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Why do I get so anxious after drinking? Here’s the science behind ‘hangxiety’

<a href="https://theconversation.com/profiles/blair-aitken-1510537">Blair Aitken</a>, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a> and <a href="https://theconversation.com/profiles/rebecca-rothman-2231560">Rebecca Rothman</a>, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a> You had a great night out, but the next morning, anxiety hits: your heart races, and you replay every conversation from the night before in your head. This feeling, known as hangover anxiety or “<a href="https://adf.org.au/insights/what-is-hangxiety/">hangxiety</a>”, <a href="https://onlinelibrary.wiley.com/doi/10.1002/hup.2623">affects around 22%</a> of social drinkers. While for some people, it’s mild nerves, for others, it’s a wave of anxiety that feels impossible to ride out. The “Sunday scaries” may make you feel panicked, filled with dread and unable to relax. Hangover anxiety can make even simple tasks feel overwhelming. Here’s why it happens, and what you can do about it. <h2>What does alcohol do to our brains?</h2> A hangover is the body’s way of recovering after drinking alcohol, bringing with it a range of symptoms. <a href="https://www.mdpi.com/2077-0383/10/23/5691">Dehydration and disrupted sleep</a> play a large part in the pounding headaches and nausea many of us know too well after a big night out. But hangovers aren’t just physical – there’s a strong mental side too. Alcohol is a nervous system depressant, meaning it alters how certain chemical messengers (or neurotransmitters) behave in the brain. Alcohol relaxes you by increasing <a href="https://my.clevelandclinic.org/health/articles/22857-gamma-aminobutyric-acid-gaba">gamma-aminobutyric acid</a> (GABA), the neurotransmitter that makes you feel calm and lowers inhibitions. It decreases <a href="https://my.clevelandclinic.org/health/articles/22839-glutamate">glutamate</a> and this also slows down your thoughts and helps ease you into a more relaxed state. Together, this interaction affects your mood, emotions and alertness. This is why when we drink, we often feel more sociable, carefree and willing to let our guard down. As the effects of the alcohol wear off, your brain works to rebalance these chemicals by <a href="https://www.sciencedirect.com/science/article/pii/S0191886918305762">reducing GABA and increasing glutamate</a>. This shift has the opposite effect of the night before, causing your brain to become more excitable and overstimulated, which can lead to feelings of anxiety. So why do some people get hangxiety, while others don’t? There isn’t one clear answer to this question, as several factors can play a role in whether someone experiences hangover-related anxiety. <h2>Genes play a role</h2> For some, a hangover is simply a matter of how much they drank or how hydrated they are. But genetics may also play a significant role. <a href="https://onlinelibrary.wiley.com/doi/10.1111/add.12699">Research</a> shows your genes can explain almost half the reason why you wake up feeling hungover, while your friend might not. Because genes influence how your body processes alcohol, some people may experience more intense hangover symptoms, such as headaches or dehydration. These stronger physical effects can, in turn, <a href="https://onlinelibrary.wiley.com/doi/pdf/10.1002/hup.2623">trigger anxiety during a hangover</a>, making you more susceptible to “hangxiety.” <h2>Do you remember what you said last night?</h2> But one of the most common culprits for feeling anxious the next day is often <a href="https://journals.sagepub.com/doi/pdf/10.1177/0091450915604988">what you do while drinking</a>. Let’s say you’ve had a big night out and you can’t quite recall a conversation you had or something you did. Maybe you acted in ways that you now regret or feel embarrassed about. You might fixate on these thoughts and get trapped in a cycle of worrying and rumination. This cycle can be hard to break and can make you feel more anxious. <a href="https://doi.org/10.1016/j.addbeh.2023.107619">Research</a> suggests people who already struggle with feelings of anxiety in their day-to-day lives are especially vulnerable to hangxiety. Some people drink alcohol to unwind after a stressful day or to make themselves feel more comfortable at social events. This often leads to <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9756407">heavier consumption</a>, which can make hangover symptoms more severe. It can also begin a cycle of drinking to feel better, making hangxiety even harder to escape. <h2>Preventing hangover anxiety</h2> The best way to prevent hangxiety is to limit your alcohol consumption. The <a href="https://adf.org.au/reducing-risk/alcohol/alcohol-guidelines">Australian guidelines</a> recommend having no more than ten standard drinks per week and no more than four standard drinks on any one day. Generally, the more you drink, the more intense your hangover symptoms might be, and the worse you are likely to feel. Mixing other drugs with alcohol can also increase the risk of hangxiety. This is especially true for party drugs, such as ecstasy or MDMA, that give you a temporary high but can lead to anxiety as they wear off and you are <a href="https://adf.org.au/insights/drug-comedowns">coming down</a>. If you do wake up feeling anxious: <ul> <li> focus on the physical recovery to help ease the mental strain </li> <li> drink plenty of water, eat a light meal and allow yourself time to rest </li> <li> try <a href="https://www.headspace.com/mindfulness/mindfulness-101">mindfulness meditation</a> or deep breathing exercises, especially if anxiety keeps you awake or your mind races </li> <li> consider journalling. This can help re-frame anxious thoughts, put your feelings into perspective and encourage self-compassion </li> <li> talk to a close friend. This can provide a safe space to express concerns and feel less isolated. </li> </ul> Hangxiety is an unwelcome guest after a night out. Understanding why hangxiety happens – and how you can manage it – can make the morning after a little less daunting, and help keep those anxious thoughts at bay.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/240991/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/blair-aitken-1510537">Blair Aitken</a>, Postdoctoral Research Fellow in Psychopharmacology, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a> and <a href="https://theconversation.com/profiles/rebecca-rothman-2231560">Rebecca Rothman</a>, PhD Candidate in Clinical Psychology, School of Health Sciences, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-do-i-get-so-anxious-after-drinking-heres-the-science-behind-hangxiety-240991">original article</a>.

Mind

Why it’s a bad idea to mix alcohol with some medications

<a href="https://theconversation.com/profiles/nial-wheate-96839">Nial Wheate</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/jasmine-lee-1507733">Jasmine Lee</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/kellie-charles-1309061">Kellie Charles</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/tina-hinton-329706">Tina Hinton</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> Anyone who has drunk alcohol will be familiar with how easily it can lower your social inhibitions and let you do things you wouldn’t normally do. But you may not be aware that mixing certain medicines with alcohol can increase the effects and put you at risk. When you mix alcohol with medicines, whether prescription or over-the-counter, the medicines can increase the effects of the alcohol or the alcohol can increase the side-effects of the drug. Sometimes it can also result in all new side-effects. <h2>How alcohol and medicines interact</h2> The chemicals in your brain maintain a delicate balance between excitation and inhibition. Too much excitation can lead to <a href="https://www.medicalnewstoday.com/articles/324330">convulsions</a>. Too much inhibition and you will experience effects like sedation and depression. <iframe id="JCh01" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/JCh01/1/" width="100%" height="400px" frameborder="0"></iframe> Alcohol works by increasing the amount of inhibition in the brain. You might recognise this as a sense of relaxation and a lowering of social inhibitions when you’ve had a couple of alcoholic drinks. With even more alcohol, you will notice you can’t coordinate your muscles as well, you might slur your speech, become dizzy, forget things that have happened, and even fall asleep. Medications can interact with alcohol to <a href="https://awspntest.apa.org/record/2022-33281-033">produce different or increased effects</a>. Alcohol can interfere with the way a medicine works in the body, or it can interfere with the way a medicine is absorbed from the stomach. If your medicine has similar side-effects as being drunk, those <a href="https://www.drugs.com/article/medications-and-alcohol.html#:%7E:text=Additive%20effects%20of%20alcohol%20and,of%20drug%20in%20the%20bloodstream.">effects can be compounded</a>. Not all the side-effects need to be alcohol-like. Mixing alcohol with the ADHD medicine ritalin, for example, can <a href="https://www.healthline.com/health/adhd/ritalin-and-alcohol#side-effects">increase the drug’s effect on the heart</a>, increasing your heart rate and the risk of a heart attack. Combining alcohol with ibuprofen can lead to a higher risk of stomach upsets and stomach bleeds. Alcohol can increase the break-down of certain medicines, such as <a href="https://www.sciencedirect.com/science/article/abs/pii/S0149763421005121?via%3Dihub">opioids, cannabis, seizures, and even ritalin</a>. This can make the medicine less effective. Alcohol can also alter the pathway of how a medicine is broken down, potentially creating toxic chemicals that can cause serious liver complications. This is a particular problem with <a href="https://australianprescriber.tg.org.au/articles/alcohol-and-paracetamol.html">paracetamol</a>. At its worst, the consequences of mixing alcohol and medicines can be fatal. Combining a medicine that acts on the brain with alcohol may make driving a car or operating heavy machinery difficult and lead to a serious accident. <h2>Who is at most risk?</h2> The effects of mixing alcohol and medicine are not the same for everyone. Those most at risk of an interaction are older people, women and people with a smaller body size. Older people do not break down medicines as quickly as younger people, and are often on <a href="https://www.safetyandquality.gov.au/our-work/healthcare-variation/fourth-atlas-2021/medicines-use-older-people/61-polypharmacy-75-years-and-over#:%7E:text=is%20this%20important%3F-,Polypharmacy%20is%20when%20people%20are%20using%20five%20or%20more%20medicines,take%20five%20or%20more%20medicines.">more than one medication</a>. Older people also are more sensitive to the effects of medications acting on the brain and will experience more side-effects, such as dizziness and falls. Women and people with smaller body size tend to have a higher blood alcohol concentration when they consume the same amount of alcohol as someone larger. This is because there is less water in their bodies that can mix with the alcohol. <h2>What drugs can’t you mix with alcohol?</h2> You’ll know if you can’t take alcohol because there will be a prominent warning on the box. Your pharmacist should also counsel you on your medicine when you pick up your script. The most common <a href="https://adf.org.au/insights/prescription-meds-alcohol/">alcohol-interacting prescription medicines</a> are benzodiazepines (for anxiety, insomnia, or seizures), opioids for pain, antidepressants, antipsychotics, and some antibiotics, like metronidazole and tinidazole. It’s not just prescription medicines that shouldn’t be mixed with alcohol. Some over-the-counter medicines that you shouldn’t combine with alcohol include medicines for sleeping, travel sickness, cold and flu, allergy, and pain. Next time you pick up a medicine from your pharmacist or buy one from the local supermarket, check the packaging and ask for advice about whether you can consume alcohol while taking it. If you do want to drink alcohol while being on medication, discuss it with your doctor or pharmacist first.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/223293/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/nial-wheate-96839">Nial Wheate</a>, Associate Professor of the School of Pharmacy, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/jasmine-lee-1507733">Jasmine Lee</a>, Pharmacist and PhD Candidate, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/kellie-charles-1309061">Kellie Charles</a>, Associate Professor in Pharmacology, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/tina-hinton-329706">Tina Hinton</a>, Associate Professor of Pharmacology, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-its-a-bad-idea-to-mix-alcohol-with-some-medications-223293">original article</a>.

Body

What happens to your liver when you quit alcohol

<a href="https://theconversation.com/profiles/ashwin-dhanda-1359529">Ashwin Dhanda</a>, <a href="https://theconversation.com/institutions/university-of-plymouth-717">University of Plymouth</a> According to Greek mythology, Zeus punished Prometheus for giving fire to humans. He chained Prometheus up and set an eagle to feast on his liver. Each night, the liver grew back and each day, the eagle returned for his feast. In reality, can a liver really grow back? The liver is the largest internal organ in the human body. It is needed for hundreds of bodily processes, including breaking down toxins such as alcohol. As it is the first organ to “see” alcohol that has been drunk, it is not surprising that it is the most susceptible to alcohol’s effects. However, other organs, including the brain and heart, can also be damaged by long-term heavy alcohol use. As a liver specialist, I meet people with alcohol-related liver disease every day. It is a <a href="https://britishlivertrust.org.uk/information-and-support/liver-conditions/alcohol-related-liver-disease/">spectrum of disease</a> ranging from laying down of fat in the liver (fatty liver) to scar formation (cirrhosis) and it usually doesn’t cause any symptoms until the very late stages of damage. At first, alcohol makes the liver fatty. This fat causes the liver to become inflamed. In response, it tries to heal itself, producing scar tissue. If this carries on unchecked, the whole liver can become a mesh of scars with small islands of “good” liver in between – cirrhosis. In the late stages of cirrhosis, when the liver fails, people can turn yellow (jaundice), swell with fluid and become sleepy and confused. This is serious and can be fatal. Most people who regularly drink more than the recommended limit of 14 units of alcohol per week (about six pints of normal strength beer [4% ABV] or about six average [175ml] glasses of wine [14% ABV]) will have a fatty liver. Long-term and heavy alcohol use increases the risk of developing <a href="https://www.nhs.uk/conditions/alcohol-related-liver-disease-arld/">scarring and cirrhosis</a>. <h2>Good news</h2> Fortunately, there is good news. In people with fatty liver, after only two to three weeks of giving up alcohol, the liver can heal and looks and functions <a href="https://arcr.niaaa.nih.gov/volume/41/1/natural-recovery-liver-and-other-organs-after-chronic-alcohol-use">as good as new</a>. In people with liver inflammation or mild scarring, even within seven days of giving up alcohol, there are noticeable reductions in liver <a href="https://www.mdpi.com/2072-6643/13/5/1659">fat, inflammation and scarring</a>. Stopping alcohol use for several months lets the liver heal and return to normal. In heavy drinkers with more severe scarring or liver failure, giving up alcohol for several years reduces their chance of <a href="https://www.cghjournal.org/article/S1542-3565(22)01113-2/fulltext">worsening liver failure and death</a>. However, people who drink heavily can be physically dependent on alcohol and stopping suddenly can cause alcohol withdrawal. In its mild form, it causes shaking and sweating. But if severe, it can cause hallucinations, fits and even death. Going “cold turkey” is never recommended for heavy drinkers, who should seek medical advice about how to safely give up alcohol. <h2>Other benefits</h2> Giving up drinking also has positive effects on <a href="https://alcoholchange.org.uk/blog/benefits-of-dry-january-and-when-you-can-expect-to-see-them">sleep, brain function and blood pressure</a>. Avoiding alcohol for long periods also reduces the risk of several types of <a href="https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/alcohol-and-cancer">cancer</a> (including liver, pancreas and colon) and the risk of <a href="https://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/effects-of-alcohol-on-your-heart">heart disease and stroke</a>. However, alcohol is not the only cause of ill health. Giving it up has many health benefits, but it is not a panacea. It should be seen as part of a healthy lifestyle, including a balanced diet and regular physical exercise. So, to answer the question posed by the myth of Prometheus, the liver has an amazing power to repair itself after it has been damaged. But it cannot grow back as new if it was already severely scarred. If you stop drinking and only have a fatty liver, it can quickly turn back to normal. If you had a scarred liver (cirrhosis) to start with, stopping alcohol will allow some healing and improved function but can’t undo all the damage that has already been done. If you want to look after your liver, drink in moderation and have two to three alcohol-free days each week. That way, you won’t have to rely on the liver’s magical self-healing power to stay healthy.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/220490/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/ashwin-dhanda-1359529">Ashwin Dhanda</a>, Associate Professor of Hepatology, <a href="https://theconversation.com/institutions/university-of-plymouth-717">University of Plymouth</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-happens-to-your-liver-when-you-quit-alcohol-220490">original article</a>.

Body

Christmas drinks anyone? Why alcohol before bedtime leaves you awake at 3am, desperate for sleep

<a href="https://theconversation.com/profiles/madeline-sprajcer-1315489">Madeline Sprajcer</a>, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a>; <a href="https://theconversation.com/profiles/charlotte-gupta-347235">Charlotte Gupta</a>, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a>; <a href="https://theconversation.com/profiles/chris-irwin-249481">Chris Irwin</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>; <a href="https://theconversation.com/profiles/grace-vincent-1484516">Grace Vincent</a>, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a>, and <a href="https://theconversation.com/profiles/saman-khalesi-366871">Saman Khalesi</a>, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a> You’ve come home after a long day at work, you have dinner, put the kids to bed, and then you have your usual nightcap before drifting off to sleep. Or, perhaps you’re at the pub for the work Christmas party, and you think you’ll just have one more drink before heading home. That last drink might help you fall asleep easily. But your nightcap can also wreck a good night’s sleep. How could it do both? Here’s what’s going on in your body when you drink alcohol just before bedtime. And if you want to drink at the Christmas party, we have some tips on how to protect your sleep. <h2>What happens to my body when I drink?</h2> Soon after you drink, alcohol enters your bloodstream and travels to your brain. <a href="https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1530-0277.1998.tb03695.x">There</a>, it affects chemical messengers known as neurotransmitters and <a href="https://pubmed.ncbi.nlm.nih.gov/2700603/">slows down communication</a> between nerve cells. Certain <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4040959/">regions of the brain</a> are particularly vulnerable to the effects of alcohol. When alcohol interacts with cells in these regions, the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6826822/">overall effect</a> leads to those characteristic feelings of relaxation, lowered inhibitions, slurred speech, and may induce feelings of drowsiness and lethargy. Alcohol can also have immediate effects on the heart and circulatory system. Blood vessels widen, resulting in a <a href="https://link.springer.com/article/10.1007/s11906-021-01160-7">drop in blood pressure</a>, which can make you feel dizzy or lightheaded. <h2>What happens soon after a nightcap?</h2> Drinking alcohol before sleeping is like flipping a switch. At first, alcohol has a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6826822/">sedative effect</a> and you will probably feel <a href="https://pubmed.ncbi.nlm.nih.gov/23347102/">more relaxed</a> and <a href="https://www.nature.com/articles/s41598-020-62227-0#:%7E:text=In%20this%20large%2C%20population%20based,sleep%20(cross%20sectional%20analyses).">drift off easily</a>. At this point, you still have a high level of alcohol in your blood. But don’t be fooled. As your body <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5821259/">processes the alcohol</a>, and the night goes on, alcohol actually <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/acer.12621">disrupts your sleep</a>. <h2>And later that night?</h2> As your body processes the alcohol and your blood alcohol level drops, your brain rebounds from the drowsiness you would have felt earlier in the night. This disturbs your sleep, and can wake you up <a href="https://journals.sagepub.com/doi/10.1300/J465v26n01_01">multiple times</a>, particularly in the second half of the night. You may also have vivid and stressful <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5821259/">dreams</a>. This sleep disruption is mainly to the deep, “rapid eye movement” or REM sleep. This type of sleep plays an important role in regulating your emotions and for your cognitive function. So not getting enough explains why you wake up feeling pretty lousy and groggy. Drinking alcohol before bedtime also tends to mean you <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2775419/?source=post_page---------------------------">sleep less overall</a>, meaning important rest and recharge time is cut short. There are also <a href="https://pubmed.ncbi.nlm.nih.gov/31234199/">long-term impacts</a> of alcohol on sleep. Moderate and heavy drinkers consistently have <a href="https://academic.oup.com/sleepadvances/article/3/1/zpac023/6632721">poor sleep quality</a> and more <a href="https://www.nature.com/articles/s41598-020-62227-0#:%7E:text=In%20this%20large%2C%20population%20based,sleep%20(cross%20sectional%20analyses).">sleep disturbances</a> over time. <h2>How about the Christmas party then?</h2> If you plan to drink this holiday season, here are some tips to minimise the effect of alcohol on your sleep: <ul> <li> swap every other drink. Try swapping every second drink for a non-alcoholic drink. The more alcohol you drink, <a href="https://academic.oup.com/sleep/article/44/1/zsaa135/5871424?casa_token=okbJAuf8TXUAAAAA:ye_q-DACToxvj8H3IVaiKrjNkDhHZnl-LKJdds3iteaKyzJFuHUzitlRv45DqxNO-FraDRAlQMV53z8">the more</a> sleep disruption you can expect. Reducing how much you drink in any one sitting can minimise the effect on your sleep </li> <li> avoid drinking alcohol close to bedtime. If you give your body a chance to process the alcohol before you go to sleep, your sleep will be less disrupted </li> <li> eat while you drink. Drinking on an empty stomach is going to worsen the effects of alcohol as the alcohol will be absorbed <a href="https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1467-3010.2006.00588.x?casa_token=TQiCqcbasYAAAAAA:GbEvnTT82aB3_sPfmJLOQXIV3ivjnbZdIoP2_XZBa8IDZ0YLaPxNfE6DMHLgH7obnpA22VDsM4vyGZV4dQ">faster</a>. So try to eat something while you’re drinking </li> <li> ditch the espresso martinis and other caffeinated drinks. <a href="https://www.sciencedirect.com/science/article/pii/S1087079207000937?casa_token=NJsobF-C-vwAAAAA:opzPjrglPdZTwXEo7rHil5vm0a1K3KmXw9vp0Het-eRHZEWbfRAA40vgicU3Z5kC8x7uEJF39C8">Caffeine</a> can make it hard to get to sleep, and hard to stay asleep </li> <li> be careful if you have sleep apnoea. People who have sleep apnoea (when their upper airway is repeatedly blocked during sleep) can be even more impacted by drinking alcohol. That’s because alcohol can act as a muscle relaxant, <a href="https://academic.oup.com/sleep/article/5/4/318/2753287">leading to</a> more snoring, and lower oxygen levels in the blood. If you have sleep apnoea, limiting how much alcohol you drink is the best way to avoid these effects </li> <li> drink plenty of water. Staying hydrated will help you <a href="https://academic.oup.com/sleep/article/42/2/zsy210/5155420">sleep better</a> and will hopefully stave off the worst of tomorrow’s hangover.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/216834/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> </li> </ul> <a href="https://theconversation.com/profiles/madeline-sprajcer-1315489">Madeline Sprajcer</a>, Lecturer in Psychology, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a>; <a href="https://theconversation.com/profiles/charlotte-gupta-347235">Charlotte Gupta</a>, Postdoctoral research fellow, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a>; <a href="https://theconversation.com/profiles/chris-irwin-249481">Chris Irwin</a>, Senior Lecturer in Nutrition and Dietetics, School of Health Sciences & Social Work, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>; <a href="https://theconversation.com/profiles/grace-vincent-1484516">Grace Vincent</a>, Senior Lecturer, Appleton Institute, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a>, and <a href="https://theconversation.com/profiles/saman-khalesi-366871">Saman Khalesi</a>, Senior Lecturer and Discipline Lead in Nutrition, School of Health, Medical and Applied Sciences, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/christmas-drinks-anyone-why-alcohol-before-bedtime-leaves-you-awake-at-3am-desperate-for-sleep-216834">original article</a>.

Body

Drinking alcohol this Christmas and New Year? These medicines really don’t mix

<a href="https://theconversation.com/profiles/nial-wheate-96839">Nial Wheate</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/jessica-pace-1401278">Jessica Pace</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> A glass or two of champagne with Christmas lunch. A cool crisp beer at the beach. Some cheeky cocktails with friends to see in the New Year. There seem to be so many occasions to unwind with an alcoholic drink this summer. But if you’re taking certain medications while drinking alcohol, this can affect your body in a number of ways. Drinking alcohol with some medicines means they may not work so well. With others, you risk a life-threatening overdose. Here’s what you need to know if you’re taking medication over summer and plan to drink. <h2>Why is this a big deal?</h2> After you take a medicine, it travels to the stomach. From there, your body shuttles it to the liver where the drug is metabolised and broken down before it goes into your blood stream. Every medicine you take is provided at a dose that takes into account the amount of metabolism that occurs in the liver. When you drink alcohol, this is also broken down in the liver, and it can affect how much of the drug is metabolised. Some medicines are metabolised more, which can mean not enough reaches your blood stream to be effective. Some medicines are metabolised less. This means you get a much higher dose than intended, which could lead to an overdose. The effects of alcohol (such as sleepiness) can act in addition to similar effects of a medicine. Whether or not you will have an interaction, and what interaction you have, depends on many factors. These include the medicine you are taking, the dose, how much alcohol you drink, your age, genes, sex and overall health. Women, older people and people with liver issues are more likely to have a drug interaction with alcohol. <h2>Which medicines don’t mix well with alcohol?</h2> Many medicines interact with alcohol regardless of whether they are prescribed by your doctor or bought over the counter, such as <a href="https://www.drugs.com/article/herbal-supplements-alcohol.html">herbal medicines</a>. 1. Medicines + alcohol = drowsiness, coma, death Drinking alcohol and taking a medicine that depresses the <a href="https://adf.org.au/drug-facts/depressants/">central nervous system</a> to reduce arousal and stimulation can have additive effects. Together, these can make you extra drowsy, slow your breathing and heart rate and, in extreme cases, lead to coma and death. These effects are more likely if you use more than one of this type of medicine. Medicines to look out for include those for depression, anxiety, schizophrenia, pain (except <a href="https://www.nps.org.au/australian-prescriber/articles/alcohol-and-paracetamol">paracetamol</a>), sleep disturbances (such as insomnia), allergies, and colds and flu. It’s best not to drink alcohol with these medicines, or to keep your alcohol intake to a minimum. 2. Medicines + alcohol = more effects Mixing alcohol with some medicines increases the effect of those medicines. One example is with the sleeping tablet zolpidem, which is <a href="https://www.tga.gov.au/news/product-recalls/zolpidem-stilnox">not to be taken with alcohol</a>. Rare, but serious, side effects are strange behaviour while asleep, such as sleep-eating, sleep-driving or sleep-walking, which are more likely with alcohol. 3. Medicines + craft beer or home brew = high blood pressure Some types of medicines only interact with some types of alcohol. Examples include some medicines for depression, such as phenelzine, tranylcypromine and moclobemide, the antibiotic linezolid, the Parkinson’s drug selegiline, and the cancer drug procarbazine. These so-called <a href="https://www.mydr.com.au/medicine/monoamine-oxidase-inhibitors-maois-for-depression/">monoamine oxidase inhibitors</a> <a href="https://www.health.qld.gov.au/__data/assets/pdf_file/0020/145802/oncol_maoi.pdf">only interact with</a> some types of boutique and artisan beers, beers with visible sediment, Belgian, Korean, European and African beers, and home-made beers and wine. These types of alcohol contain high levels of tyramine, a naturally occurring substance usually broken down by your body that doesn’t ordinarily cause any harm. However, monoamine oxidase inhibitors prevent your body from breaking down tyramine. This increases levels in your body and can cause your blood pressure to rise to dangerous levels. 4. Medicines + alcohol = effects even after you stop drinking Other medicines interact because they affect the way your body breaks down alcohol. If you drink alcohol while using such medicines you may you feel nauseous, vomit, become flushed in the face and neck, feel breathless or dizzy, your heart may beat faster than usual, or your blood pressure may drop. This can occur even after you stop treatment, then drink alcohol. For example, if you are taking metronidazole you should avoid alcohol both while using the medicine and for at least 24 hours after you stop taking it. An example of where alcohol changes the amount of the medicine or related substances in the body is acitretin. This medication is used to treat skin conditions such as severe psoriasis and to prevent skin cancer in people who have had an organ transplant. When you take acitretin, it changes into another substance – <a href="https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/pdf?OpenAgent&id=CP-2017-CMI-02034-1&d=20221221172310101">etretinate</a> – before it is removed from your body. Alcohol increases the amount of etretinate in your body. This is especially important as etretinate can cause birth defects. To prevent this, if you are a woman of child-bearing age you should avoid alcohol while using the medicine and for two months after you stop taking it. <h2>Myths about alcohol and medicines</h2> Alcohol and birth control One of the most common myths about medicines and alcohol is that you can’t drink while using <a href="https://youly.com.au/blog/sexual-reproductive-health/does-alcohol-make-the-pill-less-effective/">the contraceptive pill</a>. It is generally safe to use alcohol with the pill as it <a href="https://www.healthline.com/health/womens-health/birth-control-and-alcohol#:%7E:text=There's%20a%20bit%20of%20good,a%20less%20effective%20birth%20control.">doesn’t directly affect</a> how well birth control works. But the pill is most effective when taken at the same time each day. If you’re drinking heavily, you’re more likely to forget to do this the next day. Alcohol can also make some people nauseous and vomit. If you vomit within three hours of taking the pill, it will not work. This increases your risk of pregnancy. Contraceptive pills can also affect your response to alcohol as the hormones they contain can change the way your body <a href="https://americanaddictioncenters.org/alcoholism-treatment/birth-control">removes alcohol</a>. This means you can get drunk faster, and stay drunk for longer, than you normally would. Alcohol and antibiotics Then there’s the myth about not mixing alcohol with any <a href="https://theconversation.com/mondays-medical-myth-you-cant-mix-antibiotics-with-alcohol-4407">antibiotics</a>. This only applies to <a href="https://www.healthdirect.gov.au/medicines/medicinal-product/aht,21161/metronidazole">metronidazole</a> and <a href="https://www.healthdirect.gov.au/medicines/brand/amt,1011571000168100/linezolid-apo">linezolid</a>. Otherwise, it is generally safe to use alcohol with antibiotics, as alcohol does not affect how well they work. But if you can, it is best to avoid alcohol while taking antibiotics. Antibiotics and alcohol have similar side effects, such as an upset stomach, dizziness and drowsiness. Using the two together means you are more likely to have these side effects. Alcohol can also reduce your energy and increase how long it takes for you to recover. <h2>Where can I go for advice?</h2> If you plan on drinking alcohol these holidays and are concerned about any interaction with your medicines, don’t just stop taking your medicines. Your pharmacist can advise you on whether it is safe for you to drink based on the medicines you are taking, and if not, provide advice on alternatives.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/196646/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/nial-wheate-96839">Nial Wheate</a>, Associate Professor of the Sydney Pharmacy School, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/jessica-pace-1401278">Jessica Pace</a>, Associate Lecturer, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/drinking-alcohol-this-christmas-and-new-year-these-medicines-really-dont-mix-196646">original article</a>.

Caring

5 reasons why climate change may see more of us turn to alcohol and other drugs

<a href="https://theconversation.com/profiles/helen-louise-berry-8608">Helen Louise Berry</a>, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a> and <a href="https://theconversation.com/profiles/francis-vergunst-230743">Francis Vergunst</a>, <a href="https://theconversation.com/institutions/university-of-oslo-934">University of Oslo</a> Climate change will affect every aspect of our <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)01859-7/fulltext">health and wellbeing</a>. But its potential harms go beyond the body’s ability to handle extreme heat, important as this is. Extreme weather events, such as floods, droughts, storms and wildfires, are becoming more frequent and severe. These affect our <a href="https://pubmed.ncbi.nlm.nih.gov/36165756/">mental health</a> in a multitude of <a href="https://www.nature.com/articles/s41558-018-0102-4">ways</a>. Coping with climate change can be overwhelming. Sometimes, the best someone can do is to seek refuge in alcohol, tobacco, over-the-counter and prescription drugs, or other psychoactive substances. This is understandable, but dangerous, and can have serious consequences. We outline <a href="https://journals.sagepub.com/doi/full/10.1177/17456916221132739">five ways</a> climate change could increase the risk of harmful substance use. <h2>1. Mental health is harmed</h2> Perhaps the most obvious way climate change can be linked to harmful substance use is by damaging mental health. This <a href="https://onlinelibrary.wiley.com/doi/10.1111/dar.12448">increases the risk</a> of new or worsened substance use. People with a mental disorder are <a href="https://www.hindawi.com/journals/psychiatry/2018/5697103/">at high risk</a> of also having a <a href="https://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-11-25#:%7E:text=Prevalence%20of%20comorbidity%20in%20epidemiological%20studies&text=Among%20subjects%20with%20an%20alcohol,a%20comorbid%20SUD%20%5B39%5D.">substance-use disorder</a>. This often precedes their mental health problems. Climate change-related increases in the number and nature of extreme events, in turn, are escalating risks to mental health. For example, extreme heat is linked to increased <a href="https://pubmed.ncbi.nlm.nih.gov/27727320/">distress</a> across the whole population. In extreme heat, more people go to the <a href="https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2789481">emergency department</a> for psychiatric problems, including for <a href="https://www.sciencedirect.com/science/article/abs/pii/S0048969720338249">alcohol</a> and <a href="https://www.nature.com/articles/s43856-023-00346-1">substance use</a> generally. This is even true for <a href="https://www.sciencedirect.com/science/article/pii/S0048969720325572">a single very hot day</a>. Post-traumatic stress disorder, depression, anxiety and <a href="https://onlinelibrary.wiley.com/doi/abs/10.5694/mja13.10307">other mental health</a> problems are <a href="https://www.frontiersin.org/articles/10.3389/fpubh.2019.00367/full">common</a> at the time of extreme weather events and can persist for months, even years afterwards, especially if people are exposed to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9116266/">multiple events</a>. This can <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6101235/">increase</a> the likelihood of using substances as a way to cope. <h2>2. Worry increases</h2> With <a href="https://climatecommunication.yale.edu/publications/climate-change-in-the-american-mind-beliefs-attitudes-december-2022/">increasing public awareness</a> of how climate change is endangering wellbeing, people are <a href="https://www.ons.gov.uk/peoplepopulationandcommunity/wellbeing/articles/worriesaboutclimatechangegreatbritain/septembertooctober2022#:%7E:text=The%20level%20of%20worry%20about,lives%20right%20now%20(29%25).">increasingly worried</a> about what will happen if it remains unchecked. Worrying isn’t the same as meeting the criteria for a mental disorder. But <a href="https://www.undp.org/publications/peoples-climate-vote">surveys</a> show climate change generates complex emotional responses, <a href="https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(21)00278-3/fulltext">especially in children</a>. As well as feelings of worry, there is anxiety, fear, guilt, anger, grief and helplessness. Some <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2904966/">emotional states</a>, such as <a href="https://www.pnas.org/doi/full/10.1073/pnas.1909888116">sadness</a>, are linked with long-term tobacco use and also make substance use <a href="https://pubmed.ncbi.nlm.nih.gov/16011392/">relapse</a> more likely. <h2>3. Physical injuries hurt us in many ways</h2> Physical injuries caused by extreme weather events – such as smoke inhalation, burns and flood-related cuts and infections – increase the risk of harmful substance use. That’s partly because they <a href="https://pubmed.ncbi.nlm.nih.gov/20033251/">increase</a> the risk of psychological distress. If injuries cause long-term illness or disability, consequent feelings of hopelessness and depression can dispose some people to self-medicate with alcohol or other drugs. Substance use itself can also generate long-term physiological harm, disabilities or other chronic health problems. These are <a href="https://www.tandfonline.com/doi/abs/10.3109/00952999609001655">linked with</a> higher rates of harmful substance use. <h2>4. Our day-to-day lives change</h2> A single catastrophic event, such as a storm or flood, can devastate lives overnight and change the way we live. So, too, can the more subtle changes in climate and day-to-day weather. Both can disrupt behaviour and routines in ways that risk new or worsened substance use, for example, using stimulants to cope with fatigue. Take, for example, hotter temperatures, which disrupt <a href="https://www.cell.com/one-earth/fulltext/S2590-3322(22)00209-3?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS2590332222002093%3Fshowall%3Dtrue">sleep</a>, undermine <a href="https://jhr.uwpress.org/content/57/2/400">academic performance</a>, <a href="https://www.nature.com/articles/s41562-017-0097">reduce physical activity</a>, and promote <a href="https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(22)00173-5/fulltext">hostile language</a> and <a href="https://www.cambridge.org/core/elements/abs/climate-change-and-human-behavior/F64471FA47B8A6F5524E7DDDDE571D57">violent behaviour</a>. <h2>5. It destabilises communities</h2> Finally, climate change is destabilising the socioeconomic, natural, built and geopolitical <a href="https://www.nature.com/articles/s41558-018-0102-4">systems</a> on which human wellbeing – <a href="https://theconversation.com/climate-change-and-health-ipcc-reports-emerging-risks-emerging-consensus-24213">indeed survival</a> – depends. Damaged infrastructure, agricultural losses, school closures, homelessness and displacement are significant <a href="https://www.nature.com/articles/s41558-018-0102-4">sources of psychosocial distress</a> that prompt acute (short-term) and chronic (long-term) stress responses. <a href="https://doi.org/10.1196/annals.1441.030">Stress</a>, in turn, can <a href="https://doi.org/10.1007/s002130100917">increase</a> the risk of <a href="https://link.springer.com/article/10.1007/s002130100917">harmful substance use</a> and make people more likely to relapse. <h2>Why are we so concerned?</h2> Substance-use disorders are economically and socially <a href="https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(18)30337-7/fulltext">very costly</a>. Risky substance use that doesn’t meet the criteria for a formal diagnosis <a href="https://digitalcommons.fiu.edu/srhreports/health/health/32/">can also harm</a>. Aside from its direct physical harm, harmful substance use disrupts <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3843305/">education</a> and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3234116/">employment</a>. It increases the risk of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6676144/">accidents</a> and <a href="https://www.tandfonline.com/doi/abs/10.1080/09595230600944479">crime</a>, and it undermines social relationships, intimate <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4795906/#:%7E:text=Results%20indicated%20that%20alcohol%20use,drinkers%20with%20low%20relationship%20satisfaction.">partnerships</a> and <a href="https://www.cambridge.org/core/journals/development-and-psychopathology/article/abs/longitudinal-relations-between-parental-drinking-problems-family-functioning-and-child-adjustment/CE508589A9E799FD6DC9E23DF364FB8F">family functioning</a>. <h2>Politicians take note</h2> As we head towards the <a href="https://www.cop28.com">COP28 global climate talks</a> in Dubai, climate change is set to hit the headlines once more. Politicians know climate change is undermining human health and wellbeing. It’s well past time to insist they act. As we have seen for populations as a whole, there are multiple possible ways for climate change to cause a rise in harmful substance use. This means multidimensional <a href="https://www.nature.com/articles/s41558-018-0102-4">prevention strategies</a> are needed. As well as addressing climate change more broadly, we need strategies including: <ul> <li> supporting vulnerable individuals, especially <a href="https://journals.sagepub.com/doi/full/10.1177/21677026211040787">young people</a>, and marginalised commmunities, who are <a href="https://www.nature.com/articles/s41558-018-0102-4">hit hardest</a> by extreme weather-related events </li> <li> focusing health-related policies more on broadscale health promotion, for example, healthier eating, active transport and community-led mental health support </li> <li> investing in climate-resilient infrastructure, such as heat-proofing buildings and greening cities, to prevent more of the destabilising effects and stress we know contributes to mental health problems and harmful substance use. </li> </ul> There is now <a href="https://news.un.org/en/story/2022/10/1129912">no credible pathway</a> to avoiding dangerous climate change. However, if <a href="https://carnegieendowment.org/2023/01/12/climate-protests-tracking-growing-unrest-pub-88778#:%7E:text=These%20are%20just%20a%20few,even%20more%20numerous%20and%20influential.">increasing rates</a> of climate protests are anything to go by, the world may finally be ready for radical change – and perhaps for reduced harmful substance use.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/217894/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/helen-louise-berry-8608">Helen Louise Berry</a>, Honorary Professor, Centre for Health Systems and Safety Research, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a> and <a href="https://theconversation.com/profiles/francis-vergunst-230743">Francis Vergunst</a>, Associate Professor, Psychosocial Difficulties, <a href="https://theconversation.com/institutions/university-of-oslo-934">University of Oslo</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/5-reasons-why-climate-change-may-see-more-of-us-turn-to-alcohol-and-other-drugs-217894">original article</a>.

Mind

Adele called herself a ‘borderline alcoholic’. But is that a real thing?

<a href="https://theconversation.com/profiles/nicole-lee-81635">Nicole Lee</a>, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a> British singer-songwriter Adele says she has quit drinking, <a href="https://www.theguardian.com/music/2023/oct/18/adele-says-she-has-quit-drinking-after-being-a-borderline-alcoholic">describing herself</a> as a “borderline alcoholic” when she was in her 20s. She joins a <a href="https://theconversation.com/why-are-young-people-drinking-less-than-their-parents-generation-did-172225">growing number of people</a> who are trying to quit or reduce their drinking. But what does “borderline alcoholic” mean and is it a real thing? <h2>It’s not all-or-nothing any more</h2> In the <a href="https://theconversation.com/does-alcoholics-anonymous-actually-work-179665">early days</a> of alcohol treatment, people used to think of problems with alcohol as all-or-nothing. They used to believe there was something different about people who had problems with alcohol and those who didn’t. That’s how the idea of the “<a href="https://theconversation.com/is-there-really-such-a-thing-as-an-addictive-personality-184137">addictive personality</a>” came about. But now we think of drinking on a continuum. It goes from not drinking at all to dependent drinking. And people can move up and down that continuum at different points in their lives. The old saying “once an alcoholic, always an alcoholic” doesn’t apply any more. <h2>How much is it OK to drink?</h2> The Australian national alcohol <a href="https://www.nhmrc.gov.au/health-advice/alcohol">guidelines</a> say healthy men and women should drink no more than ten <a href="https://alcoholthinkagain.com.au/resources-and-tools/standard-drink-tool">standard drinks</a> a week and no more than four a day. So that’s about two to three drinks three to four times a week. <a href="https://www.abs.gov.au/statistics/health/health-conditions-and-risks/alcohol-consumption/latest-release">Most Australians</a> drink within these guidelines. If you drink over those guidelines you are more likely to experience a number of long- and short-term <a href="https://www.nhmrc.gov.au/about-us/publications/australian-guidelines-reduce-health-risks-drinking-alcohol">problems</a> including alcohol dependence, cancers, diabetes and heart disease. The risk of problems increases the more you drink and the more frequently you drink. About 25% of Australians drink at <a href="https://www.aihw.gov.au/reports/illicit-use-of-drugs/national-drug-strategy-household-survey-2019/data">risky levels</a> and around 6% drink at such high levels that they would probably be dependent. Daily drinking is associated with dependence. <h2>So when is someone an alcoholic or a borderline alcoholic?</h2> The term “alcoholic” is rarely used by health professionals any more. It can make people believe there is nothing they can do about the problems they might be experiencing. Historically, that’s what the early treatment providers believed in the 1930s and that <a href="https://theconversation.com/alcohol-problems-arent-for-life-and-aa-isnt-the-only-option-8-things-film-and-tv-get-wrong-about-drug-and-alcohol-treatment-180946">myth has continued</a>. But some people find identifying as an “alcoholic” helpful to maintain their goal of quitting drinking. Health professionals have never used the term “borderline alcoholic”. But in describing herself that way Adele is really saying alcohol is having too much of a negative impact on her life, and like many others has decided to do something positive about it by taking a break. <h2>Which terms do we use now?</h2> Now, we tend to talk about “dependence” on a continuum from mild to moderate to severe. We also talk about the range of problems other than dependence that people can experience, which also lie on a continuum. The threshold for whether someone is a problem or dependent drinker is not just how much they drink (although that is important), but also how severe the alcohol-related problems are. Problems with alcohol don’t always correlate with consumption. Some people can drink a moderate amount and have a lot of problems and others can drink a lot and appear not to have many negative consequences. <h2>I’m worried about my drinking. What next?</h2> If you are wondering if you are drinking too much you can <a href="https://hellosundaymorning.org/nib_alcohol_self-assessment/">check online</a> with a free and anonymous assessment. Signs you may have a <a href="https://alcoholtreatmentguidelines.com.au/resources/appendix-3-diagnostic-criteria-for-alcohol-dependence">problem with alcohol</a> include: <ul> <li> having trouble stopping once you start drinking </li> <li> wanting or trying to cut back but slipping up frequently </li> <li> spending a lot of time drinking or recovering from drinking </li> <li> having cravings to drink alcohol, such as if you come home from work and reach straight for a drink </li> <li> dropping the ball at work, study or home because you’ve been drinking, such as not being able to do your work because you’re hungover </li> <li> continuing to drink alcohol even though you know it’s causing problems with your health, friends, work or relationships </li> <li> giving up or reducing social and work activities to drink instead </li> <li> drinking when it’s not safe, such as before driving or swimming. </li> </ul> If you find you aren’t getting the same effects from alcohol as you used to or you need more and more alcohol to get the same effect, you have probably developed a dependence. Sometimes people who are very dependent can experience withdrawal symptoms when they stop – strong cravings, nausea, sweating, agitation and anxiety. The more of these signs you have, the more likely you are to be dependent on alcohol. If you have any of these signs, taking a break from alcohol for a few months or longer can help. If you find that’s too hard, you can try sticking within the Australian alcohol guidelines by reducing the number of drinks per occasion and increasing your drink-free days. <h2>There’s help</h2> Sometimes when people experience some of these problems they need a bit of help to keep them on track. You can talk to your GP who can refer you to a psychologist or treatment service. Or you can try self-help options such as the Hello Sunday Morning’s <a href="https://hellosundaymorning.org/daybreak/">Daybreak app</a> (a community of people supporting each other to change their relationship with alcohol). If your problems are more severe, you can try something like <a href="https://smartrecoveryaustralia.com.au">SMART Recovery</a> (evidence-based group support for alcohol and other drug problems). <hr /> If you are worried about your own or someone else’s alcohol or other drug use, you can contact the National Alcohol and other Drug Hotline on 1800 250 015 for free, confidential advice.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/215987/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/nicole-lee-81635">Nicole Lee</a>, Professor at the National Drug Research Institute (Melbourne), <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/adele-called-herself-a-borderline-alcoholic-but-is-that-a-real-thing-215987">original article</a>.

Caring

A drink each day or just on the weekends? Here’s why alcohol-free days are important

<a href="https://theconversation.com/profiles/megan-lee-490875">Megan Lee</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> and <a href="https://theconversation.com/profiles/emily-roberts-1456408">Emily Roberts</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> In recent years, drinkers have become more aware of the health dangers of drinking alcohol, from disease to risky behaviour and poorer wellbeing. Events like the just-finished <a href="https://www.dryjuly.com/">Dry July</a>, <a href="https://febfast.org.au/">Febfast</a> and <a href="https://hellosundaymorning.org/2020/01/15/10-practical-tips-for-staying-af-alcohol-free/">Hello Sunday Morning</a> – when people voluntarily abstain from alcohol for periods of time – are growing in popularity and raise awareness about the risks involved in overindulgence. Many people extend these alcohol-free periods throughout the year by incorporating alcohol-free days into their weekly routines, while still enjoying a drink on the weekends. But does drinking the same amount spread over the week versus just on the weekends, make any difference health-wise? <h2>How much is too much?</h2> Australian alcohol <a href="https://alcoholthinkagain.com.au/alcohol-and-your-health/alcohol-guidelines#:%7E:text=Alcohol%20guideline%20for%20adults,standard%20drinks%20on%20any%20day">guidelines</a> and the <a href="https://www.who.int/europe/news/item/04-01-2023-no-level-of-alcohol-consumption-is-safe-for-our-health">World Health Organization</a> state there is no safe level of alcohol use. For adults who do drink, the guidelines recommend a maximum of four drinks in one sitting or ten in a week. (A zero-alcohol approach is recommended for under-18s and during pregnancy.) For some, this may not sound like much at all. One in four Australians exceed the recommendation of no more than four drinks in one session with men <a href="https://www.aihw.gov.au/reports/alcohol/alcohol-tobacco-other-drugs-australia/contents/drug-types/alcohol">more likely</a> to do so than women. This amount <a href="https://www.healthdirect.gov.au/binge-drinking">can result</a> in alcohol poisoning, damage to brain cells and a higher likelihood of engaging in risky behaviours leading to violence, accidents and unprotected sex. <h2>But what about a wine each night?</h2> Even abiding by the Australian alcohol guidelines and drinking in moderation – one or <a href="https://www.healthdirect.gov.au/how-alcohol-affects-your-health#short-term-effects">two drinks each day</a> over the week – can be risky. Possible health outcomes of <a href="https://www.cdc.gov/alcohol/fact-sheets/moderate-drinking.htm">moderated drinking</a> include increased risk of cancer, liver and heart disease, alcohol use disorder, and an increase in the symptoms of anxiety and depression. Everyone processes alcohol at a different rate depending on age, gender, body shape and size. However, for most people, alcohol can still be <a href="https://www.alcoholrehabguide.org/alcohol/how-long-alcohol-stay-system/">detected</a> in the blood 12 hours after consumption. When the body is constantly processing the toxins in alcohol, it can lead to a chronic state of inflammation which is <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/acer.13886?casa_token=dxIr4RolhC4AAAAA%3Acy6BTsnPHzJoIpbf2Ow_JQhMOcb3fLPc3LPs_0OwiCi_4P3sAJTeWYgmE9YujD7Ev25bA_I757DeDLk">linked to</a> physical and mental health risks. There are several biological mechanisms associated with alcohol’s impact on the brain. Alcohol destroys the fine balance of the bacteria in the gut microbiome, which has been <a href="https://www.sciencedirect.com/science/article/pii/S152169181730118X?casa_token=zwAVYFxdTdcAAAAA:ku6TCQ-fl1btAYqie_ydg2GpHeLGnYy3QdUn_SDhV7EWtXfuLrolAO5TpI5DtFLM7Ngz9JgKYoGX">linked</a> to brain health. Alcohol consumption disrupts the function of the amygdala – a part of the brain important for <a href="https://www.britannica.com/science/amygdala">processing and regulating emotion</a>, including our fear response. When this is impaired we are <a href="https://www.sciencedirect.com/science/article/pii/S1053811910015405?casa_token=RmqcP2vnA5oAAAAA:GW3POct2CQA6Kv8zqE9GaEfsvwLY200NNpf3Qk1k31xE8ZhR5MWau-D0Wj7gWnV7ZiohfKNASHEY">less likely</a> to pay attention to our fears and more likely to engage in risk-taking behaviour. Areas involved in <a href="https://www.jsad.com/doi/abs/10.15288/jsa.1990.51.114">language production and comprehension</a> are also affected by alcohol, with too much leading to slurred speech and the inability to comprehend communication from others. When drinking dulls frontal lobe brain function, it can can lead to <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/add.15023#add15023-bib-0092">changes in personality</a> for some people. <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/interrupted-memories-alcohol-induced-blackouts">Blackouts</a> can occur from the influence of alcohol on the hippocampus. <h2>So, no drinking then?</h2> While sobriety may be the answer for optimal health, depriving ourselves of the things we enjoy can also lead to negative mental health and a <a href="https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-2766-x#:%7E:text=Deprived%20lower%20and%20increased%20risk,wine%20across%20all%20drinker%20categories">higher likelihood</a> we will binge in the future. This is why alcohol-free days are becoming so popular, to balance health risks while also giving us the chance to enjoy social activities. Including alcohol-free days in your routine can <a href="https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-022-00603-x">give the body</a> a chance to rehydrate, detoxify and repair itself from the toxic properties of alcohol. Detoxification can <a href="https://pubmed.ncbi.nlm.nih.gov/32391879/">lead to</a> improved liver function and sleep quality, less water retention and easier weight control, clearer thinking, improved memory, more energy, clearer skin, a strengthened immune system and decrease symptoms of anxiety and depression. Alcohol-free days can also create a domino effect by encouraging <a href="https://www.sciencedirect.com/science/article/abs/pii/S0031938410000259">other healthy behaviours</a> like eating more fruits and vegetables, drinking more water, improved sleep patterns and getting up early to exercise. <h2>6 tips for better drinking balance</h2> If you’re looking to incorporate more alcohol-free days into your routine you could try to <ol> <li><a href="https://www.sciencedirect.com/science/article/pii/S2772724622000142">set realistic goals</a>. Clarify how many and what days will be your alcohol-free days, mark them on a calendar and set reminders on your phone</li> <li>plan <a href="https://www.mdpi.com/1660-4601/20/4/2884">alcohol-free activities</a> and find alcohol alternatives. List all the activities you like that do not include drinking and plan to do these at the times of the day you would normally drink</li> <li><a href="https://jamesclear.com/atomic-habits-summary">make alcohol “invisible”</a>. Keeping beer out of the fridge and wine and spirits in closed cupboards keeps them from the forefront of your mind</li> <li>seek support and encouragement from your <a href="https://www.proquest.com/docview/2528837696?pq-origsite=gscholar&fromopenview=true">partner and/or family</a></li> <li>incorporate stress management techniques like meditation and <a href="https://www.proquest.com/docview/2675715755?pq-origsite=gscholar&fromopenview=true">mindfulness</a>. Observe how you feel on alcohol-free days and note positive changes in your physical and mental wellbeing</li> <li>reflect on your progress. Acknowledge and celebrate each alcohol-free day. Allow yourself non-alcoholic rewards for achieving your goals.</li> </ol> Finally, it’s important to know everyone slips up now and then. Practice self-forgiveness if you do have a drink on a planned alcohol-free day and don’t give up. <img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/210193/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/megan-lee-490875">Megan Lee</a>, Senior Teaching Fellow, Psychology, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> and <a href="https://theconversation.com/profiles/emily-roberts-1456408">Emily Roberts</a>, PhD Candidate, Psychology, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/a-drink-each-day-or-just-on-the-weekends-heres-why-alcohol-free-days-are-important-210193">original article</a>.

Food & Wine

5 ways alcohol can sabotage your weight loss goals, according to an obesity doctor

Alcohol and weight loss “Hey Siri, can I still lose weight if I drink alcohol?” Goodness, we only wish the answer was that simple. Research is mixed (no pun intended) on whether alcohol can lead to weight gain. That’s because weight is complex – and some people notice a shift on the scale when they consume alcohol, while others don’t. As a doctor who specialises in the science of weight, I can say what we do know is that many of these alcoholic drinks are energy-dense (meaning high in kilojoules) and provide little to no nutrition, which may put a damper on your weight loss efforts. Here are five major reasons alcohol can impede you weight loss efforts. Your body views alcohol as a toxin Your body metabolises and eliminates alcohol from the body with the help of two enzymes: Alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH). When you imbibe, these two work together to break apart the alcohol molecules, producing a toxic substance, acetaldehyde, then acetate, so that your body can get rid of it – and fast. Here’s why that matters when you’re trying to lose weight. Since your body prioritises alcohol digestion, it puts digestion of other nutrients (like fat, carbs, and protein) on the back burner. In other words, your body might put off metabolising fat and carbs when it’s busy breaking down alcohol. Over time and repeated patterns, this could lead to increased fat storage and weight gain. Alcohol can cause inflammation Alcohol can impair the functions of the gut, liver, and other organs – interfering with the immune system and causing systemic inflammation. Alcohol consumption stimulates a cascade of inflammatory responses, one of which is the release of cortisol, the stress hormone. And research has shown that persistently high levels of cortisol are associated with obesity. That’s why it’s best for people with obesity, who are already at an increased risk of inflammation, to limit or avoid alcohol. Alcohol affects sleep - and sleep impacts weight It may seem like that nightcap helps you fall asleep, but alcohol can actually disrupt how well you snooze. One study, which looked at participants’ heart rates and ability to relax during sleep, showed that even small amounts (0.25 grams per kilogram or less) of alcohol decreased those markers of quality of sleep by 9.3%. And the more you drink, the worse you sleep – the same study linked moderate drinking to a 24% decrease in sleep quality, and heavy drinking to a 39.2% decrease in sleep quality. You may think a few nights of low-quality shut-eye is harmless, but research has shown that just one to three nights of poor sleep can lead to insulin resistance. Over time, that could put you at risk of obesity. Alcohol is often full of sneaky of sneaky kilojoules and sugar Many mixed drinks, tasty as they might be, contain added kilojoules and sugar on top of the naturally occurring sugars and kilojoules in alcohol. Even a so-called “lower-kilojoule” option, like a vodka tonic, can have as many kilojoules and grams of sugar as a serving of ice cream. Before you know it, your 30ml serving of vodka just jumped from 280 kilojoules to 700 kilojoules when you add 200ml of tonic. Have a few of those, and you’re looking at upwards of 2000 or more kilojoules on liquid alone – kilojoules that don’t provide your body with the best nutrition. Let’s compare these 2000 kilojoules in a few vodka tonics to a 2000-kilojoule meal of salmon, brown rice, and steamed veggies. The drinks are empty kilojoules, whereas the meal has fat, fibre and protein to keep you fuller and satisfied for longer – a win-win while trying to lose weight – while also providing high-quality nourishment. Drinking impacts food choices Have you ever noticed after drinking alcohol, you get a sudden hankering for a fast food run or pizza delivery? That’s because alcohol can impair decision-making and lead to impulse decisions when it comes to food – and research suggests it may even stimulate the appetite. Those who drink alcohol with a meal also tend to eat more – 30% more, according to one study. While alcohol won’t impact everyone’s weight the same way, it’s best to be mindful of how much you drink when trying to lose weight. Consider skipping it altogether or aim for moderation. Just know that even if you follow the limit for moderate drinking as recommended in the Australian Alcohol Guidelines by the National Health and Medical Research Council (NHMRC) —no more than 10 standard drinks a week and no more than 4 standard drinks on any one day – it still adds up over time. Several studies have shown that the risk of obesity is roughly two times higher in adults who consume alcohol than in those who don’t. Considering mocktails (non-alcoholic beverages) are popping up on more and more bar menus these days, rest assured your after-work social hour will still be filled with cheers. Just be sure to opt for a lower-kilojoule option, such as soda water with a squeeze of fresh lime or a craft mocktail with half the amount of simple syrup. Image credits: Getty Images This article originally appeared on <a href="https://www.readersdigest.co.nz/healthsmart/diet/5-ways-alcohol-can-sabotage-your-weight-loss-goals-according-to-an-obesity-doctor" target="_blank" rel="noopener">Reader's Digest</a>.

Body

Shocking find in school boy’s lunchbox

A mortified dad has shared how he found out he had mistakenly packed a beer in his young son’s lunchbox after the school called and asked him to pick up his child. The American dad and money mindset coach Will Meyers took to TikTok to share exactly how the situation came to be. Will explained that he accidentally packed one can of black Liquid Death (a sparkling water brand) and a can of Guinness beer, and the reason why the mixup occurred was because they were both black. In the video, Will said, “Well, I gotta go pick up my kid from school today because I made a big mistake. “Whenever my son was born, the best advice I ever got was you know more than you think you do, but today is not that day, let me show you.” Will pointed out that one of the black cans is sparkling water and that his son, “likes for me to pack that in his lunch because it's awesome”. The other black can was a can of Guinness. “It looks like it's sparkling water, but it's definitely not sparkling water,” Will said. “And now I've gotta go pick up my kid from school and try to explain this situation.” The clip went viral, attracting more than 2.7 million viewers. The majority of the comments were people empathising with the dad, writing ‘lol’ and sharing emojis. Others shared their own ‘dad horror stories’ of things they had mistakenly packed for their child to take to school. “My dad sent me to school with a Mike's hard lemonade in kindergarten, so I think it's just a normal dad thing,” one person commented. “I sent two packs of cigarettes in a bag of paper plates and napkins to my daughter's class,” another added. A teacher chimed in saying it’s a common mistake, “A kid brought in a can of White Claw thinking it was regular sparkling water, too”. One mum commented she once accidentally sent her son to school with his sibling’s nappy bag instead of his backpack. Image credit: TikTok

Food & Wine

Explainer: why, exactly, is alcohol bad for us long-term?

What, exactly, makes alcohol unhealthy? After a big night, the answer to this might seem obvious – or perhaps more disturbingly, not obvious at all. But even in moderation, alcohol carries longer-term health risks too. So what are they, and why do they happen? Cosmos investigates. <h2>Why is alcohol bad for you long-term?</h2> The biggest culprit is a substance called acetaldehyde. Alcohol – or strictly speaking, ethanol – doesn’t stay that way in the body for long. The body metabolises it and turns it into a few different compounds, mostly acetaldehyde. As well as causing a lot of the symptoms you’d experience during a hangover, like headaches, nausea, and facial flushing, acetaldehyde is a carcinogen. “Acetaldehyde is highly reactive and extremely toxic,” says Dr Leon Booth, a research fellow at the George Institute for Global Health in Sydney. “It binds to different proteins, or to DNA, and it can impair enzyme and cell functions. “Essentially, because it’s so reactive, it increases the risk of cell mutations and therefore increases the risk of a cancer developing.” Globally, around 4% of cancers can be attributed to alcohol. The Lancet estimates that in 2020, there were 741,300 new cancers around the world that came from alcohol consumption. “A lot of them are in the digestive tract, which kind of intuitively makes sense, because that’s where the alcohol is coming into contact with the body,” says Booth. “So there’s an increased risk of cancer in the throat, mouth, oesophagus, liver, in the colon and for females, quite an increased risk for breast cancer.” One study estimates that a bottle of wine per week is roughly the equivalent of smoking 10 cigarettes per week for women, or five cigarettes per week for men. Acetaldehyde doesn’t stay in your body forever: an enzyme called acetaldehyde dehydrogenase, or ALDH, turns it into largely harmless acetic acid, and then eventually on to carbon dioxide and water. But here’s where genetics can play a role in your susceptibility too: some people have a genetic mutation that makes their ALDH enzymes less effective. This gene is particularly common among people of East Asian descent, which is why some East Asian people flush red after only a small drink. Unfortunately, there’s evidence that people with this gene are also more susceptible to cancer. “In studies of Asian populations, they seem to have a much greater risk of getting cancer from alcohol,” says Booth. While cancer and acetaldehyde draw the most attention, alcohol can have other long-term effects too – like high blood pressure and increased risk of strokes. “If you drink heavily and consistently, you get scarring in the liver – cirrhosis, which is also linked to an increased risk of cancers in the liver,” says Booth. Alcohol can also interfere with hormones, causing poorer sleep or – once again – a higher risk of cancer. It’s also linked to mental health issues, like anxiety and depression, but Booth says this can be a “chicken-and-egg situation”. “There’s a lot of literature to suggest that people with mental health issues drink to help cope. But unfortunately, it tends to make things worse.” All in all, not a great wrap. Is there any good news? <h2>Isn’t low or moderate drinking a little bit good for you?</h2> We’ve all seen – and Cosmos has published – headlines about low and moderate drinkers (around 10 or fewer standard drinks per week) doing better in some health metrics, particularly heart disease. Does this really mean that regular low-moderate drinking might be better than not drinking at all? “Long story short, I think the jury’s probably still out on that one,” says Booth. The trick is that a lot of non-drinkers avoid alcohol for health reasons. This is called the “sick quitter” effect. If you develop a health condition, or discover you’re at an increased risk of something like heart disease, often one of the first things a doctor will recommend is that you stop drinking. “What that means is, sometimes when you do these big population studies, the people who don’t drink alcohol can look less healthy than the people who do drink alcohol,” says Booth. While many of these studies have tried to control for the sick quitter effect, and still produced some compelling evidence that low or moderate drinking helps, other studies have found the opposite. “My overall opinion would be that it’s just a bit too early to know, and to really understand that relationship,” says Booth. “And even in those studies, once you get beyond that moderate consumption, alcohol does seem to be really detrimental to cardiovascular health.” So, for now – other than the benefit you get from spending a night at the pub in good company – you probably can’t claim alcohol’s improving your health. We’re as sorry about this as you are. This article originally appeared in <a href="https://cosmosmagazine.com/health/explainer-alcohol-health/" target="_blank" rel="noopener">cosmosmagazine.com</a> and was written by Ellen Phiddian. Image: Shutterstock

Body

Woman got so drunk she forgot she bought a house

A UK woman’s recent purchase of a home came as a surprise, after she confessed she was so drunk when she placed a bid that she forgot about it. Luana Ribeira, 40, told the <a href="https://www.dailystar.co.uk/news/latest-news/woman-drunk-work-forgot-bidding-28046594" target="_blank" rel="noopener">Daily Star</a> that she had gone with a friend to see the house, which was up for auction, before her surprisingly rambunctious night. “I went to see a house with a friend as it was on auction, but my friend didn’t want it as it was in a rough area,” she explained. “I liked the property and thought it could be really lovely and a good investment. “So, I went to the nightclub where I worked, stayed afterwards and got very drunk.” After finishing her night shift, the founder of Dauntless PR remembered how “one drink turned to two”, which then turned into drinking games before the rest became a blur. The next day, her then-boyfriend informed her that she got home at 8.30am, insisted on calling the real estate agent, putting an offer on the house and going to bed. “I woke up hungover and my boyfriend at the time was very annoyed, and was giving me the silent treatment,” she recalled. She was then informed that her offer of £20,000 ($NZ 37,000) was successful. Though it may have been made under unusual circumstances, Ms Ribeira’s decision to place a bid proved to be fruitful. After 12 months, she sold the home for double what she paid and used it to purchase another. Ms Ribeira then made £20,000 on the second home, going on to earn another £20,000 on a third, and using her earnings to start a new life and business in Portugal. Image: @launadauntlesspr (Instagram)

Real Estate

Drunk driver blames burrito for crash

After slamming into a line of traffic stopped in front of him, a 65-year-old man has blamed being distracted by his burrito for the crash - rather than the beers he’d had before getting behind the wheel. Ross Coeland had picked up a burrito on his way home in early June, claiming that he was distracted enough by his food that he didn’t see the car ahead had stopped. After telling police he had been drinking, Mr Coeland was charged with driving with excess breath alcohol for a third or subsequent time, having been most recently convicted for the same charge in July 2017, per the <a href="https://www.nzherald.co.nz/nz/drunk-driver-covered-in-burrito-after-crashing-into-line-of-traffic/UKPA5HDIYUNXHYH5KTLXE5P7BE/" target="_blank" rel="noopener">NZ Herald</a>. On this occasion, Mr Coeland was found to be three times over the limit. Appearing briefly in Nelson District Court, Mr Coeland admitted that he had been driving over the limit on June 2, with the police summary of facts showing that he returned a reading of 861 micrograms of alcohol per litre of breath - equivalent to a reading 0.08 BAC in Australia. “Due to his intoxication and distraction the defendant failed to see a line of traffic which had slowed to a crawl,” police prosecution told the court. When he eventually noticed the slowing traffic and took evasive action, it was too late. "When the defendant noticed the traffic ahead of him, he slammed his brakes on and skidded, crashing hard into the rear of the trailing vehicle,” the prosecution said. When police found him, Mr Coeland was covered in his ill-fated burrito. He has been remanded on bail for sentencing in September, as well as for a pre-sentence and alcohol and drug report. According to <a href="https://www.nzta.govt.nz/roadcode/general-road-code/road-code/about-limits/alcohol-and-drugs-limits/#:~:text=Your%20licence%20will%20be%20suspended,alcohol%20per%20litre%20of%20breath." target="_blank" rel="noopener">NZ Transport Agency</a>, Mr Coeland could see his licence suspended, a fine of up to $6000 or a prison sentence of up to two years if it is his third offence, and the court impose a “zero alcohol licence”. Image: Getty Images

Legal

Why the "just one drink a day" excuse no longer cuts it

According to a new study, those who have one standard drink a day are putting themselves at risk of permanent brain damage. The study of almost 21,000 people, published in the PLOS Medicine journal, found that consumption of seven or more units of alcohol per week is associated with higher iron levels in the brain. More iron in the brain is also linked to Alzheimer's and Parkinson's disease and is a potential mechanism for alcohol-related cognitive decline. The participants reported their own alcohol consumption, and their brains were scanned using magnetic resonance imaging (MRI). Of those participants, 7,000 of them also had MRIs on their livers imaged to see the levels of systemic iron. They were also required to complete a few tasks to assess their cognitive and motor function. The participants' average age was 55 years old and 48.6 per cent were female. Anya Topiwala of the University of Oxford, United Kingdom, and her colleagues found that alcohol consumption above seven units per week led to higher iron levels in basal ganglia - the part of the brain that helps with movement. “Markers of higher basal ganglia iron associated with slower executive function, lower fluid intelligence, and slower reaction times,” the study reported. “Iron accumulation in some brain regions was associated with worse cognitive function.” They concluded that moderate alcohol consumption is associated with higher iron levels in the brain. Image: Shutterstock

Caring

Alcohol marketing has crossed borders and entered the metaverse – how do we regulate the new digital risk?

The World Health Organization’s newly <a href="https://www.who.int/publications/i/item/9789240046504" target="_blank" rel="noopener">released report</a> on regulating cross-border alcohol marketing raises the alarm for countries like Australia and New Zealand, given their light touch towards alcohol advertising. Alcohol is widely consumed in Australasia but there is ongoing tension over how much restraint, if any, should be placed on the marketing of these products. Australia and New Zealand are at the unrestrained end of the marketing continuum. Both countries rely on industry-led policy in the form of voluntary codes – an approach identified as insufficient by the WHO report. What is cross-border alcohol marketing? Alcohol marketing, created and disseminated in one country and spread across borders into others, is commonly used by multinational corporations striving to increase sales and normalise alcohol as an everyday product. Much of this advertising is taking place in the digital media sphere. The increased use of these media platforms by alcohol corporations allows them access to cheap advertising opportunities. For as <a href="https://au.reset.tech/uploads/resettechaustralia_profiling-children-for-advertising-1.pdf" target="_blank" rel="noopener">little as US$2</a>, an advertising campaign based in Australia could reach a thousand young people profiled as interested in alcohol, for example. Marketing across digital media has also increased the impact of those messages. Brands interact with users on social media platforms, encouraging the posting, sharing and liking of <a href="https://pubmed.ncbi.nlm.nih.gov/33573719/" target="_blank" rel="noopener">branded images and messages</a>. Higher user engagement is associated with <a href="https://pubmed.ncbi.nlm.nih.gov/32079562/" target="_blank" rel="noopener">more drinking</a>. <figure class="align-center "><img src="https://images.theconversation.com/files/464113/original/file-20220518-21284-beeqsu.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/464113/original/file-20220518-21284-beeqsu.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=400&fit=crop&dpr=1 600w, https://images.theconversation.com/files/464113/original/file-20220518-21284-beeqsu.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=400&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/464113/original/file-20220518-21284-beeqsu.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=400&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/464113/original/file-20220518-21284-beeqsu.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=503&fit=crop&dpr=1 754w, https://images.theconversation.com/files/464113/original/file-20220518-21284-beeqsu.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=503&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/464113/original/file-20220518-21284-beeqsu.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=503&fit=crop&dpr=3 2262w" alt="AB InBev logo behind a smartphone also showing the logo" /><figcaption>Multinational corporations like AB InBev have been quick to embrace digital platforms as a new way to advertise alcohol products. <a class="source" href="https://www.gettyimages.com.au/detail/news-photo/in-this-photo-illustration-an-ab-inbev-logo-is-seen-on-a-news-photo/1234971135?adppopup=true" target="_blank" rel="noopener">Pavlo Gonchar/Getty Images</a></figcaption></figure> Targeting the individual The increased power of these advertisements reflects the effectiveness of “personalised marketing”. Companies can now target individuals and “look alike” audiences. This approach is made possible thanks to the enormous amount of data collected as we interact together, purchase products and indicate our interests and passions through our clicks and likes. This data is extremely valuable to marketers and alcohol corporations. It gives them insight into the best time of day, the best brand of alcohol and the best type of marketing message to send our way. All groups across society are vulnerable to being bombarded by messages encouraging the purchase and consumption of alcohol. Digital advertising can target everyone: teenagers looking for brands which exemplify their identity; young adults, the heaviest “occasion drinkers” in Australia and New Zealand, some of whom are developing drinking habits that may be hard to change in later life; and adults of all ages who wish to reduce their consumption, often for health reasons. Digital media has become an all-encompassing marketing environment in which the “buy” button – with home delivery and often no checks on age or intoxication – provides a seamless marketing and distribution system. In New Zealand, <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/dar.13222" target="_blank" rel="noopener">online sales</a> increased significantly during the COVID-19 lockdowns, particularly among heavier drinkers. Entering the metaverse The alcohol industry is now showing its initiative by entering the emerging <a href="https://www.ypulse.com/article/2022/02/03/metaverse-mansions-more-tiktok-how-brands-are-marketing-for-this-years-super-bowl/" target="_blank" rel="noopener">metaverse</a>. To understand the metaverse, <a href="https://thedecisionlab.com/insights/technology/brave-new-world-how-the-metaverse-may-shape-our-psychology" target="_blank" rel="noopener">according to one commentator</a>, you should <blockquote> take today’s social media, add a splash of sophisticated 3D, fold in a plethora of options for entertainment and gaming, garnish it all with data-driven personalisation, and you are all set to take away your order of a supersized social media network, the metaverse. </blockquote> In terms of marketing, this provides a new opportunity. The biometric data essential to a virtual reality experience is also available to develop “<a href="https://scholarship.law.vanderbilt.edu/jetlaw/vol23/iss1/1/" target="_blank" rel="noopener">biometric psychographics</a>”, allowing for the even greater personalisation of advertising. Virtual alcohol brands created and used by avatars in the metaverse support the development of brand allegiance in real life, and virtual reality will transform e-commerce experiences and increase the power of sponsorship. AB InBev, the largest global alcohol corporation, was an early adopter of the metaverse. One of its brands, <a href="https://sifted.eu/articles/metaverse-brands-nft/" target="_blank" rel="noopener">Stella Artois</a>, is sponsoring the Australian Zed Run platform on which virtual horses can be raced, bred and traded. The Zed Run platform experienced 1,000% growth in early 2021. <figure class="align-center "><img src="https://images.theconversation.com/files/464116/original/file-20220518-23-f6cjil.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/464116/original/file-20220518-23-f6cjil.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=400&fit=crop&dpr=1 600w, https://images.theconversation.com/files/464116/original/file-20220518-23-f6cjil.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=400&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/464116/original/file-20220518-23-f6cjil.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=400&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/464116/original/file-20220518-23-f6cjil.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=503&fit=crop&dpr=1 754w, https://images.theconversation.com/files/464116/original/file-20220518-23-f6cjil.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=503&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/464116/original/file-20220518-23-f6cjil.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=503&fit=crop&dpr=3 2262w" alt="Two people stand in front of a screen with a digital image of a horse." /><figcaption>Digital horse racing game Zed Run has exploded in popularity, with alcohol companies using the digital platform to reach a new audience. <a class="source" href="https://www.gettyimages.com.au/detail/news-photo/performers-tyra-cartledge-and-kendall-drury-takes-part-in-a-news-photo/1329475903?adppopup=true" target="_blank" rel="noopener">Lisa Maree Williams/Getty Images</a></figcaption></figure> Regulating to reduce alcohol harm The digital world is extremely dynamic. It is also opaque to most policy makers and public health practitioners. It is telling that there is no reference to the metaverse as a cross-border alcohol marketing opportunity in the WHO report. There is an urgent need for debate regarding how policy makers should better understand the risks involved with the targeted marketing of hazardous products such as alcohol. The WHO report outlines various partial and unsuccessful approaches to regulating marketing in the digital media. Attempts, such as <a href="https://helda.helsinki.fi/bitstream/handle/10138/303690/Alcohol_marketing_on_social_media_sites_in_Finland_and_Sweden_2019.pdf" target="_blank" rel="noopener">Finland’s</a> regulation of user-shared branded material, have failed because they did not interfere with the basic architecture of the social media platforms, which is predicated on engagement via sharing and liking. The most successful examples offered by the WHO report have been countries like Norway, which have imposed a complete ban on alcohol marketing including in the digital media. The report emphasises the need for surveillance and enforcement, suggesting ways in which alcohol companies could be penalised for marketing breaches. The support provided by international agreements such as the <a href="https://fctc.who.int/who-fctc/overview" target="_blank" rel="noopener">Framework Convention on Tobacco Control</a> is identified as a possible template for future discussions. The response to tobacco marketing provides a good and largely effective model for officials and policy makers. That said, the public health goal for alcohol is not equivalent to the smokefree goal. Advocates are not trying to eliminate alcohol altogether. However, there are parallel arguments in favour of creating a healthier media environment through regulation to prevent the promotion of alcohol products via increasingly sophisticated technological and psychological tools. These products are significant causes of reduced well-being, and this marketing increases consumption and therefore harm. The messages of the WHO report are timely and should be heeded.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/183334/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/sally-casswell-862029" target="_blank" rel="noopener">Sally Casswell</a>, Professor of public health policy, <a href="https://theconversation.com/institutions/massey-university-806" target="_blank" rel="noopener">Massey University</a> This article is republished from <a href="https://theconversation.com" target="_blank" rel="noopener">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/alcohol-marketing-has-crossed-borders-and-entered-the-metaverse-how-do-we-regulate-the-new-digital-risk-183334" target="_blank" rel="noopener">original article</a>. Image: Getty Images

Legal

Misdiagnosed student learns she has incurable cancer

A young woman who suffered from severe pains was told it was due to her excessive drinking – when actually she had an incurable form of cancer. Georgia Ford would occasionally cough up blood, lose her breath easily and struggle to walk or exercise – but was told it was because of how much alcohol she drank. The 20-year-old was given stomach-lining tablets but over time her condition worsened - this time with weight loss and back pain. “Originally the GP said the sickness was acid reflux from the amount that I was drinking because I was a student,” Georgia told Kennedy News. However, when the law student came back from holiday she limited her drinking. But the pains persisted. She kept going back and forth with her doctor, who told Georgia that the pains she was feeling were all in her head due to anxiety. “They basically said that this was all in my head and I wasn’t ill at all. I said ‘I fail to believe that I’m having this many severe symptoms and it’s all in my head’. For almost a year-and-a-half Georgia searched for answers as to why she was feeling the way she was. It was only in November 2021, after Georgia booked a private appointment, that she was diagnosed with papillary renal cell carcinoma – a rare and aggressive form of kidney cancer. “I was just so shocked. Just any hope I had of it maybe being something else, it was just the most sinking feeling to be told basically the worst-case scenario and I was just so disappointed in everything,” she said. “Honestly it’s not been the same since that; that one moment has literally changed my life.” Doctors explained to the young student that the cancer had started off in her kidneys and spread to her lungs, liver, lymph nodes and bones. And it was then they told the aspiring lawyer that her condition was incurable, forcing her to accept that this is her life now. “It’s just like this overwhelming sadness that just fills you at the time,” she explained. Since the shocking diagnosis, Georgia has begun immunotherapy, which involves taking medication every day and having an intravenous drip every two weeks. She is always required to take portable oxygen tanks when she goes out, and when it’s time to sleep she requires an oxygen pipe to help her breathe. Doctors say this treatment will help Georgia’s cancer shrink to the point of having a “normal life” as much as possible. A <a href="https://www.gofundme.com/f/fightagainstprcc" target="_blank" rel="noopener">GoFundMe</a> page has been set up to help Georgia with her treatments. Images: 7News/GoFundMe

Body

David Campbell celebrates 8 years of sobriety

David Campbell celebrates eight years of sobriety this week, and he couldn't be happier. The presenter took to Twitter to mark the milestone by announcing, "Been sober for 8 years this week. Best decision I made for myself, my family and my mental health. If you are thinking of it, know that it's wonderful." <blockquote class="twitter-tweet"> Been sober for 8 years this week. Best decision I made for myself, my family and my mental health. If you are thinking of it, know that it’s wonderful — David Campbell OAM (@DavidCampbell73) <a href="https://twitter.com/DavidCampbell73/status/1514009764153688065?ref_src=twsrc%5Etfw">April 12, 2022</a></blockquote> David was quickly flooded with Tweets celebrating his news that resonated with their own experiences. One fan wrote, "Congratulations David. I'm considering giving it up completely myself (anxiety is always worse when I tipple)," and another commented, "Agreed. Three years for me. Hardest thing I've ever done. But also the best that thing that I've ever done." "It's been two years for me now - huge congratulations to you sir!" shared a Tweeter. When David decided to become sober, he shared the moment he knew his drinking was an issue. It was when his then four-year-old son, Leo, commented, "That "Daddy isn't well." "I felt shame. I couldn't stand by and watch this be normalised with the next generation. I wanted to be a role model for him. I wanted to be the best father I could - I still do. "So I quit alcohol, and I have never been happier. Now a year on, I have tripled my number of children and my resolve," he told the publication. David's rocker dad Jimmy Barnes has also openly spoken about his addictions in his memoir Working Class Man. During an interview with Now To Love, Mahalia Barnes revealed why her family is so open to sharing their stories. "I think that being in the public profile, you do have less privacy, obviously. That's just how it works; it sort of comes with the territory. "And obviously, there are things that you can choose to keep private, or you can speak openly. But when it comes to talking about things like alcoholism and drug addiction or domestic violence, that are generally kept secret and kept in the shadows, I think the more people that can publicly talk about that stuff, the better. "It's not easy, it is vulnerable, but it's also really powerful and really important to do that because I think that there's a lot of stigmas that we have around those sorts of issues," said Mahalia. If you or anyone you know struggles with topics raised in this article, contact lifeline at any time on 13 11 14. Images: Instagram

Body

Could your phone tell you’ve been drinking?

The best guide to whether you’ve had too much to drink may already be in your pocket. Medical researchers from Stanford University, US, have trialled using a smartphone to monitor changes in our movements after we’ve been drinking, then deliver real-time information – which may serve as a warning or a reminder. “We have powerful sensors we carry around with us wherever we go,” says Brian Suffoletto, lead author of a <a href="https://dx.doi.org/10.15288/jsad.2020.81.505" target="_blank" rel="noreferrer noopener">paper</a> in the Journal of Studies on Alcohol and Drugs. “We need to learn how to use them to best serve public health.” Suffoletto and colleagues invited 22 adults aged 21 to 43 to their lab and gave them a mixed drink with enough vodka to produce a breath alcohol level of 0.2%. They then breath-tested them every hour for seven hours, each time also asking them to “walk the line” (10 steps forward and 10 back) with a smartphone fitted to their lower back. <div class="newsletter-box"> <div id="wpcf7-f6-p105237-o1" class="wpcf7" dir="ltr" lang="en-US" role="form"> </div> </div> The phones measured the acceleration and side-to-side (mediolateral), vertical and forward and backward (anteroposterior) movements while they walked. The researchers say that nine times out of 10 they could use changes in the participant’s gait, as identified by the phone, to identify when they were at or above 0.08% – the legal limit for driving in the US. “This controlled lab study shows that our phones can be useful to identify ‘signatures’ of functional impairments related to alcohol,” Suffoletto says. The next stage is to test whether the approach works as well with people holding their phones in a normal way, and to think about the best strategies that will provide effective support to individuals while they’re under the influence. “In five years, I would like to imagine a world in which people… get an alert at the first sign of impairment and are sent strategies to stop drinking and protect them from high-risk events like driving, interpersonal violence and unprotected sexual encounters,” Suffoletto says. <img id="cosmos-post-tracker" style="opacity: 0; height: 1px!important; width: 1px!important; border: 0!important; position: absolute!important; z-index: -1!important;" src="https://syndication.cosmosmagazine.com/?id=105237&title=Could+your+phone+tell+you%26%238217%3Bve+been+drinking%3F" width="1" height="1" data-spai-target="src" data-spai-orig="" data-spai-exclude="nocdn" /> <div id="contributors"> <a href="https://cosmosmagazine.com/health/could-your-phone-tell-youve-been-drinking/" target="_blank" rel="noopener">This article</a> was originally published on <a href="https://cosmosmagazine.com" target="_blank" rel="noopener">Cosmos Magazine</a> and was written by <a href="https://cosmosmagazine.com/contributor/amelia-nichele" target="_blank" rel="noopener">Amelia Nichele</a>. Amelia Nichele is a science journalist at The Royal Institution of Australia. Image: Getty Images </div>

Technology

Regular daily alcohol intake could be best for the heart

Giving up the booze – even temporarily – results in an increased risk of developing coronary heart disease (CHD), a review of six long-term studies has found. <a href="https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-018-1123-6" target="_blank" rel="noopener">In a paper</a> published in the journal BMC Medicine, researchers led by Dara O’Neill from University College London in the UK found that variations in moderate alcohol intake heightened the likelihood of heart disease. Lifelong non-drinkers and people who gave up drinking permanently also showed higher incidences of CHD than those who maintained regular moderate alcohol intake. The study reviewed six longitudinal alcohol drinking studies, five from the UK and one from France, involving a total of 35,132 people. Over an approximate 10-year period, 4.9% of participants experienced a CHD event, some of them fatal. Analysing the figures, O’Neill and colleagues found that the lowest risk of coronary illness occurred in “consistently moderate drinkers”, defined as males who consumed up to 168 grams of ethanol, and women who consumed up to 112 grams, each week. A half-pint of beer, single glass of wine or single shot of spirits was estimated to contain eight grams of ethanol. People who drank alcohol, but at levels that varied over time between none and too much, experienced “a significantly greater risk” of CHD. Increased risk was also detected among people who gave up alcohol, and among those who were lifelong abstainers. In the latter category, however, the boost applied only to women. Perhaps surprisingly, no evidence of increased CHD risk was found among heavy drinkers – but the researchers suggest this result should be regarded as potentially suspect. “Given that heavy drinkers are known to be under sampled in population level surveys, interpretation of the absence of effect amongst heavy drinkers in the current study should be done very cautiously, particularly in light of the known wider health impact of heavy alcohol intake levels,” says O’Neill. The researchers also caution that the elevated CHD risk among inconsistent moderate tipplers might not relate directly to alcohol intake itself. Instead, it may reflect other factors, such as periods of illness or life stress, which result in a change to drinking patterns. “When we split the sample by age, we found that the elevated risk of incident CHD amongst inconsistently moderate drinkers was observed in participants aged over 55, but not those aged below,” notes O’Neill. “It may be that the older group experienced lifestyle changes, such as retirement, which are known to co-occur with increases in alcohol intake and that these could have played a role in the differing risk.” The study was observational in nature, so offers no insight into cause and effect. However, the researchers suggest that the results imply that many current public health messages around alcohol consumption – particularly those that encourage an annual month of sobriety – may be off target. “This finding suggests that policies and interventions specifically encouraging consistency in adherence to lower-risk drinking guidelines could have public health benefits in reducing the population burden of CHD,” they conclude. This article originally appeared in <a href="https://cosmosmagazine.com/health/body-and-mind/regular-daily-alcohol-intake-is-best-for-heart-health-study-finds/">Cosmos Magazine</a>.

Body

Woman has shocking reaction after lip filler

After Morgan Proudlock went to get a small amount of lip filler, she decided to go on a night out drinking with her friends. When she woke up the next morning, her lips were extremely puffy and swollen, and she was in an extreme amount of pain. Sharing her experience on TikTok, she said drinking alcohol after her procedure was the “worst thing” she could’ve done. “(The) pain was ridiculous,” she said in the clip. Morgan said she didn’t drink “that much”, but even a small amount of alcohol was enough to cause a severe reaction. “It’s because I drank and you not meant to straight after so I’d advise you avoid alcohol for a few days,” she told viewers looking at getting the procedure. She said despite her “horrid” reaction, the pain and swelling eventually subsided. According to <a href="https://www.healthline.com/health/beauty-skin-care/lip-fillers-aftercare#what-to-avoid">Healthline</a>, alcohol acts as a blood thinner, meaning people should avoid drinking at least 24 hours after similar cosmetic procedures. “Alcohol can also cause inflammation, increase the likelihood of bruising, and make swelling worse,” the site explains. “It’s also a good idea to avoid alcohol a few days before your appointment.” Several women commented on Morgan’s video, saying that they had “learned their lesson” about lip filler protocol, not wanting the botched look Morgan managed to achieve. Image credits: TikTok

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Alcohol marketing has crossed borders and entered the metaverse – how do we regulate the new digital risk?

Misdiagnosed student learns she has incurable cancer

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Could your phone tell you’ve been drinking?

Regular daily alcohol intake could be best for the heart

Woman has shocking reaction after lip filler