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Alcohol consumption affects our biology at the cellular, organ, and brain level. It has both immediate and long-term effects on our thinking, behavior, and overall health. Ingesting alcohol leads to the conversion of ethanol into acetylaldehyde, a toxic compound that damages cells. It also impairs the activity of neurons in the prefrontal cortex, leading to impulsive and habitual behaviors. Alcohol affects the production and release of serotonin, a neurotransmitter involved in mood regulation. It disrupts memory formation and storage, often leading to blackouts. Chronic alcohol consumption can also alter the hypothalamic-pituitary-adrenal axis, increasing stress levels and affecting mood. Genetic factors, age of first exposure to alcohol, and environmental influences all contribute to the risk of developing alcohol use disorder.
The patterns of alcohol consumption, even in moderate amounts, can have significant effects on our neural circuits and overall health. Regular drinking, even one or two drinks per night, can lead to increased baseline stress levels and lower mood when not drinking. Changes in neural circuitry that control impulsive and habitual behavior occur, making it harder to break free from alcohol dependence. Genetic predisposition and early initiation of alcohol consumption increase the risk of developing alcohol use disorder. The effects of alcohol differ among individuals, with some experiencing an increase in alertness and energized mood, while others feel sedated or experience blackouts.
Genetic factors play a role in determining an individual's predisposition to alcoholism. Variants in genes related to serotonin receptors, GABA receptors, and the hypothalamic-pituitary axis are associated with alcohol use disorder. These genes interact with environmental factors and patterns of alcohol abuse. Starting to drink at a young age significantly increases the risk of developing alcohol dependence. The age at which individuals initiate alcohol consumption is a strong predictor of their likelihood to develop alcohol use disorder. While genetics do influence alcoholism risk, environmental factors and age of first exposure to alcohol are also critical factors to consider.
Chronic alcohol consumption has long-lasting effects on the brain and body. It leads to changes in neurochemistry, hormone regulation, and stress response systems. Regular drinking increases baseline stress levels, impairs mood regulation, and alters neural circuitry related to impulsive and habitual behaviors. Early alcohol initiation and chronic consumption can lead to alcohol use disorder and long-term health consequences. Understanding the effects of alcohol on our biology and behavior is important in making informed decisions about consumption and seeking appropriate resources for support and treatment if needed.
Alcohol consumption disrupts the gut microbiome, killing healthy gut bacteria and causing a transiently leaky gut. The metabolism of alcohol in the liver increases the release of inflammatory cytokines, leading to inflammation in the brain and body. The disruption of the gut microbiome and the release of inflammatory molecules can result in the movement of bad bacteria into the bloodstream and the brain, affecting neural circuits and causing increased alcohol consumption. Regular ingestion of fermented foods, such as kimchi or sauerkraut, may help repair and replenish the gut microbiome.
Hangover symptoms, such as headache and nausea, can be attributed to disrupted sleep and gut microbiome caused by alcohol consumption. Alcohol disrupts the architecture of sleep, preventing restorative deep sleep and rapid eye movement sleep. It also kills healthy gut bacteria, leading to leaky gut and the release of inflammatory cytokines. While there is no definitive cure for hangovers, activities such as deliberate cold exposure, taking cold showers, or immersing oneself in cold water may help accelerate recovery. Ensuring proper hydration, replenishing electrolytes, and consuming low-sugar fermented foods might also alleviate some hangover symptoms.
Alcohol consumption is strongly linked to an increased risk of cancer, particularly breast cancer. For every 10 grams of alcohol consumed (equivalent to one glass of wine), there is a 4-13% increase in the risk of cancer. However, consuming adequate amounts of folate and B vitamins, like B12, may partially offset this risk. Pregnant women should avoid alcohol entirely due to the serious implications of fetal alcohol syndrome. It is important to note that the relationship between alcohol, cancer risk, and the role of folate and B vitamins is still an area of ongoing research.
To alleviate hangovers, replenishing electrolytes, consuming low-sugar fermented foods, and supporting the gut microbiome are beneficial. Consuming certain types of alcohol, such as brandy, should be avoided as they are more likely to cause hangovers. Hangover severity is not necessarily associated with the sugar content of drinks. Rather, the presence of congeners, which disrupt the gut microbiome, plays a significant role in hangover intensity.
Tolerance to alcohol is a complex phenomenon caused by changes in neurotransmitter systems in the brain. With repeated exposure, the duration of the negative effects of alcohol, such as the reduction of dopamine and serotonin levels, extends longer. Tolerance leads to a shrinking of the reinforcing properties of alcohol, resulting in a desire to drink more. Alcohol dehydrogenase, the enzyme that metabolizes alcohol, increases with increased alcohol intake, exacerbating the negative effects of alcohol consumption.
In this episode, I discuss the physiological effects that drinking alcohol has on the brain and body at different levels of consumption and over time. I also describe genetic differences that predispose certain individuals to alcoholism, binge and habit-drinking. I explain alcohol metabolism in simple terms and how it effectively acts as a poison, leading to cellular stress and damage. I then explain that it impacts neuronal function and changes our thinking and behavior – hallmarks of inebriation. I also discuss how alcohol consumption of different amounts impacts inflammation, stress, neurodegeneration, and cancer risk and negatively impacts the gut microbiome, brain thickness, hormone balance, mood and feelings of motivation. Additionally, I discuss the biology of hangovers and describe science-based strategies to mitigate the severity of a hangover. Since alcohol is one of the most widely consumed recreational substances, this episode ought to be of relevance to everyone. Indeed, even low-to-moderate alcohol consumption negatively impacts the brain and body in direct ways. The goal of this episode is to help people make informed decisions about their alcohol consumption that are in keeping with their mental and physical health goals.
Access the full show notes for this episode at hubermanlab.com.
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AG1 (Athletic Greens): https://athleticgreens.com/huberman
LMNT: https://drinklmnt.com/huberman
Momentous: https://www.livemomentous.com/huberman
00:00:00 Effects of Alcohol Consumption
00:03:19 Low to Moderate Alcohol Consumption & Neurodegeneration
00:06:14 Sponsors: AG1, LMNT
00:10:46 Historical Context & Uses of Alcohol
00:13:28 Alcohol Metabolism, “Empty Calories”
00:18:23 Inebriation: Top-Down Inhibition, Impulsivity & Memory Formation
00:24:23 Long-Lasting Effects & Impulsivity, Neuroplasticity & Reversibility
00:27:55 Food & Alcohol Absorption
00:30:07 Alcohol & Serotonin, SSRIs & Depression, Risk for Alcoholism, Blackouts
00:37:39 Predisposition for Alcoholism; Chronic Consumption, Cortisol & Stress
00:43:29 Sponsor: AG1
00:46:07 Genetic Predisposition for Alcoholism, Consuming Alcohol Too Young
00:52:27 Gut-Liver-Brain Axis: Alcohol, Gut Microbiome, Inflammation & Leaky Gut
00:59:46 Tool: Improving/Replenishing Gut Microbiome
01:02:44 Reducing Alcohol Consumption & Stress
01:04:25 Hangover: Alcohol & Sleep, Anxiety, Headache
01:12:11 Hangover Recovery, Adrenaline & Deliberate Cold Exposure
01:17:16 Hangover Recovery, Dehydration & Electrolytes
01:20:45 Types of Alcohol & Hangover Severity, Congeners
01:25:25 Alcohol Tolerance, Dopamine & Serotonin, Pleasure-Pain Balance
01:33:36 Are There Any Positive Effects of Alcohol?, Resveratrol
01:35:42 Alcohol & Brain Thickness
01:37:11 Alcohol & Cancer Risk: DNA Methylation, Breast Cancer Risk
01:44:31 Mitigating Cancer Risk, Folate, B Vitamins
01:46:54 Alcohol & Pregnancy, Fetal Alcohol Syndrome
01:50:58 Hormones: Testosterone & Estrogen Balance
01:55:09 Negative Effects of Alcohol Consumption
01:58:35 Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous Supplements, Instagram, Twitter, Neural Network Newsletter, Huberman Lab Clips
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