Seriously Consider Skipping the Drinks (2022)
health.harvard.edu
health.harvard.edu
> "I don’t think that everyone who is drinking, even in moderation, needs to stop drinking urgently," says Dr. Manson. But if you do drink regularly, it might be a good idea to cut back. Also, if you’re drinking expressly because you’ve been told it protects your heart, you should stop.
Also, the following paragraph is unsurprising in more than one way.
> In addition, the WHF noted that much of the past research on alcohol and heart health consisted of observational studies — not the more reliable randomized controlled trials. When randomized trials were conducted, they failed to find a heart benefit from drinking alcohol
I thought it was specific to wine due to resveratrol, rather than the alcohol.
But that is to be expected when you are only dealing with epidemiological studies.
It is alarming how many claims are made due to epidemiological studies. Worse of all, official guidelines are based on them just as much and easy to manipulate if you have perverse incentives.
There's no way I will stop drinking completely, I like beer too much. But reducing has really no downsides at all.
That's like 6 to 7 cans? Dang boi, you really like beer.
Although I'm sure there's variations in heart rate that aren't healthy.
Have you considered that cutting it out entirely would also be good for your mental health?
I wonder if the impacts you’re experiencing are basically a mix of a spike in oxidative stress, sleep deprivation, dehydration, and probably coincidental poorer nutrition on the night you’re drinking. So, equally, I wonder if making a sustained effort to address each of those factors the next day would bring you back to baseline quickly.
I've noticed there is this weird neo-puritanical movement getting in vogue as of late, but I don't really understand why. Especially in educated groups it should come as absolutely no surprise that drinking is bad for your health and I don't know a single person who drinks because it's "healthy". We drink (in moderation) because it's makes for a good time and the negative externalities are understood and considered a worthwhile trade-off. For some people this trade-off is not acceptable which is totally fine too.
If you're serious about getting healthier I reckon that for a lot of people there is a lot more impactful changes to make than to stop drinking. E.g. no more processed foods, losing weight, exercising regularly, fixing indoor air quality and maybe less/no drinking if it's actually a significantly affecting health.
Granted, it's anecdotal - and I'm sure there could still be a neo-puritanical culture movement - but as far as I can see it's just people getting tired of the absolute bullshit associated with alcohol.
(The other thing they all got in order with is good sleep, which alcohol seriously destroys)
Edit: Emphasis change.
For example if you drink 4 beers in one night, you may consider that night as heavy drinking, but you are not heavy drinking in general if you do it once every month or two. You're more of a drinker if you get a glass of wine every night while reading your book.
Almost everyone I know would be surprised that drinking over 2-3 ever is considered dangerous drug abuse, and even in the 1-2 range there's enough risk to be concerned about cancer.
Maybe if you have just one with diner and get drunk a few times in your life, you'd be like the guy that does coke at a few parties.
The vast majority of heavy alcohol users suffer from the same behaviors that get you labeled as a drug addict: needing it to fully have fun, not being able to imagine stopping, being okay spending large sums of money on product, etc.
Yet people will lose your mind if you suggest it should be stigmatized like with other substances... and I don't think there's a problem with some "light" stigmatism with things like smoking, drinking, and cocaine use.
We just don't need to treat people as subhuman, but they should be similarly stigmatized. Like the chain-smoking dude presently is.
This alcohol culture has resulted in a lot of political pressure to undersell the negative health effects of drinking. I think it's fine if people are drinking as long as they're aware of the consequence. Although alcohol advertising in general still makes me a bit uneasy, I don't think any other substance could get away with the same kind of ads as alcohol manufacturers.
For most, it's probably better to live a shorter and more fulfilling life than that of a monk which abstains from all pleasures. But if we're going to drink, it's better to be honest about the impact we're expecting.
Monk didn't really abstain from all the pleasures, in fact they enjoyed drinking and eating well. Ever noticed how many beer brands have a monk on their label ? That's because they were the ones brewing them, sometimes for "religious purposes" [1]
[1] https://lordsofthedrinks.org/2016/02/11/the-all-beer-diet-ge...
https://www.psychologicalscience.org/news/releases/moderate-...
https://www.sciencedaily.com/releases/2012/06/120629211854.h...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5462438/
Whether other psychoactive substances have similar effects I don't know, but it seems reasonable to assume alcohol's somewhat-unique social role reflects its actual impact on group bonds.
Cigarettes did for a long old time, until we regulated it away. Even when I was a kid (80s) I remember the tobacco ads mostly being kind of abstract because the regulations prevented them from saying very much. Then later they disappeared entirely.
I think I would probably be OK with most alcohol ads disappearing. Opinions on this may vary of course.
Cancer and heart disease... maybe it's less, but it's still A LOT, like 1/3 of the total cancer cases (obvious issues with this metric aside, that's insane). Alcohol certainly causes heart disease.
Either can burn through your esophagus... there's just so much bad in both.
12 ounces of beer is ~340ml, about a normal water drinking glass, or about 0.60 pints, or about 0.72 of those weird American pints.
5 ounces of wine is ~142ml, which is slightly more than a small wine glass. Most wine glasses are 125ml, although there are also lots that are 250ml.
1.5 ounces of spirits is ~42.5ml, which is somewhere between a single and a double shot.
Just compare these two maps:
https://worldpopulationreview.com/country-rankings/alcohol-c...
https://worldpopulationreview.com/country-rankings/heart-dis...
It ignores that things work in concert: a healthy life is about balance, i.e. in this case: a Mediterranean diet seems to nullify the impact of alcohol (which I assume is the reason for the low heart disease rates in France and Spain, despite having double the average alcohol intake compared to say the Nordics).
Games, YouTube and pretty much anything added to HTML after 1995 is just about making you not-bored, thinking you're doing something. I admit it's difficult to tell the mind not to go for the cheap stuff, but staying bored until the _right_ urge comes up.
The WHF considers moderation as 1 standard beverage per day (for a woman). This is the basis of their recommendations.
Their other definitions include: A woman is considered a heavy drinker if she has eight or more drinks per week, or a binge drinker if she has more than four drinks in one sitting.
So over to the HN forums:
What do you consider "moderate drinking"?
There was some study posted here many years ago that showed a clear increase risk of cancer starting at 5 units per week, so don't drink more than 2 pints/week (or 1 pint if you like Belgian ales like me :P)
I'd say that listening to that episode was one of those defining moments in life for me. It completely changed my relationship with my own habits as I started to reevaluate every other habit and was able to successfully pick the ones that made sense to me and the ones I could let go. For example:
- It was easier to quit smoking, which is something I used to stop and pick up again intermittently.
- I quit drinking so much coffee. Now I only drink it if I wake up super early and I know I have a long day or maybe I have a very complex task at the job.
- I've been able to maintain the overall cleanliness of my home at a higher level. I don't feel that feeling of "I'll do that later" as much anymore. In this podcast, Andrew talks about how chronic alcohol consumption hinders our ability to postpone satisfaction in the short term in favor of long-term benefits.
- I started being able to actually enjoy things instead of just enjoying having that alcohol buzz.
That said, I will not stop drinking. A good old night out with some friends is just too much fun.
Don't miss it at all.
The thing is though, that people like a little chemical relaxation. After a tough day or just because whatever. I know I do. I'm not a daily drinker, but I enjoy a glass of wine or beer several times a week. More on occasion (probably monthly). I'd go so far as to say it's quite important to my mental health to be able to have a little escape switch like that after a tough day of work, under high pressure to get something delivered.
"Just don't" is not a good answer for me. "Adjust your life so you don't feel like that" only goes so far as well, would probably involve a complete career change, relative poverty (and the associated health outcomes there etc etc.), and quite likely no real reduction in stress.
Most of the west still lives with cannabis prohibition, and god forbid our advanced medical science be used to research potential recreational substances with lesser harm profiles, despite the massive effect on health this could have. That'll never fly politically after decades of demonising anything that can be referred to as 'drugs'.
So what to do?
(I'm not trying to claim it's impossible to be alcohol or drug free, it clearly works well for a lot of people. Though I will say that most people I know who have given it up entirely have done so because of issues with self-control and addiction, either that they saw in themselves or in family)
Have you tried sports or meditation?
None of that is available to quickly switch me off and relax me at 11.30pm after we had a production failure and the shit needed to be saved from hitting the fan.
I'm not really the meditation type.
It's true I could easily not have that glass of wine at that point, but I'd probably then go to bed in a more stressed state and sleep worse. :shrug:
Which is great.
But as others mentioned. Meat, fried stuff, anything carbs, the list of stuff you should avoid to stay healthy never ends.
Same with interesting past times. Climbing, paragliding, street/ramp skating, horse riding etc. Much higher risk of injury or even death than with "boring" sports or no sports at all.
The issue I rather have with the topic at hand & the general discussion people have around it is that the comparably "healthy" substance alternatives are illegal and/or hard to come by.
That said -- we live in Berlin.
You can easily get pure MDMA delivered to your door. Testing kits can be ordered from Amazon.
A shop around the corner sells high quality (beautifully packaged) mushroom chocolate under the counter; in different strengths.
A legal shop down the road[1] sells a LSD variant that seemingly changes every six months, as the government adds the variant they're currently selling to the controlled substance list.
We found microdosing the aforementioned three, depending on occasion, is similar/better than having a glass or two of wine. With the added benefit that you can choose the substance for the occasion, for better effect.
Specifically MDMA for social gatherings and mushrooms for tango dancing (which is our non-dangerous favorite past time). LSD for either, depending on mood or what we have on the shelf. And yeah, I also use LSD microdoses sometimes when writing challenging code.
And while we admittedly were "a glass of wine or two a day people before" -- which seems to be the norm when you live in central Berlin --, we find that we take the above three substances only once or twice a week, mostly during weekends and always in isolation & microdosed.
For MDMA the reasons are obvious (although literature is not conclusive about long term serotine depletion even being a thing with MDMA when taking it strictly in moderate doses & in isolation from other substances on the resp. occasion -- we are just not gambling there).
For mushrooms and LSD the reason is simply that you don't want psychoactive effects at all.
Kinda why you avoid drinking a bottle of wine by yourself during a dinner -- you still want to enjoy talking to other people.
[1] https://maps.app.goo.gl/AzA9uvJx7NsxquvN8 resp. http://lsd.store
You might want to add stuff by "Big Drop" to the 'to try' list. They do a good (if highly calorific) milk stout and some of their pales are pretty decent. If you like weissbier then Franziskaner Weiss alcohol-free is available in the UK and to me tastes as good or better than their version with alcohol.
When brewdog have their Hazy AF available, which is not all that often, that one's really worth a go. I like "Nanny State" too, but I see why not everyone does, and I'm not a huge fan of Punk AF. Hazy AF is damn good though.
I think you sort of get that simply by excluding alcohol, but you can’t really expect that to still be there in my opinion.
But almost all the alcohol free beers in the Netherlands now are very good (heineken in the UK too, but heineken doesn’t really have a very unique taste to begin with).
There are a couple other US breweries I like, both of which I doubt distribute internationally: Ration Ale and Best Day Brewing.
To me, consuming alcohol gives no sparkling and sharpening and over-joyous feeling or anything of that sort, which aren't safe effects to receive from substances at all, let alone automatically released; only relaxation and very mild euphoria and temporary impairments, which still aren't desirable effects but probably not as devastating as the above first group of effects.
I would not encourage anyone doing alcohol unless they must, and encourage minimizing use if possible, but if your brain is always out of office for another naked skydiving session... it's more preferable he do motorcycles in evenings with his helmet on.
All of the friends I've made have been through competitive sport, the gym, running, team sports.
All kinds of people getting together and bonding over traumatic experience. You also get a workout. What's not to like.
We've decided to hold each other less accountable when drinking, so we take more chances socially, knowing that we can blame it on the drug.
But this isn't a free lunch. When we make up a social state where we hold each other less accountable, we hold each other more accountable anytime else, and leave less room for those things in everyday life. If we hadn't had these magical beliefs about alcohol, we'd be much more forgiving for people who e.g. were "seeking fun new spontaneous relationships" when sober.
Jesus, where is the line. I'm tired of other people to tell me what to eat and drink on a weekly basis.
A study being published saying "this this isn't great for you" is not at all remotely communism.
Also yes people should be allowed to smoke
Yes, assuming that I never have to inhale any of your smoke. Even outdoors. I don't care what you do to your body, but I do care what you do to mine.
In a pastrami sandwich, about 50% of the calories will be from the bread alone.
People can eat bread, but when they wonder why it's hard to lose weight they tend to ignore this unconsidered contributor (conversely if you're working in a field or at hard labour job, breads a pretty great, compact calorie source).
Dude but it's their problem. You can get heroin and crack on the streets right now. I do not want things to be banned just because some dumbass is doing it wrong.
Literally reminds me of the anti-cannabis activist who's biggest argument was that "I smoked some weed, went home and they said my relative died and I laughed. Now I think nobody should ever use cannabis and it should be banned completely."
You have been complaining about a study which suggested that people who care about their health might want to re-evaluate their risk appetite in light of updated data.
Just because you think your life would be miserable/boring without alcohol, doesn’t mean my actual life without alcohol is miserable/boring. To me, I find people that lean into this projection don’t even realize that their life is already miserable and the drink is what makes things tenable
I know people who don't drink often, much who still party and are "fun" to be around. And I know people who are boring who don't mind a drink.
Also I say I’m a non drinker as I think it’s the most accurate description but it’s also not a law or taken super duper literally. Middle aged Me probably averages 3 drinks a year. Some years I might have ten, some years zero. I had a few years where I drank every day. I partied a lot as a teen (regular shitface drunk), quit for most my 20s, then started drinking wines when I was in my early 30s, and quit again and have been super infrequent drinker since (about last 12 years). I’m always surrounded by people drinking, I know they enjoy it, I don’t frown upon them for imbibing. It looks like a hobby to me, people talk about whiskey/wine/brewers like they talk about sports teams. I’m just not very interested in it. Sports either for that matter.
Unfortunately these effects are inseparable from less desirable ones: guilt, anxiety, upset guts, hypersensitivity to smells, hair-trigger impatience, flop sweat.
Anyway, you can be quite a successful billionaire and have no one likes you. Being right and rigid is boring, sometimes being unhinged is interesting.
I succeeded in quitting and of course it wasn't true. Literally every aspect of my life improved. An addicted mind is an unreliable narrator.
Now imagine there's a magic potion that make it feel like it all goes away even if for just a little while.
Does that help explain it?
The fact one chooses to imbibe instead is not the thing bringing you joy, it’s escapism. So the fact you would conflate that to others that are content and have no need to escape is ass backwards logic.
If the criticism was phased as, “a drink really helps me unwind after a stressful day/week” I’d get it. But it’s usually projected outwards as “you must be boring/miserable for not drinking”. That’s the rub.
Seriously, people who think that drinking is the only thing to do are the boring ones.
But in your example, when exploring a far-away land, a few beers with the locals in some pub can greatly enhance the experience.
Drugs \o/
*checks notes*
"By regularly buying goods from alcohol companies, and especially by making those purchases (and chronic low-level self-poisoning) a core part of your self-identity like a good little consumer!"
Oh wait, was I not supposed to draw attention to that second part?
The guy I was replying to was satirizing beer drinkers as consumerist cogs in the machine. I pointed out that of all the things to criticize someone for enjoying alcohol is probably one of the least corporate. If buying alcohol makes you a monopolist’s bitch then so does buying anything and everyone in the entire world is hopeless.
It’s like claiming solar panels make you a slave to factory owners when they can be used, operated and repaired in a distributed manner. Sure, maybe, but like what a weird hill to die on?
______
1 - Luminouslow: "Pfft, health shmelth, the corporations want us to be cowards who don't drink alcohol, and this is playing right into their hands!"
2 - Terr: "That's hypocritical nonsense. If anything, people like you--ones who treat regular alcohol as an important part of their identity and try to ostracize people who don't drink--are the real corporate sheep here."
3 - Subjectsigma: "Alcohol isn't always corporate, people can brew their own at home."
4 - Xornot: "That would be a very different situation than the world we're discussing right now."
5 - Subjectsigma: "But Terr started criticizing people who drink as consumer sheep, which is very unfair because they could have bought locally."
6 - Terr: "Dude, WTF, did you even see what I was replying to!? Where the guy suggested not buying anything was worse!? [Recursion error]
That aside - the more I think about it the more I don’t understand how you could look at such a globally distributed and diverse product as alcohol and think its consumers can be easily stereotyped. Not even months ago in America there was a boycott of a massively popular brand of beer on political grounds; how very sheepish of those consumers!
But that's quite different to thinking the current regime of anti-drug enforcement, incarceration, and generally catastrophic waste of time, resources and lives - is at all a productive or even useful thing to do for society.
I'll discourage everyone from drinking alcohol or smoking weed, but that's very different from thinking any of this should be banned.
Though I'll happily commit to the notion that I suspect you'd get a lot fewer fights among dedicated stoners then drinkers on a friday night.
If you've seen anybody who lives for Friday / Saturday night and a Sunday hangover, it fits the consumerist image pretty neatly. Many (obviously not all) are slaves to alcohol.
We've all heard the wine'o'clock jokes from middle aged women in the office, people struggling to complete "Dry January" and similar challenges, colleagues talking about how excited they are to get a drink when they get home.
These people are held under the thumb of a handful or two alcohol companies. In many cases, it's simply a wasted weekend and quite a sum of wasted money, especially when you can't remember any of it.
So as a matter of current reality, alcohol-culture overwhelming means megacorporations. Things could be different... but they aren't.
[0] https://www.businessinsider.com/sabmiller-ab-inbev-would-dom...
Okay, but so-what?
This isn't about every single possible alternate universe of alcohol economics, this is about the weird argument given by the parent poster.
Do you really think they were advocating for everyone to engage in self-sufficient home brewing?
I used alcohol to cope with stress at work/life and when I stopped, the switch flipped and I saw how much I numbed myself to the pain that was necessary to change any of it. I basically grew a pair over 90 days. Now, none of people's manipulation or crocodile tears affect me.
If you are stress- and anxiety-free, you don't have this problem and can afford it, but I highly recommend to people to quit drinking and doing drugs who recognize themselves in what I described.
I however really love the taste of good specialty beers and the meme of drinking a beer while cooking&eating food. Not sure if I want to cut down any further, I enjoy drinking too much. But investing any technique to increase anxiety resistance sounds worthwhile to me, otoh...
It's also quite telling that you consider not drinking a boring life, in my experience (obviously this is anecdotal) people who are not drinking are more active and are typically more open to try new things.