
Unveil the hidden dangers of consuming alcohol on an empty stomach, and learn effective strategies for responsible drinking in our new blog article.
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!
We've just clocked out after a strenuous workday, and our friends invite us for an impromptu catch-up over drinks. However, in the rush, we forget one crucial detail: we haven't had anything to eat since lunchtime. Amid the laughter, chatter, and clinking of glasses, we find that the alcohol hits us surprisingly quickly, and our evening of camaraderie soon takes a vertiginous turn.
Drinking on an empty stomach can lead to consequences that are far from enjoyable. Let’s discuss a few of them.
To understand the risks associated with drinking alcohol on an empty stomach, it's helpful to start with the alcohol absorption process. When we drink, alcohol is primarily absorbed into the bloodstream through the stomach and small intestine. If our stomach is empty when we start drinking, the alcohol doesn't have to compete with other food for absorption. It quickly finds its way into the bloodstream, leading to a rapid spike in blood alcohol concentration (BAC). This speedy absorption can lead to an intense and sudden feeling of intoxication, potentially paving the way for dizziness, nausea, vomiting, or even alcohol poisoning in extreme cases.
The swift and pronounced increase in BAC also impacts our cognitive functioning. This comes down to alcohol’s effects on the frontal lobe, responsible for decision-making, judgment, and self-control. Alcohol can impair the functioning of the frontal lobe, leading to poor judgment, lowered inhibitions, and risky behavior.
When we drink on an empty stomach and our BAC rises rapidly, these cognitive effects become more pronounced. We might find ourselves making decisions that we would usually avoid, leading to potential harm or embarrassment. This cognitive clouding is a serious concern, as it not only affects our immediate safety but also has longer-term consequences for our well-being.
Another aspect of drinking on an empty stomach that deserves attention is its impact on our digestive system. Alcohol can irritate and inflame the stomach lining, a condition known as gastritis. Symptoms of gastritis include stomach pain, nausea, vomiting, and, in severe cases, bleeding.
When we drink on an empty stomach, our vulnerable stomach lining is directly exposed to alcohol (with no buffer of food), making it susceptible to irritation and inflammation. This can exacerbate the discomfort and potential harm caused by gastritis, turning our enjoyable drinking session into a gut-grief experience.
Alcohol is primarily metabolized in the liver. One substances needed for this process is glucose, our body's primary energy source. When we consume alcohol, especially on an empty stomach, the liver's resources are directed towards alcohol metabolism, potentially leading to a drop in blood glucose levels.
This condition, known as hypoglycemia, can manifest as weakness, shakiness, confusion, and in severe cases, seizures. For those with underlying health conditions like diabetes, hypoglycemia can have even more serious consequences. This is how drinking alcohol on an empty stomach not only intensifies the effects of alcohol — it also impacts our body's overall energy balance.

So, having understood the risks associated with drinking on an empty stomach, how can we ensure we enjoy our beverages responsibly? One simple, effective strategy is to make sure we eat before we drink. Having food in the stomach slows down alcohol absorption, helping us stay in control and reducing the risk of negative side effects.
Eating nutrient-dense foods, particularly those rich in protein and healthy fats, can be especially beneficial as they take longer to digest. Additionally, sipping water alongside our alcoholic beverages can help us stay hydrated, further reducing the potential harm. Finally, we should also be mindful of how much we drink, as too much alcohol, even consumed alongside food, is detrimental to our health.
Remember, mindful drinking isn't about taking the fun out of our social gatherings; it's about making sure we enjoy these moments while prioritizing our health and well-being.
While the invite for an impromptu catch-up over drinks can be tempting, it's essential to remember the potential consequences of drinking on an empty stomach. The adverse effects that can result from this practice highlight the importance of mindful and responsible drinking. By making sure we eat before we drink and staying hydrated, we can continue to occasionally enjoy our favorite beverages while keeping the vertigo, upset stomach, and confusion at bay. After all, understanding what happens in our bodies is the first step to navigating the complex world of alcohol consumption safely and mindfully.
We've just clocked out after a strenuous workday, and our friends invite us for an impromptu catch-up over drinks. However, in the rush, we forget one crucial detail: we haven't had anything to eat since lunchtime. Amid the laughter, chatter, and clinking of glasses, we find that the alcohol hits us surprisingly quickly, and our evening of camaraderie soon takes a vertiginous turn.
Drinking on an empty stomach can lead to consequences that are far from enjoyable. Let’s discuss a few of them.
To understand the risks associated with drinking alcohol on an empty stomach, it's helpful to start with the alcohol absorption process. When we drink, alcohol is primarily absorbed into the bloodstream through the stomach and small intestine. If our stomach is empty when we start drinking, the alcohol doesn't have to compete with other food for absorption. It quickly finds its way into the bloodstream, leading to a rapid spike in blood alcohol concentration (BAC). This speedy absorption can lead to an intense and sudden feeling of intoxication, potentially paving the way for dizziness, nausea, vomiting, or even alcohol poisoning in extreme cases.
The swift and pronounced increase in BAC also impacts our cognitive functioning. This comes down to alcohol’s effects on the frontal lobe, responsible for decision-making, judgment, and self-control. Alcohol can impair the functioning of the frontal lobe, leading to poor judgment, lowered inhibitions, and risky behavior.
When we drink on an empty stomach and our BAC rises rapidly, these cognitive effects become more pronounced. We might find ourselves making decisions that we would usually avoid, leading to potential harm or embarrassment. This cognitive clouding is a serious concern, as it not only affects our immediate safety but also has longer-term consequences for our well-being.
Another aspect of drinking on an empty stomach that deserves attention is its impact on our digestive system. Alcohol can irritate and inflame the stomach lining, a condition known as gastritis. Symptoms of gastritis include stomach pain, nausea, vomiting, and, in severe cases, bleeding.
When we drink on an empty stomach, our vulnerable stomach lining is directly exposed to alcohol (with no buffer of food), making it susceptible to irritation and inflammation. This can exacerbate the discomfort and potential harm caused by gastritis, turning our enjoyable drinking session into a gut-grief experience.
Alcohol is primarily metabolized in the liver. One substances needed for this process is glucose, our body's primary energy source. When we consume alcohol, especially on an empty stomach, the liver's resources are directed towards alcohol metabolism, potentially leading to a drop in blood glucose levels.
This condition, known as hypoglycemia, can manifest as weakness, shakiness, confusion, and in severe cases, seizures. For those with underlying health conditions like diabetes, hypoglycemia can have even more serious consequences. This is how drinking alcohol on an empty stomach not only intensifies the effects of alcohol — it also impacts our body's overall energy balance.

So, having understood the risks associated with drinking on an empty stomach, how can we ensure we enjoy our beverages responsibly? One simple, effective strategy is to make sure we eat before we drink. Having food in the stomach slows down alcohol absorption, helping us stay in control and reducing the risk of negative side effects.
Eating nutrient-dense foods, particularly those rich in protein and healthy fats, can be especially beneficial as they take longer to digest. Additionally, sipping water alongside our alcoholic beverages can help us stay hydrated, further reducing the potential harm. Finally, we should also be mindful of how much we drink, as too much alcohol, even consumed alongside food, is detrimental to our health.
Remember, mindful drinking isn't about taking the fun out of our social gatherings; it's about making sure we enjoy these moments while prioritizing our health and well-being.
While the invite for an impromptu catch-up over drinks can be tempting, it's essential to remember the potential consequences of drinking on an empty stomach. The adverse effects that can result from this practice highlight the importance of mindful and responsible drinking. By making sure we eat before we drink and staying hydrated, we can continue to occasionally enjoy our favorite beverages while keeping the vertigo, upset stomach, and confusion at bay. After all, understanding what happens in our bodies is the first step to navigating the complex world of alcohol consumption safely and mindfully.

Unravel the mystery of alcohol testing — from EtG tests to breathalyzers, blood, and urine tests. Stay safe with mindful drinking.
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 Friday night! We’re out with our friends, laughing over our drinks and feeling nothing but relief that the work week is over. All we’re thinking about is our friends’ stories and the relaxing weekend that just started. We’re definitely not considering how much we’re drinking or just how intoxicated we might be.
But alcohol’s potential for misuse — and the implications and ramifications of that misuse — can’t be ignored. That's where alcohol testing comes into play. It offers an objective way to assess a person's level of intoxication, helping maintain safety and accountability.
How is BAC determined? And how long can a breathalyzer detect alcohol? In this post, we'll delve into the science behind four common types of alcohol testing: EtG tests, Breathalyzers (breath alcohol tests), blood tests, and urine tests, which are tools for how BAC is determined. We'll also look at how we can prevent the dangers of alcohol overconsumption.

Ethyl glucuronide (EtG) testing, a relatively new member of the alcohol testing family, is a direct biomarker of alcohol. As we metabolize alcohol, our bodies produce several by-products, including EtG. Unlike many other markers, EtG can be detected in our system for up to 80 hours after alcohol consumption, providing a broad window for detection.
EtG tests are especially valuable in situations where monitoring alcohol abstinence over extended periods is critical. This includes treatment programs, probation settings, and other legal cases where proof of sobriety is mandated. However, while the tests offer this extended window, they’re not without their limitations. Factors such as the individual's metabolism rate, the amount and type of alcohol consumed, and even the use of certain medications can impact the detectability of EtG.
Breathalyzer tests, or breath alcohol tests, are probably the first thing that comes to mind when we think of alcohol testing, primarily due to their widespread use in law enforcement. These devices work because of the direct correlation between the amount of alcohol in our breath and in our blood. When we drink, alcohol enters our bloodstream, travels through our lungs, and gets expelled in our breath. Breathalyzers capture this breath alcohol and convert it into an equivalent blood alcohol concentration (BAC).
Breathalyzer tests are convenient: portable, almost instantaneous, and non-invasive. However, several factors can influence the accuracy of a breathalyzer reading. Temperature, breathing patterns, and even certain medical conditions can sway the readings. Regular calibration of these devices is essential to maintain their accuracy. And how long can a breathalyzer detect alcohol? About 24 hours.

When precision is paramount, blood tests are the way to go. Blood tests are the most accurate method for determining a person's BAC, as they directly measure the amount of alcohol present in the bloodstream. In medical settings or severe legal cases where absolute accuracy is essential, blood tests are often the method of choice.
However, this accuracy comes with its share of challenges. Blood tests are more invasive, requiring a trained professional to draw blood. They also need laboratory processing, lengthening the time before results are available. Moreover, these tests can be considerably more expensive than other testing methods. It's worth noting that the detection window for alcohol in a blood test is shorter than the EtG test, typically up to 12 hours after the last drink, depending on the quantity consumed and individual metabolism rates.
Last but not least, we come to urine tests, a frequent choice for alcohol testing in workplaces, rehabilitation centers, and home settings. These tests are popular because they’re cost-effective, easy to administer, and non-invasive. Urine tests measure the presence of alcohol metabolites, namely ethyl sulfate (EtS) and ethyl glucuronide (EtG), in the urine. The presence of these metabolites suggests alcohol consumption up to 3-4 days prior.
However, as with other tests, urine tests come with caveats. Hydration levels can significantly impact the test results, leading to potential dilution of alcohol metabolites. Furthermore, certain medical conditions and medications can interfere with the results, leading to false positives or negatives.
Alcohol misuse is a common problem, but we can take proactive steps to take charge of our drinking habits (and overall health):
Drinking alcohol is often tied to celebration, socialization, and relaxation. By understanding the physiology of alcohol in our bodies and the tests used to measure it, we can make more informed decisions about our consumption.
While alcohol testing continues to evolve, the most vital tool in navigating the often intricate world of alcohol is knowledge. Let’s toast to increased awareness, understanding, and accountability in our relationship with alcohol.
It’s Friday night! We’re out with our friends, laughing over our drinks and feeling nothing but relief that the work week is over. All we’re thinking about is our friends’ stories and the relaxing weekend that just started. We’re definitely not considering how much we’re drinking or just how intoxicated we might be.
But alcohol’s potential for misuse — and the implications and ramifications of that misuse — can’t be ignored. That's where alcohol testing comes into play. It offers an objective way to assess a person's level of intoxication, helping maintain safety and accountability.
How is BAC determined? And how long can a breathalyzer detect alcohol? In this post, we'll delve into the science behind four common types of alcohol testing: EtG tests, Breathalyzers (breath alcohol tests), blood tests, and urine tests, which are tools for how BAC is determined. We'll also look at how we can prevent the dangers of alcohol overconsumption.

Ethyl glucuronide (EtG) testing, a relatively new member of the alcohol testing family, is a direct biomarker of alcohol. As we metabolize alcohol, our bodies produce several by-products, including EtG. Unlike many other markers, EtG can be detected in our system for up to 80 hours after alcohol consumption, providing a broad window for detection.
EtG tests are especially valuable in situations where monitoring alcohol abstinence over extended periods is critical. This includes treatment programs, probation settings, and other legal cases where proof of sobriety is mandated. However, while the tests offer this extended window, they’re not without their limitations. Factors such as the individual's metabolism rate, the amount and type of alcohol consumed, and even the use of certain medications can impact the detectability of EtG.
Breathalyzer tests, or breath alcohol tests, are probably the first thing that comes to mind when we think of alcohol testing, primarily due to their widespread use in law enforcement. These devices work because of the direct correlation between the amount of alcohol in our breath and in our blood. When we drink, alcohol enters our bloodstream, travels through our lungs, and gets expelled in our breath. Breathalyzers capture this breath alcohol and convert it into an equivalent blood alcohol concentration (BAC).
Breathalyzer tests are convenient: portable, almost instantaneous, and non-invasive. However, several factors can influence the accuracy of a breathalyzer reading. Temperature, breathing patterns, and even certain medical conditions can sway the readings. Regular calibration of these devices is essential to maintain their accuracy. And how long can a breathalyzer detect alcohol? About 24 hours.

When precision is paramount, blood tests are the way to go. Blood tests are the most accurate method for determining a person's BAC, as they directly measure the amount of alcohol present in the bloodstream. In medical settings or severe legal cases where absolute accuracy is essential, blood tests are often the method of choice.
However, this accuracy comes with its share of challenges. Blood tests are more invasive, requiring a trained professional to draw blood. They also need laboratory processing, lengthening the time before results are available. Moreover, these tests can be considerably more expensive than other testing methods. It's worth noting that the detection window for alcohol in a blood test is shorter than the EtG test, typically up to 12 hours after the last drink, depending on the quantity consumed and individual metabolism rates.
Last but not least, we come to urine tests, a frequent choice for alcohol testing in workplaces, rehabilitation centers, and home settings. These tests are popular because they’re cost-effective, easy to administer, and non-invasive. Urine tests measure the presence of alcohol metabolites, namely ethyl sulfate (EtS) and ethyl glucuronide (EtG), in the urine. The presence of these metabolites suggests alcohol consumption up to 3-4 days prior.
However, as with other tests, urine tests come with caveats. Hydration levels can significantly impact the test results, leading to potential dilution of alcohol metabolites. Furthermore, certain medical conditions and medications can interfere with the results, leading to false positives or negatives.
Alcohol misuse is a common problem, but we can take proactive steps to take charge of our drinking habits (and overall health):
Drinking alcohol is often tied to celebration, socialization, and relaxation. By understanding the physiology of alcohol in our bodies and the tests used to measure it, we can make more informed decisions about our consumption.
While alcohol testing continues to evolve, the most vital tool in navigating the often intricate world of alcohol is knowledge. Let’s toast to increased awareness, understanding, and accountability in our relationship with alcohol.

People with schizophrenia are three times more likely to engage in heavy alcohol use compared with the general population. Why? This post takes a deep dive into the connection between alcohol and schizophrenia.
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!
Schizophrenia is a serious mental condition that affects 24 million people worldwide, making it one of the top 25 causes of disability around the world.
Living with schizophrenia can be incredibly distressing. It can cause a number of challenges, such as difficulty going to school or work, keeping a schedule, socializing, completing daily tasks, and generally taking care of oneself.
Furthermore, people with schizophrenia are significantly more vulnerable to substance abuse. One study showed that 47% of people with schizophrenia have problems with drugs or alcohol, compared with 16% of people without the condition.
Other research indicates that people with schizophrenia are three times more likely than the general population to engage in heavy alcohol use. This is particularly problematic, since combining alcohol and schizophrenia can cause even greater mental and physical health issues. Can alcohol cause psychosis? Can alcohol cause schizophrenia? And does alcohol make schizophrenia worse? Let’s take a closer look at alcohol, schizophrenia, and the relationship between the two.

Schizophrenia is a chronic brain disorder that affects how someone thinks, feels, and behaves. It is usually characterized by experiencing delusions (false beliefs), hallucinations (seeing or hearing things that don’t exist), unusual physical behaviors, and disorganized thinking and speech.
It’s also common for people with schizophrenia to have paranoid thoughts or hear voices. For instance, they might believe that someone is controlling their mind or going to cause them harm. These psychotic episodes can be incredibly frightening, confusing, and isolating.
While experts don’t have a full understanding of what causes schizophrenia, it is believed that genetic makeup and brain chemistry play a large role. The condition affects slightly more men than women, who often get diagnosed later in life than men. Men tend to experience symptoms in their late teens and early 20s and women in their mid-20s to early 30s. In general, clinical signs of schizophrenia are often less severe for women.
Does alcohol make schizophrenia worse? Generally speaking, alcohol negatively affects the way our brain works and processes information, which is why it’s not smart to drink with any mental health disorder, including schizophrenia. But combining alcohol with schizophrenia is particularly dangerous, as it can worsen symptoms and lead to severe complications.
If we already have schizophrenia and are misusing alcohol, our symptoms will likely worsen.
Furthermore, people who have schizophrenia and alcohol-use disorder are at a greater risk for other medical and social complications, such as depression, suicide, homelessness, noncompliance (not following treatment), aggression, violence, incarceration, and hospitalization.
Studies also indicate that alcohol use with schizophrenia not only leads to an increase in physical aggression, but it also leads to an even greater increase in physical aggression victimization, especially for women.
When it's misused over a long period of time, alcohol has the potential to cause psychosis, similar to what many people with schizophrenia experience. Known as alcohol-induced psychosis, it causes symptoms that mimic or overlap with symptoms of schizophrenia, such as hallucinations, delusions, and disorganized thought and behavior. (We should note this isn’t exactly the same as alcohol-induced schizophrenia, which we’ll discuss next).

While alcohol-use disorder doesn’t cause schizophrenia, research indicates that having one of these disorders increases our likelihood of being diagnosed with the other. For instance, one study noted that people experiencing schizophrenia reported substance use between 30 and 70 percent of the time, and nearly 1 in 5 reported alcohol misuse.
Similarly, researchers have suggested that alcohol use in adolescence is a predictor of having both a mental health disorder and substance use disorder later in life.
While some people assume that people with schizophrenia self-medicate with alcohol to treat their symptoms — and therefore develop a dependency — research hasn’t necessarily supported this idea, as many people misuse alcohol before getting schizophrenia. For instance, one study found that 36% of participants reported having alcohol use disorder before their first episode of psychosis.
One theory suggests that schizophrenia impairs the reward and motivation circuits in our brain, which is similar to the impairment caused by alcohol-use disorder. Furthermore, alcohol-use disorder may also have a genetic component: studies have found a significant overlap between the genes related to alcohol-use disorder and those related to schizophrenia.
People with schizophrenia who drink heavily might end up homeless, isolated, hospitalized, incarcerated, or facing legal problems. They tend to have worse health outcomes and repeated relapses because they may not stick with a treatment plan.
For those with schizophrenia and alcohol-use disorder, treatment typically includes long-term antipsychotic medication, psychosocial interventions, and medication for alcohol dependence. It’s vital that both of these conditions are treated simultaneously since they often happen together.
Recent research indicates that the newer class of antipsychotic drugs — called “atypical” or “second-generation” antipsychotics — work better for people with schizophrenia and alcohol dependence than the older “first generation” drugs. In fact, some studies indicate that first-generation antipsychotics may even increase alcohol use and craving in people with schizophrenia and alcohol-use disorder.
One study supports the use of clozapine, an atypical antipsychotic, for people with both schizophrenia and alcohol-use disorder. Results showed that a larger proportion of people treated with clozapine achieved remission from alcohol-use dependence compared with those taking another antipsychotic drug. Participants also had lower relapse rates a year later.
Another study found that participants with alcohol-used disorder and schizophrenia who were treated with naltrexone (a medication used to treat alcohol-use disorder) reported far fewer drinking days, fewer heavy drinking days, and fewer cravings compared with the placebo group.
If we or a loved one has schizophrenia and alcohol-use disorder, it’s vital to contact a medical professional, who can help develop an individualized treatment plan. Keep in mind that the sooner we get treatment and stick with it, the better our chances of managing our condition and getting better.
Finally, if you find yourself struggling to control your alcohol intake, Reframe can help. We’ve helped millions of people cut back on their alcohol consumption and become physically, mentally, and emotionally healthier in the process.
Schizophrenia is a serious mental condition that affects 24 million people worldwide, making it one of the top 25 causes of disability around the world.
Living with schizophrenia can be incredibly distressing. It can cause a number of challenges, such as difficulty going to school or work, keeping a schedule, socializing, completing daily tasks, and generally taking care of oneself.
Furthermore, people with schizophrenia are significantly more vulnerable to substance abuse. One study showed that 47% of people with schizophrenia have problems with drugs or alcohol, compared with 16% of people without the condition.
Other research indicates that people with schizophrenia are three times more likely than the general population to engage in heavy alcohol use. This is particularly problematic, since combining alcohol and schizophrenia can cause even greater mental and physical health issues. Can alcohol cause psychosis? Can alcohol cause schizophrenia? And does alcohol make schizophrenia worse? Let’s take a closer look at alcohol, schizophrenia, and the relationship between the two.

Schizophrenia is a chronic brain disorder that affects how someone thinks, feels, and behaves. It is usually characterized by experiencing delusions (false beliefs), hallucinations (seeing or hearing things that don’t exist), unusual physical behaviors, and disorganized thinking and speech.
It’s also common for people with schizophrenia to have paranoid thoughts or hear voices. For instance, they might believe that someone is controlling their mind or going to cause them harm. These psychotic episodes can be incredibly frightening, confusing, and isolating.
While experts don’t have a full understanding of what causes schizophrenia, it is believed that genetic makeup and brain chemistry play a large role. The condition affects slightly more men than women, who often get diagnosed later in life than men. Men tend to experience symptoms in their late teens and early 20s and women in their mid-20s to early 30s. In general, clinical signs of schizophrenia are often less severe for women.
Does alcohol make schizophrenia worse? Generally speaking, alcohol negatively affects the way our brain works and processes information, which is why it’s not smart to drink with any mental health disorder, including schizophrenia. But combining alcohol with schizophrenia is particularly dangerous, as it can worsen symptoms and lead to severe complications.
If we already have schizophrenia and are misusing alcohol, our symptoms will likely worsen.
Furthermore, people who have schizophrenia and alcohol-use disorder are at a greater risk for other medical and social complications, such as depression, suicide, homelessness, noncompliance (not following treatment), aggression, violence, incarceration, and hospitalization.
Studies also indicate that alcohol use with schizophrenia not only leads to an increase in physical aggression, but it also leads to an even greater increase in physical aggression victimization, especially for women.
When it's misused over a long period of time, alcohol has the potential to cause psychosis, similar to what many people with schizophrenia experience. Known as alcohol-induced psychosis, it causes symptoms that mimic or overlap with symptoms of schizophrenia, such as hallucinations, delusions, and disorganized thought and behavior. (We should note this isn’t exactly the same as alcohol-induced schizophrenia, which we’ll discuss next).

While alcohol-use disorder doesn’t cause schizophrenia, research indicates that having one of these disorders increases our likelihood of being diagnosed with the other. For instance, one study noted that people experiencing schizophrenia reported substance use between 30 and 70 percent of the time, and nearly 1 in 5 reported alcohol misuse.
Similarly, researchers have suggested that alcohol use in adolescence is a predictor of having both a mental health disorder and substance use disorder later in life.
While some people assume that people with schizophrenia self-medicate with alcohol to treat their symptoms — and therefore develop a dependency — research hasn’t necessarily supported this idea, as many people misuse alcohol before getting schizophrenia. For instance, one study found that 36% of participants reported having alcohol use disorder before their first episode of psychosis.
One theory suggests that schizophrenia impairs the reward and motivation circuits in our brain, which is similar to the impairment caused by alcohol-use disorder. Furthermore, alcohol-use disorder may also have a genetic component: studies have found a significant overlap between the genes related to alcohol-use disorder and those related to schizophrenia.
People with schizophrenia who drink heavily might end up homeless, isolated, hospitalized, incarcerated, or facing legal problems. They tend to have worse health outcomes and repeated relapses because they may not stick with a treatment plan.
For those with schizophrenia and alcohol-use disorder, treatment typically includes long-term antipsychotic medication, psychosocial interventions, and medication for alcohol dependence. It’s vital that both of these conditions are treated simultaneously since they often happen together.
Recent research indicates that the newer class of antipsychotic drugs — called “atypical” or “second-generation” antipsychotics — work better for people with schizophrenia and alcohol dependence than the older “first generation” drugs. In fact, some studies indicate that first-generation antipsychotics may even increase alcohol use and craving in people with schizophrenia and alcohol-use disorder.
One study supports the use of clozapine, an atypical antipsychotic, for people with both schizophrenia and alcohol-use disorder. Results showed that a larger proportion of people treated with clozapine achieved remission from alcohol-use dependence compared with those taking another antipsychotic drug. Participants also had lower relapse rates a year later.
Another study found that participants with alcohol-used disorder and schizophrenia who were treated with naltrexone (a medication used to treat alcohol-use disorder) reported far fewer drinking days, fewer heavy drinking days, and fewer cravings compared with the placebo group.
If we or a loved one has schizophrenia and alcohol-use disorder, it’s vital to contact a medical professional, who can help develop an individualized treatment plan. Keep in mind that the sooner we get treatment and stick with it, the better our chances of managing our condition and getting better.
Finally, if you find yourself struggling to control your alcohol intake, Reframe can help. We’ve helped millions of people cut back on their alcohol consumption and become physically, mentally, and emotionally healthier in the process.

Our thyroid is a small gland that plays a major role in many bodily functions. Find out how alcohol suppresses the production of important thyroid hormones, preventing it from working efficiently.
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!
A small gland in the front of our neck straddles our windpipe. It’s shaped like a butterfly — smaller in the middle with two wide wings that extend around the side of our throat. You can feel it when you press your finger to the front of your neck.
This is our thyroid gland, and it plays a major role in many bodily functions. Drinking alcohol can negatively affect our thyroid gland and prevent it from functioning efficiently. Let’s take a closer look!
Our thyroid gland is part of our endocrine system, which is responsible for producing and releasing certain hormones that help control many of our body’s important functions.
Our thyroid’s main job is to control the speed of our metabolism, aka our metabolic rate. This is the process of how our body transforms the foods we consume into energy. Since all the cells in our body need energy to function, if our thyroid isn’t working properly, it can impact our entire body.
In addition to regulating our metabolism, our thyroid also affects our heart rate, breathing, digestion, body temperature, brain development, mental activity, skin and bone maintenance, and fertility. It does this through the production and release of hormones:

So, does alcohol affect thyroid and if so, how? Studies have found that alcohol negatively affects our thyroid by suppressing or lowering levels of both T3 and T4 hormones. This can cause decreased thyroid gland volume.
To make thyroid hormones, our thyroid gland needs iodine — an element found in food and water. Our thyroid gland essentially traps iodine and transforms it into thyroid hormones. If we have too little or too much iodine in our body, it can affect the level of hormones that our thyroid makes and releases. Research shows that alcohol interferes with our body’s ability to absorb iodine, making it more difficult for our body to produce thyroid hormones.
Furthermore, as noted above, the thyroid hormone T4 can only be used by our body once it has been turned into T3 — a process that relies on the muscles, kidney, and liver. For our thyroid gland to do its job well, the muscles, kidney and liver must be functioning correctly. Since alcohol damages our liver, the process in which T4 is turned into T3 can be significantly reduced.
Sometimes, people develop what is known as an autoimmune thyroid disease: our body attacks healthy thyroid cells. This can lead to hypothyroidism (an underactive thyroid) or hyperthyroidism (an overactive thyroid).
Interestingly, multiple studies have shown that moderate alcohol consumption may reduce the chance of developing these autoimmune conditions in men and women below the age of 60. For instance, the study involving people with hypothyroidism found that consuming modest to medium amounts of alcohol provided protection, but those who had a higher consumption of alcohol didn’t show the same level of protection.
Another study similarly concluded that consuming a small amount of alcohol weekly may reduce the development of Graves’ disease — the most common cause of hyperthyroidism.
Interestingly, studies have also shown that alcohol intake is significantly associated with a decreased risk of thyroid cancer. Research suggests this finding could be due to the fact that alcohol could prevent the growth or rapid production of thyroid-stimulating hormone hormone on the thyroid follicle and reduce the risk of cancer.
It’s worth noting, however, that these studies are not focused on causation, but association. Alcohol can be incredibly detrimental to our overall short- and long-term health, so we should always consult a doctor on how to treat a thyroid condition.
Graves disease is an autoimmune disorder that involves hyperthyroidism, or overactivity of the thyroid. It's the most common cause of hyperthyroidism and is characterized by bulging eyes (exophthalmos), heat intolerance, increased energy, difficulty sleeping, diarrhea, and anxiety.
Interestingly, one study found that consuming a small amount of alcohol weekly — equivalent to one glass of wine or bottle of beer — may reduce the development of Graves disease. However, this shouldn’t be used to justify alcohol consumption. It’s best to talk to a doctor about the healthiest ways to manage the health of our thyroid.
If we have hyperthyroidism or hypothyroidism, a doctor will usually prescribe a medication to treat the condition. For instance, the primary medication used to treat hypothyroidism is levothyroxine sodium, a synthetic version of thyroxine (T4), the thyroid hormone our body produces naturally. For hyperthyroidism, doctors may prescribe medications called thioamides — such as carbimazole and propylthiouracil — which stop our thyroid from producing excess hormones.
So can you mix alcohol and levothyroxine, or alcohol and thioamides? The simple answer is yes. Alcohol doesn’t interfere with how these medications work, so technically we can drink while taking them. However, alcohol may worsen some of our symptoms or create side effects such as headaches, flushing, dizziness, or sweating. If we experience a worsening of our condition or symptoms, we should stop drinking and consult a medical professional.
While the cause of thyroid disorders is largely unknown, evidence points to certain foods aiding our thyroid function. Foods rich in iodine, selenium, and zinc are particularly beneficial, as they help promote thyroid function. Here are foods to incorporate in our diet from each of these categories:
Alcohol can negatively impact our thyroid — vital for many bodily functions! — by suppressing or lowering levels of important thyroid hormones. While some evidence suggests that moderate amounts of alcohol can reduce our chance of developing autoimmune thyroid diseases and thyroid cancer, we shouldn’t use this as a reason to drink alcohol, given the toll it can take on our physical and mental health.
If you’re looking to experience greater health and wellness, Reframe can help. We’ve helped millions of people cut back on their alcohol consumption and start thriving in the process.
A small gland in the front of our neck straddles our windpipe. It’s shaped like a butterfly — smaller in the middle with two wide wings that extend around the side of our throat. You can feel it when you press your finger to the front of your neck.
This is our thyroid gland, and it plays a major role in many bodily functions. Drinking alcohol can negatively affect our thyroid gland and prevent it from functioning efficiently. Let’s take a closer look!
Our thyroid gland is part of our endocrine system, which is responsible for producing and releasing certain hormones that help control many of our body’s important functions.
Our thyroid’s main job is to control the speed of our metabolism, aka our metabolic rate. This is the process of how our body transforms the foods we consume into energy. Since all the cells in our body need energy to function, if our thyroid isn’t working properly, it can impact our entire body.
In addition to regulating our metabolism, our thyroid also affects our heart rate, breathing, digestion, body temperature, brain development, mental activity, skin and bone maintenance, and fertility. It does this through the production and release of hormones:

So, does alcohol affect thyroid and if so, how? Studies have found that alcohol negatively affects our thyroid by suppressing or lowering levels of both T3 and T4 hormones. This can cause decreased thyroid gland volume.
To make thyroid hormones, our thyroid gland needs iodine — an element found in food and water. Our thyroid gland essentially traps iodine and transforms it into thyroid hormones. If we have too little or too much iodine in our body, it can affect the level of hormones that our thyroid makes and releases. Research shows that alcohol interferes with our body’s ability to absorb iodine, making it more difficult for our body to produce thyroid hormones.
Furthermore, as noted above, the thyroid hormone T4 can only be used by our body once it has been turned into T3 — a process that relies on the muscles, kidney, and liver. For our thyroid gland to do its job well, the muscles, kidney and liver must be functioning correctly. Since alcohol damages our liver, the process in which T4 is turned into T3 can be significantly reduced.
Sometimes, people develop what is known as an autoimmune thyroid disease: our body attacks healthy thyroid cells. This can lead to hypothyroidism (an underactive thyroid) or hyperthyroidism (an overactive thyroid).
Interestingly, multiple studies have shown that moderate alcohol consumption may reduce the chance of developing these autoimmune conditions in men and women below the age of 60. For instance, the study involving people with hypothyroidism found that consuming modest to medium amounts of alcohol provided protection, but those who had a higher consumption of alcohol didn’t show the same level of protection.
Another study similarly concluded that consuming a small amount of alcohol weekly may reduce the development of Graves’ disease — the most common cause of hyperthyroidism.
Interestingly, studies have also shown that alcohol intake is significantly associated with a decreased risk of thyroid cancer. Research suggests this finding could be due to the fact that alcohol could prevent the growth or rapid production of thyroid-stimulating hormone hormone on the thyroid follicle and reduce the risk of cancer.
It’s worth noting, however, that these studies are not focused on causation, but association. Alcohol can be incredibly detrimental to our overall short- and long-term health, so we should always consult a doctor on how to treat a thyroid condition.
Graves disease is an autoimmune disorder that involves hyperthyroidism, or overactivity of the thyroid. It's the most common cause of hyperthyroidism and is characterized by bulging eyes (exophthalmos), heat intolerance, increased energy, difficulty sleeping, diarrhea, and anxiety.
Interestingly, one study found that consuming a small amount of alcohol weekly — equivalent to one glass of wine or bottle of beer — may reduce the development of Graves disease. However, this shouldn’t be used to justify alcohol consumption. It’s best to talk to a doctor about the healthiest ways to manage the health of our thyroid.
If we have hyperthyroidism or hypothyroidism, a doctor will usually prescribe a medication to treat the condition. For instance, the primary medication used to treat hypothyroidism is levothyroxine sodium, a synthetic version of thyroxine (T4), the thyroid hormone our body produces naturally. For hyperthyroidism, doctors may prescribe medications called thioamides — such as carbimazole and propylthiouracil — which stop our thyroid from producing excess hormones.
So can you mix alcohol and levothyroxine, or alcohol and thioamides? The simple answer is yes. Alcohol doesn’t interfere with how these medications work, so technically we can drink while taking them. However, alcohol may worsen some of our symptoms or create side effects such as headaches, flushing, dizziness, or sweating. If we experience a worsening of our condition or symptoms, we should stop drinking and consult a medical professional.
While the cause of thyroid disorders is largely unknown, evidence points to certain foods aiding our thyroid function. Foods rich in iodine, selenium, and zinc are particularly beneficial, as they help promote thyroid function. Here are foods to incorporate in our diet from each of these categories:
Alcohol can negatively impact our thyroid — vital for many bodily functions! — by suppressing or lowering levels of important thyroid hormones. While some evidence suggests that moderate amounts of alcohol can reduce our chance of developing autoimmune thyroid diseases and thyroid cancer, we shouldn’t use this as a reason to drink alcohol, given the toll it can take on our physical and mental health.
If you’re looking to experience greater health and wellness, Reframe can help. We’ve helped millions of people cut back on their alcohol consumption and start thriving in the process.

Uncover the intriguing link between alcohol and sore throats and learn some helpful strategies to soothe the discomfort in our new blog post.
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, tiring week, and we're celebrating the arrival of the weekend with our friends. The atmosphere is vibrant, punctuated by hearty laughter, spirited conversation, and glasses of our favorite alcoholic beverages. It's a beautiful time, a moment of relaxation and enjoyment that many of us cherish. But come the next morning, along with the notorious hangover, we're often greeted by an uncomfortable sensation — a dry, scratchy, sore throat. Could our beloved beverages be the cause? Unfortunately, the answer is yes.

One primary reason behind our post-drinking sore throat is the dehydrating effect of alcohol, which acts as a potent diuretic. It increases the production of urine, a process that can result in the body losing more fluid than it's taking in, leading to dehydration. Dehydration affects various bodily systems, and our throat is no exception.
Our throat is lined with mucus, a slimy substance that serves many protective functions. It lubricates the throat, helping us swallow our food with ease. It also traps dust and microbes, preventing them from entering our respiratory system. When we're dehydrated, our body lacks the fluid necessary to produce this protective layer of mucus. The consequence? A dry, irritated throat that feels scratchy and sore. That delightful alcoholic drink might be setting the stage for the not-so-delightful scratchy sensation we experience the next day.
The next piece of the puzzle is the impact of alcohol on our digestive system, particularly a condition known as acid reflux. Our stomach is a highly acidic environment — it has to be, to digest our food. This acidity is usually confined to the stomach, thanks to a band of muscle called the lower esophageal sphincter (LES). The LES acts like a trap door, allowing food to enter the stomach while preventing stomach acid from flowing back into the esophagus.
Alcohol can interfere with this finely-tuned system. It relaxes the LES, reducing its ability to prevent the backflow of stomach acid. When we drink alcohol, we might be paving the way for acid reflux: stomach acid travels back up into the esophagus, causing a burning sensation commonly known as heartburn. But the repercussions don't end there. If this acidic content reaches our throat, it can cause inflammation and damage to the throat lining. The result? A painful, sore throat that can last for hours or even days after drinking.

Another fascinating aspect of alcohol's effect on our body is its influence on our immune system. We usually associate alcohol with relaxation and enjoyment, rarely considering its impacts on our body's defense mechanisms. Unfortunately, alcohol can weaken our immune function, leaving us more vulnerable to infections.
This immune system disruption is particularly relevant when we consider the sore throat scenario. Alcohol, especially in excessive amounts, inhibits our immune system's ability to fend off infections. At the same time, alcohol alters the environment in our throat, potentially allowing bacteria to thrive. Consequently, we might find ourselves dealing with bacterial infections like strep throat, manifesting as a painful sore throat the morning after a drinking session. A boozy night out might inadvertently open the doors to unwelcome microbial guests in our throat.
Finally, it's important to consider that alcohol is an irritant. Whether it's a smooth glass of wine, a hoppy pint of beer, or a potent shot of spirits, when we consume alcoholic beverages, they inevitably come into direct contact with the lining of our throat.
This contact can cause irritation, leading to inflammation and a subsequent sore throat. The extent of this irritation can vary based on several factors, such as the alcohol content of the beverage and the presence of certain mixers, which might exacerbate the throat's inflammatory response.
Having unraveled the mystery of why our throats feel sore after drinking alcohol, let's shift our attention to possible remedies:
Our beloved social gatherings punctuated with alcoholic beverages can sometimes have unwelcome consequences, like a sore throat. However, understanding why this happens allows us to better manage, and even prevent, the discomfort. By drinking mindfully, we can continue to enjoy our social occasions — without the dreaded morning-after sore throat. So the next time we're raising our glasses together, let's do so intentionally, with a focus on our well-being.
Finally, here are some tips to keep that throat from getting sore.
With these tips, you’ll be feeling better in no time. After all, it’s hard to focus on enjoying life with a nagging pain in your throat — or anywhere else for that matter. And remember, with less alcohol in your life, it’s not just your throat that will be feeling its best — the rest of your body will, too!
It's the end of a long, tiring week, and we're celebrating the arrival of the weekend with our friends. The atmosphere is vibrant, punctuated by hearty laughter, spirited conversation, and glasses of our favorite alcoholic beverages. It's a beautiful time, a moment of relaxation and enjoyment that many of us cherish. But come the next morning, along with the notorious hangover, we're often greeted by an uncomfortable sensation — a dry, scratchy, sore throat. Could our beloved beverages be the cause? Unfortunately, the answer is yes.

One primary reason behind our post-drinking sore throat is the dehydrating effect of alcohol, which acts as a potent diuretic. It increases the production of urine, a process that can result in the body losing more fluid than it's taking in, leading to dehydration. Dehydration affects various bodily systems, and our throat is no exception.
Our throat is lined with mucus, a slimy substance that serves many protective functions. It lubricates the throat, helping us swallow our food with ease. It also traps dust and microbes, preventing them from entering our respiratory system. When we're dehydrated, our body lacks the fluid necessary to produce this protective layer of mucus. The consequence? A dry, irritated throat that feels scratchy and sore. That delightful alcoholic drink might be setting the stage for the not-so-delightful scratchy sensation we experience the next day.
The next piece of the puzzle is the impact of alcohol on our digestive system, particularly a condition known as acid reflux. Our stomach is a highly acidic environment — it has to be, to digest our food. This acidity is usually confined to the stomach, thanks to a band of muscle called the lower esophageal sphincter (LES). The LES acts like a trap door, allowing food to enter the stomach while preventing stomach acid from flowing back into the esophagus.
Alcohol can interfere with this finely-tuned system. It relaxes the LES, reducing its ability to prevent the backflow of stomach acid. When we drink alcohol, we might be paving the way for acid reflux: stomach acid travels back up into the esophagus, causing a burning sensation commonly known as heartburn. But the repercussions don't end there. If this acidic content reaches our throat, it can cause inflammation and damage to the throat lining. The result? A painful, sore throat that can last for hours or even days after drinking.

Another fascinating aspect of alcohol's effect on our body is its influence on our immune system. We usually associate alcohol with relaxation and enjoyment, rarely considering its impacts on our body's defense mechanisms. Unfortunately, alcohol can weaken our immune function, leaving us more vulnerable to infections.
This immune system disruption is particularly relevant when we consider the sore throat scenario. Alcohol, especially in excessive amounts, inhibits our immune system's ability to fend off infections. At the same time, alcohol alters the environment in our throat, potentially allowing bacteria to thrive. Consequently, we might find ourselves dealing with bacterial infections like strep throat, manifesting as a painful sore throat the morning after a drinking session. A boozy night out might inadvertently open the doors to unwelcome microbial guests in our throat.
Finally, it's important to consider that alcohol is an irritant. Whether it's a smooth glass of wine, a hoppy pint of beer, or a potent shot of spirits, when we consume alcoholic beverages, they inevitably come into direct contact with the lining of our throat.
This contact can cause irritation, leading to inflammation and a subsequent sore throat. The extent of this irritation can vary based on several factors, such as the alcohol content of the beverage and the presence of certain mixers, which might exacerbate the throat's inflammatory response.
Having unraveled the mystery of why our throats feel sore after drinking alcohol, let's shift our attention to possible remedies:
Our beloved social gatherings punctuated with alcoholic beverages can sometimes have unwelcome consequences, like a sore throat. However, understanding why this happens allows us to better manage, and even prevent, the discomfort. By drinking mindfully, we can continue to enjoy our social occasions — without the dreaded morning-after sore throat. So the next time we're raising our glasses together, let's do so intentionally, with a focus on our well-being.
Finally, here are some tips to keep that throat from getting sore.
With these tips, you’ll be feeling better in no time. After all, it’s hard to focus on enjoying life with a nagging pain in your throat — or anywhere else for that matter. And remember, with less alcohol in your life, it’s not just your throat that will be feeling its best — the rest of your body will, too!

Explore the effects of alcohol on blood sugar, risks of overconsumption, worst and best drinks for diabetics, and tips to drink responsibly.
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!
You’ve just arrived at a lively cocktail hour and quickly lose yourself in the uplifting conversations and lively music. Everyone has a drink in their hands, and your eyes dart to the shimmering glasses and bottles of alcohol at the bar. But a niggling worry sets in: what about your diabetes?
Consuming alcohol while trying to manage diabetes can often feel like treading through uncertain territory — what’s the type of alcohol with least sugar? How will certain drinks impact your blood sugar levels? What is the best alcohol for diabetics and, more specifically, what's the best beer for diabetes management? Should you even drink at all? Armed with the right knowledge and a toolbox of healthy choices, we can partake in the social fun of a toast without jeopardizing our health.

We first need to understand the complex relationship between alcohol and our blood sugar levels. When we consume alcohol, our liver momentarily abandons its role in blood sugar regulation to focus its resources on metabolizing the alcohol. This shift can trigger a potentially dangerous condition known as hypoglycemia, characterized by dangerously low blood sugar levels. Alcohol intoxication can closely mimic low blood sugar symptoms, including dizziness, confusion, and a sense of imbalance, thereby compounding the risks.
Commonly available medications like diphenhydramine (found in Benadryl) and cetirizine (an active ingredient in Zyrtec) work their magic by blocking the action of histamine, a substance that our body releases in response to allergens. However, introducing alcohol to this biochemical battlefield introduces an additional layer of complexity.
Alcohol, with its inherent sedative effects, can amplify the drowsiness often induced by antihistamines. This sleepiness can range from mild drowsiness to dangerous levels of sedation, impeding our cognitive and motor functions. This observation is supported by a study published in Biomedicine and Pharmacotherapy, which reported a significant decline in alertness and psychomotor performance in people who consumed alcohol while on antihistamines.
Alcohol consumption becomes increasingly complex when living with diabetes. Drinking to excess, especially when consuming sugar-laden beverages such as margaritas and dessert wines, can cause our blood sugar levels to soar to alarming heights and then plummet to unsafe lows. Drinking too much alcohol can also lead to excess weight gain and induce a steady climb in blood glucose levels over prolonged periods, further worsening symptoms and potentially leading to long-term complications such as vision issues, kidney disease, and nerve damage.

There are many questions that come up when it comes to navigating the alcohol scene with diabetes. Can diabetics drink whiskey? Can diabetics drink vodka? When living with diabetes, avoiding certain alcoholic beverages can significantly help stabilize blood sugar levels. Here are some drinks to steer clear of:
Type 2 diabetes is all about managing blood sugar levels. So what’s the best sugar-free alcohol for diabetics? While certain drinks pose a considerable challenge, others have a much gentler impact on our blood sugar levels:
Despite these options, it is critical to remember the golden rule of moderation in consumption and the necessity of frequent blood sugar monitoring to keep potential dangers at bay. Always consult with your physician prior to consuming alcohol if you have diabetes.
Navigating the convoluted maze of drinking alcohol while managing diabetes can be made simpler with a handful of easy tips:
A diabetes diagnosis doesn't mean giving up all social events or declining every cheerful toast. Rather, it calls upon us to exercise more conscious decision-making about the nature, quantity, and timing of our alcohol consumption. Managing diabetes while enjoying the social aspect of drinking can require a careful balancing act. But with the correct knowledge at our fingertips and a toolkit of practical strategies, we can confidently participate in any social occasion.
You’ve just arrived at a lively cocktail hour and quickly lose yourself in the uplifting conversations and lively music. Everyone has a drink in their hands, and your eyes dart to the shimmering glasses and bottles of alcohol at the bar. But a niggling worry sets in: what about your diabetes?
Consuming alcohol while trying to manage diabetes can often feel like treading through uncertain territory — what’s the type of alcohol with least sugar? How will certain drinks impact your blood sugar levels? What is the best alcohol for diabetics and, more specifically, what's the best beer for diabetes management? Should you even drink at all? Armed with the right knowledge and a toolbox of healthy choices, we can partake in the social fun of a toast without jeopardizing our health.

We first need to understand the complex relationship between alcohol and our blood sugar levels. When we consume alcohol, our liver momentarily abandons its role in blood sugar regulation to focus its resources on metabolizing the alcohol. This shift can trigger a potentially dangerous condition known as hypoglycemia, characterized by dangerously low blood sugar levels. Alcohol intoxication can closely mimic low blood sugar symptoms, including dizziness, confusion, and a sense of imbalance, thereby compounding the risks.
Commonly available medications like diphenhydramine (found in Benadryl) and cetirizine (an active ingredient in Zyrtec) work their magic by blocking the action of histamine, a substance that our body releases in response to allergens. However, introducing alcohol to this biochemical battlefield introduces an additional layer of complexity.
Alcohol, with its inherent sedative effects, can amplify the drowsiness often induced by antihistamines. This sleepiness can range from mild drowsiness to dangerous levels of sedation, impeding our cognitive and motor functions. This observation is supported by a study published in Biomedicine and Pharmacotherapy, which reported a significant decline in alertness and psychomotor performance in people who consumed alcohol while on antihistamines.
Alcohol consumption becomes increasingly complex when living with diabetes. Drinking to excess, especially when consuming sugar-laden beverages such as margaritas and dessert wines, can cause our blood sugar levels to soar to alarming heights and then plummet to unsafe lows. Drinking too much alcohol can also lead to excess weight gain and induce a steady climb in blood glucose levels over prolonged periods, further worsening symptoms and potentially leading to long-term complications such as vision issues, kidney disease, and nerve damage.

There are many questions that come up when it comes to navigating the alcohol scene with diabetes. Can diabetics drink whiskey? Can diabetics drink vodka? When living with diabetes, avoiding certain alcoholic beverages can significantly help stabilize blood sugar levels. Here are some drinks to steer clear of:
Type 2 diabetes is all about managing blood sugar levels. So what’s the best sugar-free alcohol for diabetics? While certain drinks pose a considerable challenge, others have a much gentler impact on our blood sugar levels:
Despite these options, it is critical to remember the golden rule of moderation in consumption and the necessity of frequent blood sugar monitoring to keep potential dangers at bay. Always consult with your physician prior to consuming alcohol if you have diabetes.
Navigating the convoluted maze of drinking alcohol while managing diabetes can be made simpler with a handful of easy tips:
A diabetes diagnosis doesn't mean giving up all social events or declining every cheerful toast. Rather, it calls upon us to exercise more conscious decision-making about the nature, quantity, and timing of our alcohol consumption. Managing diabetes while enjoying the social aspect of drinking can require a careful balancing act. But with the correct knowledge at our fingertips and a toolkit of practical strategies, we can confidently participate in any social occasion.

Unlock the secrets behind alcohol and fatigue with our latest blog! Explore the science that reveals why that evening drink might be stealing your energy and discover actionable tips to maintain your vitality.
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!
If you’ve ever seen a plane full of people going on vacation to Cancun and then watched them go back home a few days later, you may have noticed a paradox — the passengers on the return flight seem more exhausted. What gives? Often, alcohol is the culprit responsible for the energy slump.
Many of us have been there — dancing the night away, sipping on our favorite cocktails — only to wake up feeling like we’ve been hit by a truck. The fatigue is real, and there’s science behind it! Can alcohol cause fatigue? Is there such a thing as alcohol fatigue syndrome? And what’s the link between alcoholism and fatigue? And what alcohol makes you sleepy in particular — for example, does vodka make you sleepy? Let's uncover the mysteries of alcohol, exhaustion, and why drinking leaves us sapped of energy.

We all get fatigued, but what's actually happening in your body when exhaustion hits? It's not just a simple "battery running low" situation — there's a complex interplay of systems at work.
At its core, fatigue is our body's way of signaling something is amiss — something physical, mental, or emotional. It’s a protective mechanism, keeping us from pushing ourselves too far.
Understanding the underlying mechanisms of fatigue can make it easier to pinpoint why we feel drained, especially after certain activities or routines. But what about alcohol and fatigue? Does being drunk make you sleepy? Adding alcohol into this mix can further complicate our body's response, making that morning-after feeling even more pronounced. Let’s explore 5 reasons behind alcohol-related fatigue and discuss ways to avoid it.
Sleep is vital for almost every aspect of our well-being. It's our body's time to repair, rejuvenate, and prepare for the next day. But introduce alcohol into this equation, and the once smooth-sailing ship hits some choppy waters. Why does liquor make you sleepy? Let’s take a closer look.
In discussions of alcohol, fatigue, and sleep, the term “alcohol fatigue syndrome” occasionally comes up. While it’s not a medical condition in itself, it harkens back to the better-known “chronic fatigue syndrome” (CFS), which is also associated with disrupted sleep patterns. Many times those who are suffering from CFS might turn to alcohol for relief, but unfortunately, for reasons we’ll go into next, alcohol only makes the problem worse.
We've all had those nights out when it seems like we're visiting the restroom every other minute. It's not just our imagination — alcohol increases the urge to urinate. The reason behind this lies in its diuretic properties.

The liver works diligently to process what we put into our bodies. But toss alcohol into the equation, and this essential organ has to kick into overdrive. Let's explore the reasons why alcohol strains the liver and the implications of this for our energy levels.
It's a paradox: many of us turn to alcohol to relax or let loose, yet, deep within our bodies, alcohol sets off stress signals. Let's explore the sneaky ways alcohol interacts with our body’s stress response.
Chronic alcohol consumption, known as alcoholism (or the preferred term, AUD) deserves a special mention here. AUD can alter the brain's structure and function, making it more responsive to stressors and less resilient in the face of challenges. This heightened stress sensitivity can result in a more pronounced fatigue response when faced with everyday challenges.
Alcoholic beverages — especially those sweet cocktails — can cause a spike in blood sugar. But what goes up must come down! As our sugar level drops, we might feel an energy slump.
Here are some tips for navigating the blood sugar roller coaster and its energy-draining downsides:
Finally, here are some ideas for keeping alcohol from sapping your energy levels.
As Craig D. Lounsbrough says, “It’s not about getting tired, as that’s inevitable. Rather, it’s about giving up once we’re tired, because that’s not inevitable.”
However, it’s also crucial to examine the reasons behind our fatigue and see the process as an opportunity to tweak our lifestyle in the way that lets us be the most vibrant version of ourselves. The road might be frustrating at times, but it’s well worth the effort!
If you’ve ever seen a plane full of people going on vacation to Cancun and then watched them go back home a few days later, you may have noticed a paradox — the passengers on the return flight seem more exhausted. What gives? Often, alcohol is the culprit responsible for the energy slump.
Many of us have been there — dancing the night away, sipping on our favorite cocktails — only to wake up feeling like we’ve been hit by a truck. The fatigue is real, and there’s science behind it! Can alcohol cause fatigue? Is there such a thing as alcohol fatigue syndrome? And what’s the link between alcoholism and fatigue? And what alcohol makes you sleepy in particular — for example, does vodka make you sleepy? Let's uncover the mysteries of alcohol, exhaustion, and why drinking leaves us sapped of energy.

We all get fatigued, but what's actually happening in your body when exhaustion hits? It's not just a simple "battery running low" situation — there's a complex interplay of systems at work.
At its core, fatigue is our body's way of signaling something is amiss — something physical, mental, or emotional. It’s a protective mechanism, keeping us from pushing ourselves too far.
Understanding the underlying mechanisms of fatigue can make it easier to pinpoint why we feel drained, especially after certain activities or routines. But what about alcohol and fatigue? Does being drunk make you sleepy? Adding alcohol into this mix can further complicate our body's response, making that morning-after feeling even more pronounced. Let’s explore 5 reasons behind alcohol-related fatigue and discuss ways to avoid it.
Sleep is vital for almost every aspect of our well-being. It's our body's time to repair, rejuvenate, and prepare for the next day. But introduce alcohol into this equation, and the once smooth-sailing ship hits some choppy waters. Why does liquor make you sleepy? Let’s take a closer look.
In discussions of alcohol, fatigue, and sleep, the term “alcohol fatigue syndrome” occasionally comes up. While it’s not a medical condition in itself, it harkens back to the better-known “chronic fatigue syndrome” (CFS), which is also associated with disrupted sleep patterns. Many times those who are suffering from CFS might turn to alcohol for relief, but unfortunately, for reasons we’ll go into next, alcohol only makes the problem worse.
We've all had those nights out when it seems like we're visiting the restroom every other minute. It's not just our imagination — alcohol increases the urge to urinate. The reason behind this lies in its diuretic properties.

The liver works diligently to process what we put into our bodies. But toss alcohol into the equation, and this essential organ has to kick into overdrive. Let's explore the reasons why alcohol strains the liver and the implications of this for our energy levels.
It's a paradox: many of us turn to alcohol to relax or let loose, yet, deep within our bodies, alcohol sets off stress signals. Let's explore the sneaky ways alcohol interacts with our body’s stress response.
Chronic alcohol consumption, known as alcoholism (or the preferred term, AUD) deserves a special mention here. AUD can alter the brain's structure and function, making it more responsive to stressors and less resilient in the face of challenges. This heightened stress sensitivity can result in a more pronounced fatigue response when faced with everyday challenges.
Alcoholic beverages — especially those sweet cocktails — can cause a spike in blood sugar. But what goes up must come down! As our sugar level drops, we might feel an energy slump.
Here are some tips for navigating the blood sugar roller coaster and its energy-draining downsides:
Finally, here are some ideas for keeping alcohol from sapping your energy levels.
As Craig D. Lounsbrough says, “It’s not about getting tired, as that’s inevitable. Rather, it’s about giving up once we’re tired, because that’s not inevitable.”
However, it’s also crucial to examine the reasons behind our fatigue and see the process as an opportunity to tweak our lifestyle in the way that lets us be the most vibrant version of ourselves. The road might be frustrating at times, but it’s well worth the effort!

Alcohol misuse among older adults has been increasing. While drinking at any age can cause harm, it’s especially dangerous for older adults given the natural physical and mental changes that occur as we age.
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!
Studies make it clear: alcohol use is common among the older population. Alcohol use in older adults has been trending upward over the past couple decades, particularly among women. One survey found that between 2001 and 2013, the rate of alcohol use disorder increased 107 percent among people 65 and older.
Elsewhere, recent data from the National Survey on Drug Use and Health indicate that approximately 20% of adults aged 60-64 and around 11% over age 65 report current binge drinking. Furthermore, a 2021 analysis found that 1 in 20 adults aged 65 or older had an alcohol use disorder in the past year.
The fact that alcohol use is common among the older adult population raises some concerns.
While drinking excessively at any age can be detrimental to our health, elderly alcohol abuse is especially dangerous given the natural physical and mental changes that occur in our body and mind as we age. What are the changes in alcohol sensitivity with age? And how can we help an elderly alcoholic parent? Let’s take a closer look at the harmful effects of alcohol on the elderly and learn to spot the signs of alcohol abuse in older adults.

Many factors influence alcohol’s effects on our body. One of these is age. Older adults often have an increased sensitivity to alcohol because they typically metabolize alcohol more slowly. As we age, we experience a decline in the activity of dehydrogenase, an enzyme that breaks down alcohol. This can lead to relatively increased levels of alcohol in the bloodstream for longer periods of time.
Similarly, lean body mass also declines with age. With less muscle to absorb alcohol, older adults feel the effects of alcohol more quickly, even while consuming lower amounts of alcohol than when they were younger. For instance, an older person who drinks one glass of wine may not be competent to drive a car even though their blood alcohol level is below the legal threshold. And since women tend to process alcohol more slowly than men, older women tend to be at higher risk for these effects compared to older men.
Furthermore, given that older adults are more susceptible to falling, drinking alcohol can be particularly dangerous, as it impairs balance and increases the likelihood of falls, bone fractures, and other accidents or injuries. According to the National Institute on Alcohol Abuse and Alcoholism, alcohol-related medical emergencies resulting in visits to the ER increased by 50% among older adults from 2006 to 2016.
Similarly, older people might have more difficulty walking or tracking conversations after drinking a small amount of alcohol because it naturally impairs our motor skills and ability to see and hear.

Alcohol is a diuretic: it increases urine production and causes our body to lose fluid, which leads to dehydration. This is particularly problematic for older adults, since they are already at a greater risk of dehydration. As we age, our sense of thirst diminishes and the balance of water and sodium in our body shifts. Our kidney function can also decline with age, causing more water to be lost through urination. All of these factors cause us to become dehydrated more easily.
One study that looked at the correlation between dehydration and falls among the elderly found that nearly 38 percent of participants were dehydrated. Another study noted that roughly 4 in 10 older adults admitted into hospitals showed signs of dehydration.
Even when we’re healthy, drinking alcohol can have harmful effects on our physical and mental health, from raising our blood pressure to increasing our risk of depression and anxiety. Older people naturally tend to experience a variety of health issues, such as osteoporosis, diabetes, high blood pressure, ulcers, congestive heart failure, memory problems, and mood disorders. Alcohol can exacerbate all of these issues, making symptoms worse.
Heart problems are a particular concern among the elderly, given that alcohol slows our nervous system. Too much alcohol can slow our heart to a dangerous extent.
Some studies have noted that gastrointestinal disease and bleeding are common reasons for emergency department visits by older alcoholics. Elevated liver enzymes are found in 18% of older alcoholics and may indicate alcoholic hepatitis or fatty liver disease.
Excessive drinking when we’re older can also contribute to additional psychological stress, making us more prone to anger and mental health conditions. Sadly, loneliness is a common experience in the elderly community. Older people might turn to drinking to help them feel better, but alcohol can actually worsen depressive symptoms.
Many medical conditions that older people face require medication. In fact, more than 90% of older adults take at least one medication. As a result, one of the biggest health risks among the elderly is the mixing of medications and alcohol. One study found that 1 in 5 older adult drinkers took medications that could have negative interactions with alcohol.
Mixing alcohol with some medications can be incredibly dangerous, even deadly. For instance, prescription painkillers such as OxyContin can be fatal when combined with alcohol, as teh combination can cause the heart to stop beating altogether.
Even over-the-counter medications can be dangerous when combined with alcohol. For instance, drinking while taking aspirin can lead to serious health problems, like increased risk of stomach bleeding. Similarly, drinking while on Tylenol can cause excessive liver damage.
Drinking alcohol while taking cough syrup or cold and allergy medicines can also be dangerous, as some of these medications already contain alcohol and increase drowsiness. Furthermore, it’s also harmful to mix alcohol with antidepressants, antipsychotics, mood stabilizers, and anti-anxiety medications, which many older people take.
It’s not always easy to determine whether an elderly person is misusing alcohol, as some signs — such as confusion, forgetfulness, or poor self-care — can be mistaken for signs of aging or side effects of medications. We might be concerned about an elderly alcoholic parent, but not know quite what to look for. These are some warning signs of alcoholism in elderly people:
If we suspect an elderly loved one is misusing alcohol, it’s best to take them to a medical professional for an assessment. Lab work can also help determine whether they’re misusing alcohol or suffering from medical side effects or a medical condition.
As we’ve seen, alcohol use is common among the older population. Elderly alcoholics exist, many of us might have elderly alcoholic parents, and there’s an increase in alcohol sensitivity with age. However, unfortunately, signs of the problem are often under-recognized. Alcohol can have a heightened impact on older people due to the natural changes that occur in the body and mind as we age. It can also worsen dehydration and exacerbate any health issues that develop as a result of aging. Mixing alcohol with medications used to manage chronic health conditions can be particularly dangerous.
Finally, if you’re looking to cut back on our alcohol consumption, Reframe can help. It’s never too late to change your relationship with alcohol and lead a healthier lifestyle.
Studies make it clear: alcohol use is common among the older population. Alcohol use in older adults has been trending upward over the past couple decades, particularly among women. One survey found that between 2001 and 2013, the rate of alcohol use disorder increased 107 percent among people 65 and older.
Elsewhere, recent data from the National Survey on Drug Use and Health indicate that approximately 20% of adults aged 60-64 and around 11% over age 65 report current binge drinking. Furthermore, a 2021 analysis found that 1 in 20 adults aged 65 or older had an alcohol use disorder in the past year.
The fact that alcohol use is common among the older adult population raises some concerns.
While drinking excessively at any age can be detrimental to our health, elderly alcohol abuse is especially dangerous given the natural physical and mental changes that occur in our body and mind as we age. What are the changes in alcohol sensitivity with age? And how can we help an elderly alcoholic parent? Let’s take a closer look at the harmful effects of alcohol on the elderly and learn to spot the signs of alcohol abuse in older adults.

Many factors influence alcohol’s effects on our body. One of these is age. Older adults often have an increased sensitivity to alcohol because they typically metabolize alcohol more slowly. As we age, we experience a decline in the activity of dehydrogenase, an enzyme that breaks down alcohol. This can lead to relatively increased levels of alcohol in the bloodstream for longer periods of time.
Similarly, lean body mass also declines with age. With less muscle to absorb alcohol, older adults feel the effects of alcohol more quickly, even while consuming lower amounts of alcohol than when they were younger. For instance, an older person who drinks one glass of wine may not be competent to drive a car even though their blood alcohol level is below the legal threshold. And since women tend to process alcohol more slowly than men, older women tend to be at higher risk for these effects compared to older men.
Furthermore, given that older adults are more susceptible to falling, drinking alcohol can be particularly dangerous, as it impairs balance and increases the likelihood of falls, bone fractures, and other accidents or injuries. According to the National Institute on Alcohol Abuse and Alcoholism, alcohol-related medical emergencies resulting in visits to the ER increased by 50% among older adults from 2006 to 2016.
Similarly, older people might have more difficulty walking or tracking conversations after drinking a small amount of alcohol because it naturally impairs our motor skills and ability to see and hear.

Alcohol is a diuretic: it increases urine production and causes our body to lose fluid, which leads to dehydration. This is particularly problematic for older adults, since they are already at a greater risk of dehydration. As we age, our sense of thirst diminishes and the balance of water and sodium in our body shifts. Our kidney function can also decline with age, causing more water to be lost through urination. All of these factors cause us to become dehydrated more easily.
One study that looked at the correlation between dehydration and falls among the elderly found that nearly 38 percent of participants were dehydrated. Another study noted that roughly 4 in 10 older adults admitted into hospitals showed signs of dehydration.
Even when we’re healthy, drinking alcohol can have harmful effects on our physical and mental health, from raising our blood pressure to increasing our risk of depression and anxiety. Older people naturally tend to experience a variety of health issues, such as osteoporosis, diabetes, high blood pressure, ulcers, congestive heart failure, memory problems, and mood disorders. Alcohol can exacerbate all of these issues, making symptoms worse.
Heart problems are a particular concern among the elderly, given that alcohol slows our nervous system. Too much alcohol can slow our heart to a dangerous extent.
Some studies have noted that gastrointestinal disease and bleeding are common reasons for emergency department visits by older alcoholics. Elevated liver enzymes are found in 18% of older alcoholics and may indicate alcoholic hepatitis or fatty liver disease.
Excessive drinking when we’re older can also contribute to additional psychological stress, making us more prone to anger and mental health conditions. Sadly, loneliness is a common experience in the elderly community. Older people might turn to drinking to help them feel better, but alcohol can actually worsen depressive symptoms.
Many medical conditions that older people face require medication. In fact, more than 90% of older adults take at least one medication. As a result, one of the biggest health risks among the elderly is the mixing of medications and alcohol. One study found that 1 in 5 older adult drinkers took medications that could have negative interactions with alcohol.
Mixing alcohol with some medications can be incredibly dangerous, even deadly. For instance, prescription painkillers such as OxyContin can be fatal when combined with alcohol, as teh combination can cause the heart to stop beating altogether.
Even over-the-counter medications can be dangerous when combined with alcohol. For instance, drinking while taking aspirin can lead to serious health problems, like increased risk of stomach bleeding. Similarly, drinking while on Tylenol can cause excessive liver damage.
Drinking alcohol while taking cough syrup or cold and allergy medicines can also be dangerous, as some of these medications already contain alcohol and increase drowsiness. Furthermore, it’s also harmful to mix alcohol with antidepressants, antipsychotics, mood stabilizers, and anti-anxiety medications, which many older people take.
It’s not always easy to determine whether an elderly person is misusing alcohol, as some signs — such as confusion, forgetfulness, or poor self-care — can be mistaken for signs of aging or side effects of medications. We might be concerned about an elderly alcoholic parent, but not know quite what to look for. These are some warning signs of alcoholism in elderly people:
If we suspect an elderly loved one is misusing alcohol, it’s best to take them to a medical professional for an assessment. Lab work can also help determine whether they’re misusing alcohol or suffering from medical side effects or a medical condition.
As we’ve seen, alcohol use is common among the older population. Elderly alcoholics exist, many of us might have elderly alcoholic parents, and there’s an increase in alcohol sensitivity with age. However, unfortunately, signs of the problem are often under-recognized. Alcohol can have a heightened impact on older people due to the natural changes that occur in the body and mind as we age. It can also worsen dehydration and exacerbate any health issues that develop as a result of aging. Mixing alcohol with medications used to manage chronic health conditions can be particularly dangerous.
Finally, if you’re looking to cut back on our alcohol consumption, Reframe can help. It’s never too late to change your relationship with alcohol and lead a healthier lifestyle.

New moms, let's explore why alcohol and breastfeeding don't mix! Dive into research-backed findings and enjoy flavorful non-alcoholic drink alternatives!
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!
Alyssa is a weary but content new mom. Her 6-week-old baby happily naps away in his crib, and she’s about to pour herself the first glass of wine she’s had since before she found out she was expecting. “I deserve a little break at the end of another day filled with diaper changes and lullabies, don’t I?” she asks herself.
It's a reward that looks quite appealing, perhaps even deserved. But then she stops and asks herself another important question: Can alcohol and breastfeeding coexist? According to over a decade of scientific research, the answer leans significantly towards "no."
When a breastfeeding mom enjoys that glass of wine, the alcohol doesn't stay confined to her body. It moves into her bloodstream and ultimately finds its way into her breast milk. According to several studies, the alcohol levels in breast milk mimic those in the mother's bloodstream. More concerning, research has also delved into how infants, due to their undeveloped digestive systems and liver, take longer to eliminate alcohol. This delay increases the exposure time, which can adversely affect their sleep, motor skills development, cognition, and overall growth pace.
Besides the direct exposure to alcohol, there's another subtle but significant way babies can be affected: the impact on the nutritional composition of breast milk. Studies have also found that alcohol can interfere with the absorption of essential nutrients in breast milk. One of the critical components affected is lactose, the primary sugar that promotes a baby's growth. Any interference here can potentially lead to nutritional deficiencies, undermining the infant’s health and developmental progress.

Ironically, while a mother might reach for a drink to relax, this could counterintuitively lead to more stress by affecting her milk production. Alcohol can lead to an inadequate milk supply, creating challenges in feeding the baby and affecting their growth and contentment.
Furthermore, a study in Pediatrics suggested that, in addition to the quantity of milk, its quality also suffers when drinking alcohol. Breastfeeding mothers who drank alcohol produced milk that was less appealing to their babies due to unpleasant odors.
Recent research has begun to illuminate the potential long-term consequences for children exposed to alcohol through breast milk. In 2018, the journal Pediatrics published a study showing that even minor levels of alcohol exposure could contribute to cognitive and behavioral implications. These potential effects might manifest as learning disabilities and behavioral challenges later in the child's life.
So, what can we do when we're craving some adult-style refreshment after a long day of mothering? Here's a variety of flavorful, satisfying alternatives that we can reach for:
"Pump and dump" is a common practice among breastfeeding mothers who have consumed alcohol. It involves pumping breast milk after drinking, then discarding the milk with alcohol traces, ensuring that the baby doesn't ingest it. While this method can help reduce alcohol exposure, it's important to remember that it takes time for alcohol to leave our systems. The CDC advises only having one drink and waiting at least two hours before breastfeeding. That said, it’s better to avoid alcohol altogether to protect the health of our babies.
So can a breastfeeding mom drink alcohol? Although savoring a glass of wine or a pint of beer might seem appealing, especially when navigating the challenging journey of new motherhood, the potential risks it raises for the baby's development and well-being are substantial. Decades worth of research converge on the point that alcohol and breastfeeding make a risky combination.
Instead, let's relish the broad array of non-alcoholic beverages available, each offering unique flavors and the satisfaction of knowing we're prioritizing our little ones’ well-being. Remember, the breastfeeding phase, while intense, is a fleeting period in the grand timeline of our lives and our child's life. The wine can wait. In the meantime, we can still toast to the marvels and hurdles of motherhood — just in an alcohol-free way.
Alyssa is a weary but content new mom. Her 6-week-old baby happily naps away in his crib, and she’s about to pour herself the first glass of wine she’s had since before she found out she was expecting. “I deserve a little break at the end of another day filled with diaper changes and lullabies, don’t I?” she asks herself.
It's a reward that looks quite appealing, perhaps even deserved. But then she stops and asks herself another important question: Can alcohol and breastfeeding coexist? According to over a decade of scientific research, the answer leans significantly towards "no."
When a breastfeeding mom enjoys that glass of wine, the alcohol doesn't stay confined to her body. It moves into her bloodstream and ultimately finds its way into her breast milk. According to several studies, the alcohol levels in breast milk mimic those in the mother's bloodstream. More concerning, research has also delved into how infants, due to their undeveloped digestive systems and liver, take longer to eliminate alcohol. This delay increases the exposure time, which can adversely affect their sleep, motor skills development, cognition, and overall growth pace.
Besides the direct exposure to alcohol, there's another subtle but significant way babies can be affected: the impact on the nutritional composition of breast milk. Studies have also found that alcohol can interfere with the absorption of essential nutrients in breast milk. One of the critical components affected is lactose, the primary sugar that promotes a baby's growth. Any interference here can potentially lead to nutritional deficiencies, undermining the infant’s health and developmental progress.

Ironically, while a mother might reach for a drink to relax, this could counterintuitively lead to more stress by affecting her milk production. Alcohol can lead to an inadequate milk supply, creating challenges in feeding the baby and affecting their growth and contentment.
Furthermore, a study in Pediatrics suggested that, in addition to the quantity of milk, its quality also suffers when drinking alcohol. Breastfeeding mothers who drank alcohol produced milk that was less appealing to their babies due to unpleasant odors.
Recent research has begun to illuminate the potential long-term consequences for children exposed to alcohol through breast milk. In 2018, the journal Pediatrics published a study showing that even minor levels of alcohol exposure could contribute to cognitive and behavioral implications. These potential effects might manifest as learning disabilities and behavioral challenges later in the child's life.
So, what can we do when we're craving some adult-style refreshment after a long day of mothering? Here's a variety of flavorful, satisfying alternatives that we can reach for:
"Pump and dump" is a common practice among breastfeeding mothers who have consumed alcohol. It involves pumping breast milk after drinking, then discarding the milk with alcohol traces, ensuring that the baby doesn't ingest it. While this method can help reduce alcohol exposure, it's important to remember that it takes time for alcohol to leave our systems. The CDC advises only having one drink and waiting at least two hours before breastfeeding. That said, it’s better to avoid alcohol altogether to protect the health of our babies.
So can a breastfeeding mom drink alcohol? Although savoring a glass of wine or a pint of beer might seem appealing, especially when navigating the challenging journey of new motherhood, the potential risks it raises for the baby's development and well-being are substantial. Decades worth of research converge on the point that alcohol and breastfeeding make a risky combination.
Instead, let's relish the broad array of non-alcoholic beverages available, each offering unique flavors and the satisfaction of knowing we're prioritizing our little ones’ well-being. Remember, the breastfeeding phase, while intense, is a fleeting period in the grand timeline of our lives and our child's life. The wine can wait. In the meantime, we can still toast to the marvels and hurdles of motherhood — just in an alcohol-free way.