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Timothy had always been health-conscious. After years of social drinking, she decided to quit alcohol for good. But giving up the ritual of sipping on a drink at social gatherings felt impossible. That's when alcohol-free beer and wine seemed like the perfect alternative—offering the taste and experience without the intoxication. However, what Sarah didn't realize was that these supposedly "harmless" drinks might still be affecting her liver in ways she hadn't anticipated.
With a global shift toward healthier choices, the rise of alcohol-free beverages has been fuelled. Do these drinks, however, live up to their promise of being risk-free? New research shows that while they may eliminate the dangers of intoxication, they still pose metabolic and liver-related risks, which calls for moderation in the long run.
The first time you take a sip of an alcohol-free beverage, your body responds almost instantly. Anshul Singh, Lead Clinical Nutritionist and Dietetics Department says, "In as little as 10 minutes, your taste buds have picked up on the flavors, and your brain might even get a placebo effect, giving you the sensation that you're about to be drunk. Some alcohol-free drinks have up to 0.5% ABV, which goes into the bloodstream in minute quantities but will probably not affect you in any significant way."
By the 30-minute mark, your body has metabolized the sugars, artificial sweeteners, or additives in the drink. "Some people may experience a mild insulin spike, which can cause temporary energy boosts. Some non-alcoholic drinks also contain fermentation byproducts or botanical extracts that mimic the sedative effects of alcohol, causing slight drowsiness or relaxation," adds Anshul.
After 60 minutes, most of the drink has been metabolized. Although there is no risk of intoxication, repeated consumption can subtly affect metabolism, gut health, and even trigger cravings for alcohol among those in recovery. Those sensitive to sugar, caffeine, or preservatives might experience even more pronounced effects over time.
Your liver and gut health are connected, forming what is called the gut-liver axis. Anshul emphasises, "Even though drinks without alcohol seem harmless, they usually contain sugars, artificial sweeteners, and fermentation byproducts that can disturb this delicate balance."
Long-term consumption of these drinks may gradually affect digestion, liver detoxification, and overall metabolic health, making moderation necessary.
Even though these nonalcoholic beverages contain virtually insignificant alcohol, the liver processes them as well. "These small concentrations of alcohol-which may go as high as 0.5% ABV-trigger the liver's detoxification pathways but only at much weaker intensities compared to ordinary alcoholic drinks. But the added sugars, artificial sweeteners, and preservatives in the products could pose significant pressure on liver functions over the long term," explains Anshul.
High sugar intake causes insulin resistance, which can lead to the buildup of fat in the liver and increase the risk of developing NAFLD. Some fermentation byproducts in these beverages also trigger oxidative stress, which puts extra pressure on the liver. Though occasional consumption will not pose a significant threat, regular consumption might lead to chronic liver stress and metabolic imbalance.
Although trace amounts of alcohol exist in alcohol-free beer and wine, the body will still have to metabolize them. The body employs the same enzymatic pathways used for alcoholic beverages but at a much lower intensity. However, the added sugars, preservatives, and fermentation byproducts present their own set of challenges:
Alcohol-free drinks do not cause the liver to become overwhelmed as traditional alcohol does, although it does have a lower, but still important, risk for someone who is drinking too much. For someone with a problem of liver disease or metabolic syndrome, limiting alcohol-free drinks is also important.
Alcoholic beverages have always been a dangerous drink, but the safer option for those who want to avoid intoxication. However, it is not totally risk-free. Its impact on metabolism, gut health, and liver function cannot be ignored. Although they are not harmful at first, their consumption over a long period leads to insulin resistance, liver stress, and imbalance in the gut.
For the consumers who love these drinks, moderation is the way forward. The expert shares, "The choice of brands with the least additives, lower sugar, and natural ingredients will reduce risks. In addition, supplementing with a diet that is rich in antioxidants, fiber, and hydration can complement the liver in general."
For most, thought that adopting alcohol-free beverages was a healthier decision. On discovering their side effects on liver health, though, she learned to limit its intake and settle for alternatives that included infused sparkling water, herbal teas, or even kombucha with controlled sugar levels.
The bottom line? Alcohol-free doesn't mean consequence-free. The best way to achieve long-term health is by paying attention to what goes into the body and yet still enjoy social rituals of preference.
Anshul Singh is the Team Lead with the Clinical Nutrition and Dietetics Department at Artemis Hospitals in India.
Excessive stress can lead to delayed periods in women. (Photo credit: iStock)
Right now, days' stress no longer comes in bouts; bouts have been turned to a continual rhythm. Deadlines, working overtime, staring at computer screens, lack of sleep, and daily tensions, together with environmental pollution, have resulted in what physicians have started to call the "always stressed" generation. Things like cortisol, the body's primary stress hormone, which is linked to changes in female fertility, albeit subtly, are being blamed more and more nowadays.
In an interview with Health and Me, Dr. Rubina Pandit, Fertility Specialist, Nova IVF Fertility, Basaveshwaranagar, spoke about the impact of cortisol on fertility in women.
Cortisol is a great help when the body is responding to stress. Among other functions, it regulates energy, metabolism, and immunity. The trouble begins with stress that is sustained for a long time and cortisol levels that remain high continuously. Then it starts to cause disruptions to reproductive health.
The latest studies conducted in 2025 and 2026 indicate that stress over a long period may affect the hormonal balance required for ovulation. A high level of cortisol also changes the brain signals that are responsible for the regulation of the ovaries and that can cause irregular periods or even absence of ovulation. In other words, chances for natural conception will be diminished if ovulation doesn't occur regularly.
More intriguingly, recent research has discovered some new findings about the impacts of stress on infertility. According to a 2026 study, cortisol hormone levels could modify the uterine environment and influence the genes that facilitate embryo attachment and development. In this case, the effect of stress could not only affect ovulation but also interfere with the successful growth of fertilised embryos.
Another area of study that researchers have focused on is the possible connection between infertility and chronic stress. Recent scientific studies suggest that women under constant stress have markers that signal reduced ovarian functioning. Moreover, prolonged stress is known to negatively affect sleep, libido, and even romantic relationships of couples.
That said, it is worth mentioning that stress is unlikely to be the only reason for infertility issues. However, stress usually exacerbates all other reproductive problems and makes them very hard to manage. The emotional load is, in fact, one of the least acknowledged side effects of stress. A lot of women who are treated for fertility issues complain about being stressed. And due to this stress, some of them even give up on their treatment. This is a direct indication that mental health and fertility work in tandem.
The main point is that fertility is more than just hormones or medical intervention; it is the overall well-being that matters. Changing stress levels by having good sleep, exercising regularly, practicing mindfulness, or even getting professional help can have a great impact. In a generation that is always switched on, learning how to slow down might be one of the most important steps toward improving fertility.
Credit: AI generated image
Vaccines are like insurance; they’re important for health as well as safe to take, said Dr NK Arora, the former Chairperson and currently a member of the National Technical Advisory Group on Immunization, NTAGI.
NTAGI is the highest advisory body on immunization in the country, which consists of independent experts who provide recommendations on vaccines after reviewing data on disease burden, efficacy, and cost-effectiveness of vaccines.
As part of the ongoing World Immunization Week, Dr. Arora, the Executive Director of The INCLEN Trust International, spoke in an exclusive interview with HealthandMe on the importance of vaccines.
Comparing vaccines to insurance, Dr Arora highlighted the importance of immunization for both the young and the elderly. He emphasized that vaccines provide preventive protection against serious diseases, much like insurance offers financial security before a crisis occurs. He also underlined that timely immunization across all age groups is essential to reduce disease burden, prevent outbreaks, and ensure long-term public health safety.
“What I will say is that vaccination is like insurance. This is insurance for our health. And so it ensures the health of our children, ensures the health of our women, and pregnant women. It will ensure the health of our adolescents where the vaccination is going on,” said the expert.
The expert also urged people not to waste their time with anti-vaccine rumors and noted that vaccines, approved and given in the public health system, are safe and free of cost. These are initiated only after rigorous trials.
“Please do not hesitate to take the vaccine,” he said, adding that “vaccines are developed after extensive studies, both before it is first used in human beings and then again in human beings. And safety is something of paramount importance”.
He said people must get a vaccine, not when sick, but when we are in good health, and importantly urged the need to dispel myths around vaccines.
“I would like to assure all my readers that all the vaccines which are approved and given in the public health system are safe. Occasionally, you will hear some misinformation, some rumor, and this needs to be dispelled. If you are not very sure, please contact your physician, the nearest physician who looks after you and your family, and get clarifications from them. Rather than putting your weight on social media news and hearsay from neighbors and others, please get it. But I again assure you that all the vaccines available in India today are very safe”.
World Immunization Week is observed every year from April 24 to 30. The theme for 2026 is ‘For Every Generation, Vaccines Work.’
According to the WHO, vaccines have saved more than 150 million lives over the past 50 years.
"That’s 6 lives every minute, every day, for more than 5 decades," the WHO said.
Currently, more than 30 life-threatening diseases and infections are prevented by vaccines.
However, 20 million children missed at least one vaccine dose in 2024, leaving far too many at risk of preventable disease.
In India, vaccines have played a significant role in improving public health. The country's immunization campaigns have been key to eradicating polio and smallpox. It has also eliminated yaws and maternal and neonatal tetanus in India. In addition, child mortality rates, measles-rubella, and tuberculosis have also been considerably reduced.
As per an official government statement, full immunization coverage has risen from 62 per cent in 2015 to 98.4 per cent in January 2026.
The percentage of zero-dose children to the total population has declined from 0.11 per cent in 2023 to 0.06 per cent in 2024.


However, gaps remain in child vaccination. These include:
Only 76.4 per cent of children (12–23 months) are fully vaccinated (NFHS-5)
India accounts for 6.4 per cent of global zero-dose children and 49.2 per cent in South Asia.
In 2024, 909,000 children remained unvaccinated, while 454,000 were partially vaccinated.
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In a shocking case highlighting delayed diagnosis, a UK-based man visited doctors 24 times in a year for persistent back and leg pain but was repeatedly dismissed. He died just 12 days after being diagnosed with cancer.
The symptoms of 61-year-old Nigel began with lower back and leg pain. As the cancer spread across his body, he suffered from indigestion and severe weight loss. His doctors ignored his symptoms and could not even pinpoint the exact cancer till his death.
It was only a week after his death that the doctors were able to find that Nigel had pancreatic cancer — a type of cancer that often goes undiagnosed due to a lack of early detection tests, said his wife, Liv Williams, writing in an essay for Metro.co.uk.
“Nigel saw a healthcare professional 24 times, and even then, we didn't know it was pancreatic cancer. If something like the breath test had been available, maybe Nigel could have had treatment to give him more time with us,” Liv explained.
Also read: Former US Senator Ben Sasse Opens Up About Battle With Terminal Stage 4 Pancreatic Cancer
Nigel, a father of three, began experiencing lower back and leg pain in early 2023. Liv said that his primary care doctor referred him to a physiotherapist, but the wait took months and his condition worsened. He also developed serious indigestion.
“From March to June, Nigel sought medical advice, and each time he was sent away, either empty-handed or with medication for pain or indigestion,” she said.
Thinking the pain must be related to a spinal issue, the family paid out-of-pocket for an MRI. The lumbar spine MRI scan revealed nothing.
"But what is it then?, we asked in frustration numerous times; always to be told it would get better on its own," Liv wrote in the essay.
By July, Nigel could not stand the pain, and Liv was forced to take him to the Emergency Room (ER).
“His painful leg was getting thinner and thinner, like it was wasting away, and the pain was unbearable,” she said. Nigel lost significant weight, struggled to eat, relied on crutches, and could not sleep due to constant pain.

“Just before Christmas, I demanded a blood test from his GP – but three weeks later, a few days before the scheduled tests, Nigel couldn't urinate, which left him in agony,” she added. A visit to the ER was unfruitful as they had to rush back due to his pain.
The next time they visited the hospital, Nigel "screamed with pain", and seeing this, "a nurse promptly set him up on a bed with an IV".
The next day, the doctors informed Liv that Nigel had cancer. But as it had metastasized so much that his doctors could not pinpoint the exact cancer.
In just 12 days on February 9, 2024, Nigel died surrounded by his family.
What Is Pancreatic Cancer? Know The Warning Signs
Pancreatic cancer has long been one of the toughest challenges in oncology. With a five-year survival rate hovering around 13 percent and recurrence rates approaching 80 percent after treatment, the odds have historically been stacked against patients.
The prevention and early detection remain vital.
Experts warn that pancreatic cancer often masquerades as common ailments, delaying diagnosis. Here are some early symptoms that should never be ignored:
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