorough forethought, especially in social settings where alcohol is involved. Impulsive drinking can exacerbate ADHD symptoms or lead to other undesirable outcomes — accidents, violent behavior, and other regrettable choices.

Embracing mindfulness is the key. It entails being acutely aware of the present moment and our choices. Before lifting that glass, take a deep breath, and consider the repercussions. Is the thrill of an intoxicated evening worth the long-lasting repercussions?

Pre-determining a drinking limit can be helpful. For instance, we might choose to have one alcoholic beverage and then switch to mocktails after. This way we don’t completely deprive ourselves, but we also don’t fall into the adverse effects. We may also choose to have alcohol-free days throughout the week to avoid falling to habitual alcohol use (i.e., drinking a beer after work or pouring a nightcap before bed).

By setting these boundaries ahead of time, we give ourselves tangible guidelines to follow, curbing overindulgence.

3. Consult With Healthcare Providers

Medications play a pivotal role in managing ADHD for many. However, these medications can have complex —often unpleasant! — interactions with alcohol. This interplay might dilute the medication's efficacy, amplify side effects, or even pose severe health threats.

Open communication with our healthcare providers is the cornerstone here. Before indulging in any alcoholic beverages, a candid conversation with our doctor or pharmacist is essential. Acquainted with our medical history and the intricacies of ADHD medications, these experts can provide guidance tailored to our unique needs. Whether it's suggesting safe consumption limits or recommending complete abstention while on certain medications, their advice is instrumental in ensuring our safety and well-being.

4. Opt for Non-Alcoholic Alternatives

Social scenarios — parties, dinners, or simple gatherings — often feature alcohol as a centerpiece. In these situations, there's often an implicit pressure or a natural inclination to partake to feel included. This can be especially challenging for someone with ADHD, who might already grapple with impulsivity.

Thankfully, today’s beverage market is full of non-alcoholic alternatives that mimic the taste, look, and feel of alcoholic drinks. Mocktails, for instance, are crafted with the same care and artistry as cocktails but without the alcohol. Non-alcoholic beers and wines have seen significant advancements in flavor profiles, making them almost indistinguishable from their alcoholic counterparts. There are even alcohol-free champagne and tequila options!

Choosing non-alcoholic drinks allows us to participate in the social ritual of drinking without alcohol’s potential pitfalls. Furthermore, these alternatives keep us from feeling deprived or out of place.

5. Establish a Support System

We all sometimes need a sounding board, a guide, or just a listening ear. For someone with ADHD, a reliable support system can be a game-changer, especially regarding alcohol-related choices.

We can do this by opening up to a close friend, family member, or trusted loved one. We may also choose to join a support group (we have several in the Reframe app Forum!), making the other participants aware of our goals and apprehensions. This established network acts as a safety net, providing advice, a second opinion, or even gentle reminders, helping in navigating social situations that involve alcohol.

6. Avoid Binge Drinking

Binge drinking is detrimental to everyone, regardless of age, gender, or health status. However, ADHD and binge drinking are an especially toxic mix. The aftermath — the exacerbated impulsivity, heightened distractibility, and potential emotional disturbances — can make prioritizing our well-being challenging.

In this case, a prevention plan is crucial. Decide on a drink limit and adhere to it. Alternate alcoholic beverages with water or other non-alcoholic alternatives. Spacing out drinks reduces the risk of rapid intoxication. Furthermore, we can decide what we will do if we encounter our strongest drinking triggers or experience cravings. In this case, finding a healthy form of distraction, such as exercising, calling a friend, or grabbing a healthy snack, is paramount.

With an action plan in place, we create more barriers between ourselves and the desire to drink. Over time, these healthier alternatives can become habitual and replace the urge to consume alcohol excessively.

7. Seek Therapy or Counseling

Often, the lure of alcohol for those of us with ADHD isn't just about social pressure; it might be a form of self-medication, an attempt to cope with ADHD symptoms. Examining these underlying motivations is key to establishing a healthy relationship with alcohol, and ourselves.

Professional therapy or counseling can be invaluable. Therapists, especially those specializing in substance misuse or ADHD, can offer insights into the motivations behind certain choices. Cognitive-behavioral therapy (CBT) is particularly effective in instilling coping strategies, managing impulsivity, and improving decision-making. Therapy provides a non-judgmental space to explore, understand, and address concerns related to alcohol and ADHD.

Living with ADHD presents unique challenges, but proactive strategies can help us make informed choices when it comes to alcohol. By taking the action steps above, those of us with ADHD can lead balanced lives, celebrating social engagements without detrimental alcohol-related consequences.

Mental Health Matters

It’s evident that alcohol use can complicate the ADHD journey. However, these effects don't require complete abstinence from alcohol or social isolation. Instead, it highlights the importance of drinking mindfully and consulting a healthcare provider before choosing to imbibe if we live with ADHD.

Additionally, we should point out that ADHD isn't a solitary journey — it's a shared exploration involving healthcare professionals, support groups, family, and friends. We are not defined by ADHD. It's a part of our journey, but it isn’t our entire identity. Our dreams, our strengths, our accomplishments, our relationships — they all contribute to who we are!

Life can feel like navigating a teeming city, bustling with activity, dazzling lights, and swarms of people. Those of us living with attention-deficit/hyperactivity disorder (ADHD), however, experience this city without a guide or map. Each day can feel like a constant exploration of a busy metropolis marked by uncharted routes and unexpected detours.

What happens when we throw alcohol into the mix, though? Well, quite a bit — and the relationship between the two can be cyclic. Alcohol can exacerbate ADHD symptoms, and living with ADHD can increase the risk for alcohol misuse. What are the ins and outs of the link between ADHD and alcoholism, ADHD and binge drinking, and ADHD and alcohol in general? Does alcohol help those with ADHD focus better, or does it make it worse? If you’re living with ADHD (or know someone who is), read on to understand the complexities and how to prioritize well-being.

What Is ADHD?

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental condition that typically shows up in childhood and can persist into adulthood. The nature of this disorder is intricate, enveloping a person's cognitive, emotional, and behavioral dimensions.

According to recent data, up to 5% of Americans, or over 8 million adults, are currently living with ADHD. Alarmingly, a vast majority of these adults remain undiagnosed, keeping them unaware of the root cause behind their struggles.

The hallmark characteristics of ADHD are not just limited to distractibility; they extend to impulsivity and hyperactivity. These symptoms manifest uniquely in each person. For some, the challenge might be an inability to focus on tasks, leading to incomplete projects or frequent errors. Others might grapple with impulsivity, making hasty decisions without considering the consequences, or hyperactivity, exhibiting constant restlessness.

The strategies employed to handle ADHD vary widely: including behavioral therapies that focus on coping mechanisms, lifestyle changes that include structured routines, and medications that aid in enhancing focus and reducing impulsivity. Each person finds their unique combination to navigate life efficiently.

But like everyone else, people with ADHD also find themselves in situations where alcohol plays a significant role. But adding alcohol to the ADHD equation, it creates various complexities that require further examination.

ADHD and Alcohol: What Are the Effects?

How does alcohol affect those with ADHD? Clinical research points towards a robust connection between ADHD and an escalated risk of alcohol misuse, as well as misuse of other substances. But why is this link so significant, and what is the connection between ADHD and alcohol abuse? To answer these questions, let's delve deeper into the science to uncover ways this interaction impacts individuals with ADHD.

Exacerbation of Symptoms

Does alcohol help ADHD symptoms? To the contrary, it makes the situation worse. ADHD inherently complicates the cognitive and behavioral processes of those affected. Alcohol heightens existing ADHD symptoms, which makes it a potentially detrimental choice for those living with the condition. After consuming alcohol, people with ADHD might experience amplified issues concerning concentration, impulsivity, and hyperactivity, adding an additional layer of complexity to their already-challenging daily lives.

What might this look like? Imagine you've spent the previous evening at a social gathering where you enjoyed a few drinks. The next day, as you sit down to work, you realize your concentration is even more fragmented than usual. You're more impulsive in your choices, perhaps cutting off your colleagues mid-sentence instead of hearing them out. Your thoughts race and your mind is chattering incessantly. Focusing on any single task is an uphill battle — and because you can’t seem to concentrate on anything, you barely finish any of your day’s assignments. This is a glimpse of how alcohol can exacerbate the symptoms of ADHD, adding fuel to the fire of an already intricate condition.

Increased Risk of Substance Misuse

Studies have indicated that people with ADHD may be more susceptible to falling into patterns of substance misuse — and often, alcohol is the gateway.

Impulsivity, a core symptom of ADHD, is a key player in this risk. It can steer individuals towards risky behaviors, including binge drinking or alcohol dependence. The lure of immediate gratification can be especially strong for someone with ADHD, and resisting the allure of alcohol is daunting.

Interference With ADHD Treatments

Alcohol's impact on ADHD is not just limited to amplifying symptoms or escalating the risk of substance misuse. Many people rely on a combination of therapies, including behavioral techniques and prescribed medications, to manage their ADHD symptoms. Adding alcohol to the mix can potentially hamper the effectiveness of these interventions.

Furthermore, mixing alcohol with Ritalin (a prescription medication commonly used to treat ADHD) can increase heart rates to dangerous levels, disrupt sleep patterns, and potentially worsen mood. Ritalin is a stimulant and alcohol is a depressant; since they counteract each other’s effects, the combination can lead to an increased risk of misuse of both substances.

ADHD and Alcohol: What Can We Do?

By adopting proactive measures, those of us with ADHD can strike a balance. Here are seven ways to do so:

1. Seek Knowledge 

Before addressing the interaction of ADHD and alcohol, it's imperative to have a clear understanding of the potential implications. Recognizing the nuances of how alcohol affects ADHD symptoms and any medications can be pivotal in making informed decisions. The good news is that by reading this blog, you’re doing just that!

This can also mean immersing ourselves in research to build a solid foundation. We can do this by actively seeking out literature, articles, or scientific papers that delve into the topic. ADDitude is an excellent resource for catching up on current events relating to ADHD, as well as for finding additional ways to manage symptoms.

This form of self-education illuminates the potential risks, such as how alcohol might counteract or reduce the efficacy of ADHD medications or intensify ADHD symptoms.

2. Drink Mindfully

ADHD increases impulsivity, as we’ve discussed. This trait can sometimes spur decisions without thorough forethought, especially in social settings where alcohol is involved. Impulsive drinking can exacerbate ADHD symptoms or lead to other undesirable outcomes — accidents, violent behavior, and other regrettable choices.

Embracing mindfulness is the key. It entails being acutely aware of the present moment and our choices. Before lifting that glass, take a deep breath, and consider the repercussions. Is the thrill of an intoxicated evening worth the long-lasting repercussions?

Pre-determining a drinking limit can be helpful. For instance, we might choose to have one alcoholic beverage and then switch to mocktails after. This way we don’t completely deprive ourselves, but we also don’t fall into the adverse effects. We may also choose to have alcohol-free days throughout the week to avoid falling to habitual alcohol use (i.e., drinking a beer after work or pouring a nightcap before bed).

By setting these boundaries ahead of time, we give ourselves tangible guidelines to follow, curbing overindulgence.

3. Consult With Healthcare Providers

Medications play a pivotal role in managing ADHD for many. However, these medications can have complex —often unpleasant! — interactions with alcohol. This interplay might dilute the medication's efficacy, amplify side effects, or even pose severe health threats.

Open communication with our healthcare providers is the cornerstone here. Before indulging in any alcoholic beverages, a candid conversation with our doctor or pharmacist is essential. Acquainted with our medical history and the intricacies of ADHD medications, these experts can provide guidance tailored to our unique needs. Whether it's suggesting safe consumption limits or recommending complete abstention while on certain medications, their advice is instrumental in ensuring our safety and well-being.

4. Opt for Non-Alcoholic Alternatives

Social scenarios — parties, dinners, or simple gatherings — often feature alcohol as a centerpiece. In these situations, there's often an implicit pressure or a natural inclination to partake to feel included. This can be especially challenging for someone with ADHD, who might already grapple with impulsivity.

Thankfully, today’s beverage market is full of non-alcoholic alternatives that mimic the taste, look, and feel of alcoholic drinks. Mocktails, for instance, are crafted with the same care and artistry as cocktails but without the alcohol. Non-alcoholic beers and wines have seen significant advancements in flavor profiles, making them almost indistinguishable from their alcoholic counterparts. There are even alcohol-free champagne and tequila options!

Choosing non-alcoholic drinks allows us to participate in the social ritual of drinking without alcohol’s potential pitfalls. Furthermore, these alternatives keep us from feeling deprived or out of place.

5. Establish a Support System

We all sometimes need a sounding board, a guide, or just a listening ear. For someone with ADHD, a reliable support system can be a game-changer, especially regarding alcohol-related choices.

We can do this by opening up to a close friend, family member, or trusted loved one. We may also choose to join a support group (we have several in the Reframe app Forum!), making the other participants aware of our goals and apprehensions. This established network acts as a safety net, providing advice, a second opinion, or even gentle reminders, helping in navigating social situations that involve alcohol.

6. Avoid Binge Drinking

Binge drinking is detrimental to everyone, regardless of age, gender, or health status. However, ADHD and binge drinking are an especially toxic mix. The aftermath — the exacerbated impulsivity, heightened distractibility, and potential emotional disturbances — can make prioritizing our well-being challenging.

In this case, a prevention plan is crucial. Decide on a drink limit and adhere to it. Alternate alcoholic beverages with water or other non-alcoholic alternatives. Spacing out drinks reduces the risk of rapid intoxication. Furthermore, we can decide what we will do if we encounter our strongest drinking triggers or experience cravings. In this case, finding a healthy form of distraction, such as exercising, calling a friend, or grabbing a healthy snack, is paramount.

With an action plan in place, we create more barriers between ourselves and the desire to drink. Over time, these healthier alternatives can become habitual and replace the urge to consume alcohol excessively.

7. Seek Therapy or Counseling

Often, the lure of alcohol for those of us with ADHD isn't just about social pressure; it might be a form of self-medication, an attempt to cope with ADHD symptoms. Examining these underlying motivations is key to establishing a healthy relationship with alcohol, and ourselves.

Professional therapy or counseling can be invaluable. Therapists, especially those specializing in substance misuse or ADHD, can offer insights into the motivations behind certain choices. Cognitive-behavioral therapy (CBT) is particularly effective in instilling coping strategies, managing impulsivity, and improving decision-making. Therapy provides a non-judgmental space to explore, understand, and address concerns related to alcohol and ADHD.

Living with ADHD presents unique challenges, but proactive strategies can help us make informed choices when it comes to alcohol. By taking the action steps above, those of us with ADHD can lead balanced lives, celebrating social engagements without detrimental alcohol-related consequences.

Mental Health Matters

It’s evident that alcohol use can complicate the ADHD journey. However, these effects don't require complete abstinence from alcohol or social isolation. Instead, it highlights the importance of drinking mindfully and consulting a healthcare provider before choosing to imbibe if we live with ADHD.

Additionally, we should point out that ADHD isn't a solitary journey — it's a shared exploration involving healthcare professionals, support groups, family, and friends. We are not defined by ADHD. It's a part of our journey, but it isn’t our entire identity. Our dreams, our strengths, our accomplishments, our relationships — they all contribute to who we are!

As the old Chinese proverb goes: “A journey of a thousand miles begins with a single step.” This is especially relevant for many of us as we embark upon our journey of quitting or cutting back on alcohol.

For many of us seeking to overcome the challenge of alcohol misuse, it may feel like we're setting out to climb a towering, intimidating mountain. It's a grueling ascent, where the opposition isn't merely the substance we're striving to avoid, but also the deeply ingrained habits and brain chemistry that urge us to continue. But what if we had a trusty guide to help us navigate this formidable landscape? Well, we just might! In this blog post, we’ll discuss Vivitrol, a medication developed to aid us in this uphill battle against alcohol misuse.

What Is Vivitrol?

Vivitrol, scientifically known as Naltrexone, is a medication specifically designed to support those of us battling alcohol misuse. Unlike some other treatments that replace one addictive substance with another, Vivitrol stands out. This FDA-approved drug is an opioid antagonist. But what does this mean?

In simplest terms, an opioid antagonist is a substance that obstructs the opioid receptors in the brain. It's like a key that fits into a lock but doesn't turn it. It's there, it fits, but it doesn't activate the lock. By doing this, Vivitrol effectively blocks the euphoric effects and feelings of intoxication, allowing us to reduce our drinking or even halt it entirely.

Vivitrol’s Science-Backed Efficacy

The effectiveness of Vivitrol is not mere conjecture; it's backed by solid scientific evidence. A study in Therapeutics and Clinical Risk Management supported Vivitrol’s ability to decrease heavy drinking among alcohol-dependent individuals. This medication also fostered abstinence and decreased the likelihood of relapse in two samples of alcohol-dependent subjects. This reduction is a significant stride forward for anyone seeking to overcome alcohol misuse.

Additional studies have shown that Vivitrol, combined with counseling, led to a significant reduction in heavy drinking days among participants compared to counseling alone. These findings demonstrate the crucial role that Vivitrol can play as part of a comprehensive treatment plan.

How Does Vivitrol Work?

Understanding how Vivitrol works to combat alcohol misuse takes us on a fascinating journey into the human brain, specifically the opioid system that is part of our brain's complex reward pathway. This system plays a pivotal role in our experiences of pleasure and satisfaction, and it’s one that substances like alcohol cleverly manipulate.

Consuming alcohol stimulates the brain's reward pathway, releasing chemicals that create feelings of pleasure and euphoria. This stimulation triggers our opioid receptors — key players in this pathway — which results in the sense of satisfaction that makes drinking so appealing. This pleasure-reward feedback loop can encourage repeated alcohol use, ultimately leading to misuse or dependence.

We’ve already discussed that Vivitrol is an opioid antagonist. What this means is that Vivitrol functions as a “blocker” or a “gatekeeper” to these opioid receptors. How exactly does this work?

When administered, Vivitrol attaches itself to the opioid receptors in the brain. This attachment creates a barrier, preventing substances like alcohol from accessing these receptors and triggering the release of pleasure-inducing chemicals. So, even if we consume alcohol, the expected rewarding effects are diminished or entirely absent because Vivitrol is blocking our brain’s access points.

This process can be likened to locking the doors to a much-desired party. Even though the music might still be playing (alcohol is still being consumed), we can no longer gain entry to experience the party (the rewarding effects of alcohol).

The Long-Term Effects of Vitriol for Alcohol Misuse

So, what's the impact of this blockage over time?

The absence of the pleasure-reward experience during alcohol consumption can significantly influence our drinking behavior. The usual satisfaction we derive from drinking is no longer present, which can result in a decreased desire to drink alcohol. This reduction can be a major stepping stone in the journey towards changing our relationship with alcohol.

It's important to note that Vivitrol doesn't cure alcohol dependence — there's more to overcoming alcohol misuse than just managing the physical cravings. But by disrupting the reward mechanism typically associated with alcohol consumption, Vivitrol can provide a supportive, effective tool in the overall treatment plan.

The workings of Vivitrol illustrate the fascinating interplay of brain chemistry and behavior. Understanding this can empower us on our journey towards overcoming alcohol misuse. But it's just one part of the larger picture of recovery, which also includes behavioral therapies, peer support, and lifestyle changes. Together, these components make up the holistic approach needed to address and manage alcohol misuse effectively.

Who Shouldn't Use Vivitrol?

While Vivitrol can be an effective ally in our quest for recovery, it isn't suitable for everyone. People with acute hepatitis or liver failure should steer clear of Vivitrol due to the potential for liver damage. Pregnant women should also avoid this medication unless the potential benefits outweigh the risks.

Moreover, anyone who has previously had an adverse reaction to Vivitrol or any of its components should not take this medication. Allergies to Naloxone (a compound similar to Naltrexone) can also indicate that Vivitrol may not be the best treatment option.

Vivitrol: The Takeaways

Our journey to overcome alcohol misuse may seem daunting, like that icy mountain peak. But with resources like Vivitrol at our disposal, we have a supportive companion that can make the climb less treacherous and more manageable.

Just like mountain climbing, the journey of recovery isn't marked by one grand leap but by numerous small, steady steps. Each step, no matter how small, is a victory, a testament to our resilience and capacity for change. They move us not just away from alcohol misuse, but toward a healthier, more fulfilling life.

As we undertake this journey, let's remember that change is possible, and that help is available. With the right tools, the right support, and the will to move forward, we can navigate this path and reach the peaks we aspire to.

Choose the Road to Recovery 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!

As the old Chinese proverb goes: “A journey of a thousand miles begins with a single step.” This is especially relevant for many of us as we embark upon our journey of quitting or cutting back on alcohol.

For many of us seeking to overcome the challenge of alcohol misuse, it may feel like we're setting out to climb a towering, intimidating mountain. It's a grueling ascent, where the opposition isn't merely the substance we're striving to avoid, but also the deeply ingrained habits and brain chemistry that urge us to continue. But what if we had a trusty guide to help us navigate this formidable landscape? Well, we just might! In this blog post, we’ll discuss Vivitrol, a medication developed to aid us in this uphill battle against alcohol misuse.

What Is Vivitrol?

Vivitrol, scientifically known as Naltrexone, is a medication specifically designed to support those of us battling alcohol misuse. Unlike some other treatments that replace one addictive substance with another, Vivitrol stands out. This FDA-approved drug is an opioid antagonist. But what does this mean?

In simplest terms, an opioid antagonist is a substance that obstructs the opioid receptors in the brain. It's like a key that fits into a lock but doesn't turn it. It's there, it fits, but it doesn't activate the lock. By doing this, Vivitrol effectively blocks the euphoric effects and feelings of intoxication, allowing us to reduce our drinking or even halt it entirely.

Vivitrol’s Science-Backed Efficacy

The effectiveness of Vivitrol is not mere conjecture; it's backed by solid scientific evidence. A study in Therapeutics and Clinical Risk Management supported Vivitrol’s ability to decrease heavy drinking among alcohol-dependent individuals. This medication also fostered abstinence and decreased the likelihood of relapse in two samples of alcohol-dependent subjects. This reduction is a significant stride forward for anyone seeking to overcome alcohol misuse.

Additional studies have shown that Vivitrol, combined with counseling, led to a significant reduction in heavy drinking days among participants compared to counseling alone. These findings demonstrate the crucial role that Vivitrol can play as part of a comprehensive treatment plan.

How Does Vivitrol Work?

Understanding how Vivitrol works to combat alcohol misuse takes us on a fascinating journey into the human brain, specifically the opioid system that is part of our brain's complex reward pathway. This system plays a pivotal role in our experiences of pleasure and satisfaction, and it’s one that substances like alcohol cleverly manipulate.

Consuming alcohol stimulates the brain's reward pathway, releasing chemicals that create feelings of pleasure and euphoria. This stimulation triggers our opioid receptors — key players in this pathway — which results in the sense of satisfaction that makes drinking so appealing. This pleasure-reward feedback loop can encourage repeated alcohol use, ultimately leading to misuse or dependence.

We’ve already discussed that Vivitrol is an opioid antagonist. What this means is that Vivitrol functions as a “blocker” or a “gatekeeper” to these opioid receptors. How exactly does this work?

When administered, Vivitrol attaches itself to the opioid receptors in the brain. This attachment creates a barrier, preventing substances like alcohol from accessing these receptors and triggering the release of pleasure-inducing chemicals. So, even if we consume alcohol, the expected rewarding effects are diminished or entirely absent because Vivitrol is blocking our brain’s access points.

This process can be likened to locking the doors to a much-desired party. Even though the music might still be playing (alcohol is still being consumed), we can no longer gain entry to experience the party (the rewarding effects of alcohol).

The Long-Term Effects of Vitriol for Alcohol Misuse

So, what's the impact of this blockage over time?

The absence of the pleasure-reward experience during alcohol consumption can significantly influence our drinking behavior. The usual satisfaction we derive from drinking is no longer present, which can result in a decreased desire to drink alcohol. This reduction can be a major stepping stone in the journey towards changing our relationship with alcohol.

It's important to note that Vivitrol doesn't cure alcohol dependence — there's more to overcoming alcohol misuse than just managing the physical cravings. But by disrupting the reward mechanism typically associated with alcohol consumption, Vivitrol can provide a supportive, effective tool in the overall treatment plan.

The workings of Vivitrol illustrate the fascinating interplay of brain chemistry and behavior. Understanding this can empower us on our journey towards overcoming alcohol misuse. But it's just one part of the larger picture of recovery, which also includes behavioral therapies, peer support, and lifestyle changes. Together, these components make up the holistic approach needed to address and manage alcohol misuse effectively.

Who Shouldn't Use Vivitrol?

While Vivitrol can be an effective ally in our quest for recovery, it isn't suitable for everyone. People with acute hepatitis or liver failure should steer clear of Vivitrol due to the potential for liver damage. Pregnant women should also avoid this medication unless the potential benefits outweigh the risks.

Moreover, anyone who has previously had an adverse reaction to Vivitrol or any of its components should not take this medication. Allergies to Naloxone (a compound similar to Naltrexone) can also indicate that Vivitrol may not be the best treatment option.

Vivitrol: The Takeaways

Our journey to overcome alcohol misuse may seem daunting, like that icy mountain peak. But with resources like Vivitrol at our disposal, we have a supportive companion that can make the climb less treacherous and more manageable.

Just like mountain climbing, the journey of recovery isn't marked by one grand leap but by numerous small, steady steps. Each step, no matter how small, is a victory, a testament to our resilience and capacity for change. They move us not just away from alcohol misuse, but toward a healthier, more fulfilling life.

As we undertake this journey, let's remember that change is possible, and that help is available. With the right tools, the right support, and the will to move forward, we can navigate this path and reach the peaks we aspire to.

Choose the Road to Recovery 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!

Ready For a Fresh Start?

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

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

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

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

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

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

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

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

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

A Glimpse Into the Past: What Is Disulfiram?

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

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

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

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

The Science of the Disulfiram Reaction

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

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

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

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

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

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

Foods To Avoid When Taking Disulfiram

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

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

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

Disulfiram: A Decision-Making Tool

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

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

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

Is Disulfiram for Everyone?

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

Disulfiram might be right for:

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

However, it might not be the best option for:

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

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

Other Options

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

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

Your Alcohol-Free Journey

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

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

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

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

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

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

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

A Glimpse Into the Past: What Is Disulfiram?

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

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

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

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

The Science of the Disulfiram Reaction

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

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

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

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

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

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

Foods To Avoid When Taking Disulfiram

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

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

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

Disulfiram: A Decision-Making Tool

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

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

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

Is Disulfiram for Everyone?

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

Disulfiram might be right for:

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

However, it might not be the best option for:

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

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

Other Options

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

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

Your Alcohol-Free Journey

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

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

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

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

Ready To Rethink Your Relationship With Alcohol?

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

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

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

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

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

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

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

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

Liver: The Tireless Workhorse

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

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

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

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

Brain: The Misguided Navigator

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

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

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

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

Heart: The Silent Sufferer

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

Pancreas: The Sneak Attack

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

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

Kidneys: The Subtle Balance Disruptors

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

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

Stomach: Not Just a Sour Taste

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

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

Reproductive System: An Unexpected Intruder

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

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

Skin: More Than Skin Deep

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

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

Taking the Reins

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

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

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

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

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

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

Liver: The Tireless Workhorse

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

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

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

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

Brain: The Misguided Navigator

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

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

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

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

Heart: The Silent Sufferer

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

Pancreas: The Sneak Attack

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

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

Kidneys: The Subtle Balance Disruptors

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

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

Stomach: Not Just a Sour Taste

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

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

Reproductive System: An Unexpected Intruder

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

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

Skin: More Than Skin Deep

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

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

Taking the Reins

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

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

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

Make Your Liver Happy With Reframe!

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

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

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

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

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

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

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

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

Love Your Liver

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

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

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

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

Liver Superpowers

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

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

Alcohol and the Liver

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

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

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

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

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

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

A Foodie's Guide to a Happy Liver

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

1: Green Tea and Coffee

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

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

2: Leafy Green Vegetables

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

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

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

3: Citrus Fruits

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

4: Turmeric

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

5: Berries

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

6: Nuts

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

7: Fatty Fish

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

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

Some champions of the sea deserve special mention:

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

8: Olive Oil

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

9: Milk Thistle

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

10: Beets

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

Tweaking Your Diet

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

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

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

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

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

Make It Fun!

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

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

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

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

Love Your Liver

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

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

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

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

Liver Superpowers

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

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

Alcohol and the Liver

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

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

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

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

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

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

A Foodie's Guide to a Happy Liver

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

1: Green Tea and Coffee

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

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

2: Leafy Green Vegetables

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

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

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

3: Citrus Fruits

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

4: Turmeric

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

5: Berries

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

6: Nuts

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

7: Fatty Fish

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

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

Some champions of the sea deserve special mention:

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

8: Olive Oil

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

9: Milk Thistle

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

10: Beets

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

Tweaking Your Diet

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

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

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

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

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

Make It Fun!

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

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

How the Reframe App Can Help

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

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

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

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

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

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

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

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

1. High Sugar Content

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

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

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

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

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

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

2. Alcohol Content

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

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

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

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

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

3. Overconsumption

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

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

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

4. Allergens and Sensitivities

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

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

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

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

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

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

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

5. Interactions With Medications

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

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

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

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

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

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

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

6. Pregnancy and Breastfeeding

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

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

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

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

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

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

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

Drink Liqueurs Mindfully

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

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

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

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

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

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

1. High Sugar Content

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

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

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

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

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

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

2. Alcohol Content

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

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

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

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

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

3. Overconsumption

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

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

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

4. Allergens and Sensitivities

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

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

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

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

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

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

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

5. Interactions With Medications

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

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

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

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

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

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

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

6. Pregnancy and Breastfeeding

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

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

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

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

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

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

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

Drink Liqueurs Mindfully

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

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

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

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

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

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

Meet the Culprit

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

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

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

Who's the Ringmaster of This Circus?

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

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

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

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

Outsmart Those Pesky Cravings

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

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

Untying the Knot

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

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

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

Start Your Journey With Reframe!

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

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

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

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

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

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

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

Meet the Culprit

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

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

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

Who's the Ringmaster of This Circus?

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

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

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

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

Outsmart Those Pesky Cravings

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

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

Untying the Knot

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

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

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

Start Your Journey With Reframe!

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

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

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

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

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

Restore Balance With Reframe

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

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

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

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

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

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

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

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

The Role of Insulin and Glucose

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

The Impact of Alcohol

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

Effects of Elevated Blood Sugar

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

Short-term effects of elevated blood sugar:

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

Long-term effects of elevated blood sugar:

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

Can Diabetics Drink Alcohol?

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

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

Five Ways To Maintain Balanced Blood Sugar

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

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

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

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

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

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


The Takeaways


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

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

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

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

The Role of Insulin and Glucose

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

The Impact of Alcohol

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

Effects of Elevated Blood Sugar

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

Short-term effects of elevated blood sugar:

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

Long-term effects of elevated blood sugar:

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

Can Diabetics Drink Alcohol?

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

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

Five Ways To Maintain Balanced Blood Sugar

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

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

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

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

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

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


The Takeaways


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

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