Abstainers may appear less healthy not due to the lack of alcohol, but because they might have been unhealthy prior to quitting. This highlights a reversal in understanding cause and effect, as moderate drinkers may seem healthier not because of alcohol consumption, but because they are inherently a healthier demographic. Without considering this factor, one might incorrectly attribute health benefits to moderate drinking, overlooking the pre-existing health status of abstainers.

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