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.

What Happens in your Body within 10 Minutes of Drinking Alcohol-Free Beverages?

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.

How Alcohol-Free Drinks Affect Your Gut and Liver Connection

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."

• High sugar content may lead to insulin resistance, inflammation, and fat accumulation in the liver.
• Artificial sweeteners may change the gut microbiota, causing metabolic imbalances.
• Preservatives and artificial flavors can also enhance gut permeability, thus potentially leading to leaky gut syndrome.

Long-term consumption of these drinks may gradually affect digestion, liver detoxification, and overall metabolic health, making moderation necessary.

Do Alcohol-Free Drinks Still Trigger Liver Enzymes?

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.

Do Non-Alcoholic Beverages Affect Liver Detoxification?

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:

• Mild inflammation to the liver due to the additives and byproducts within the drinks.
• Insulin resistance resulting from excessive sugar intake, causing fat accumulation in the liver.
• Detoxification pathways are overburdened, and impairment of liver function occurs gradually.

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.

Should You Drink Alcohol-Free Beverages?

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.

This year's Doctor's Day was a reminder to all that doctor's too are human. The theme specifically focused on healing the healers, emphasizing on the need for people to recognize doctor's struggle and treat them with empathy and sympathy.

No Lines Between Personal And Professional Life

Health and Me had earlier reported on how doctors, even when they are not at work receive work questions all the time. In a previous interview with Health and Me, Dr Guru N Reddy, a senior gastroenterologist, shared, “I didn’t spend time with my family when my kids were growing up. My work always came first and then came my family.” He also shared that how whenever he is gone for a gathering, it turns into an unofficial consultation desk. “Can I quickly show you this report?” “There’s this pain that won’t go, can you suggest something?” These are the questions he is faced with even at family events.

All such scenarios will undoubtedly make a doctor feel overwhelmed. In fact, a survey conducted by Medtalks, a doctor engagement platform, revealed that doctors are burdened by growing mental and emotional burden.

The survey, though small scale, conducted among 200 doctors across public and private health care, revealed an important issue. It found that 74% of respondents felt emotionally exhausted on a weekly or even on a daily basis. This survey also highlighted the depth of burnout and chronic stress in the medical profession.

Many doctors also agreed that even after their work hours, they were still entertained with questions related to their patients health through WhatsApp. The data revealed that over 83% of doctors felt that they were under constant stress as their patients continued to contact them through WhatsApp, phone calls, and digital messages, with many asking them for urgent queries. This round-the-check communication has blurred personal and professional boundaries, which has disassociated doctors from their own families.

Looming Fear Of Threat And Violence On Doctors

The survey also found that threat and violence against doctors were a major source of stress and concern. Indian Medical Association (IMA) President, Dr Dilip Bhanushali, in an earlier interview with Health and Me had said, "Violence against doctors is not rare—it’s routine."

He further added: “We’ve seen mobs arrive with kerosene, petrol, even swords, burning down hospitals. There was a law during COVID promising seven years imprisonment and non-bailable warrants for attacks on doctors, but it hasn’t been enforced. Most states still have weak three-year, bailable punishments.”

He also pointed towards the RG Kar Medical College’s case where a female postgraduate trainee doctor was raped and murdered and her body was found in a seminar room on campus. Doctors across the nation went on a strike, demanding justice. “But we cannot go to the roads and do strikes every time. Despite it all, we uphold our Hippocratic oath.”

The survey too echoed the same feelings, where many respondents admitted that this fear has directly influenced their approach to diagnosis, communication, and decision-making. Doctors are now acting more defensively.

The strain on doctors is intensified by mounting administrative duties, fear of legal action, limited institutional support, and rising expectations to deliver flawless outcomes.

Over one-third of doctors reported working more than 60 hours a week, while only 17 percent are able to take a full, uninterrupted day off on a regular basis. Most respondents said they receive minimal support in coping with these demands. Strikingly, just 14 percent felt the current healthcare system allows them to prioritise their own wellbeing, whereas 52 percent said it does not.

When it comes to dinner, many of us focus on what we eat, aiming for healthy and delicious food. But we often don't think about when we eat it, squeezing dinner in whenever our busy schedules allow. However, a growing amount of research suggests that when you eat can be just as important for your health as what you eat. And it seems that eating dinner earlier might be the way to go.

What's the Best Time for Dinner?

Scientists haven't found one single "perfect" dinner time, but it's generally best to avoid eating late for your metabolism. Try to finish dinner at least two hours before you go to bed, and ideally even longer. According to a 2024 study published in the JAMA Network Open, good goal is to eat dinner sometime between 5 p.m. and 7 p.m.

Of course, life happens, and sometimes you'll have to eat later. If it's just occasionally, don't worry too much. Just try not to eat a very large meal right before bed. In fact, research suggests that dinner shouldn't be your biggest meal of the day, which is different from what many Americans are used to. Instead, try to eat most of your calories earlier in the day, around when you wake up or in the middle of the day.

Why Does When You Eat Dinner Matter?

Our bodies have internal "clocks" that manage how we function throughout the day. This means that the exact same meal can affect your body differently depending on the time you eat it.

For instance, one study found that when healthy young adults ate the same dinner at 10 p.m. instead of 6 p.m., their blood sugar levels went higher and their bodies processed fat less effectively. Late dinners can have this impact even if you're not eating right before bed.

One reason for this could be melatonin, a hormone your body releases at night to help you sleep. As melatonin levels rise, it seems to make it harder for your body to control blood sugar, leading to bigger and longer-lasting spikes after a late meal. Research also shows that eating dinner late can make you hungrier, cause your body to burn fewer calories, and even lead to changes in your body that promote fat gain.

How Late Dinners Affect Your Health

While many studies on meal timing are done in controlled lab settings, the findings suggest that regularly eating dinner late could increase your risk for health problems like type 2 diabetes and obesity. Many studies have already shown this connection. On the other hand, eating more of your calories earlier in the day seems to help with weight loss and improve signs of good metabolic health.

It's not just about metabolism either. Other research suggests that people who stop eating after 6 p.m. tend to get more sleep than those who eat until midnight. There's even a serious study from 2024 that links late eating to a higher risk of death. So, the general advice is clear: for most people, it's best to limit how much food you eat during the nighttime hours.

Tips for Eating Dinner Earlier

If you're used to eating late, changing your routine can be tough. To make the switch easier, start by making changes earlier in your day. If you often skip breakfast and grab a quick, small lunch, you'll likely be very hungry by evening. So, make sure you eat good, hearty meals earlier in the day that include plenty of protein, fiber, and healthy fats. This will help you feel less hungry at night.

Some people also find it helpful to set a specific "cut-off time" after which they stop eating, rather than just vaguely aiming for an earlier dinner. If you try this, it's okay to start small. Begin by closing the kitchen just 30 minutes before bedtime, then extend it to an hour, and so on. The key is to start where you are and build up gradually.

An Australian man in his 50s has died after contracting Australian bat lyssavirus (ABLV), a rare but deadly virus closely related to rabies. The man, who lived in northern New South Wales, was bitten by a bat several months ago and succumbed to the infection this week after being hospitaliszed in critical condition.

In a statement released on Thursday, NSW Health confirmed the fatality and extended condolences: “We express our sincere condolences to the man's family and friends for their tragic loss. While it is extremely rare to see a case of Australian bat lyssavirus, there is no effective treatment for it.”

What Is Australian Bat Lyssavirus?

First identified in 1996, Australian bat lyssavirus belongs to the Lyssavirus genus, the same family as the classical rabies virus (RABV). Like its more globally prevalent cousin, ABLV causes a fatal form of viral encephalomyelitis—an inflammation of the brain and spinal cord. Once symptoms develop, there is no known cure or treatment.

Transmission occurs when the saliva of an infected bat enters the body through a bite or scratch. According to NSW Health, any bat in Australia—regardless of species—could potentially carry the virus. In this case, officials have not yet identified the exact bat species responsible for the infection.

Early Symptoms Often Misleading

The early symptoms of ABLV infection mimic those of the flu, including headache, fever, and fatigue, which can delay diagnosis. However, the disease rapidly progresses to paralysis, delirium, convulsions, and ultimately death.

Symptoms may appear days, weeks, or even years after exposure, adding another layer of complexity to diagnosis and response.

This recent death is only the fourth recorded human case of ABLV infection in Australia, and tragically, all four have been fatal.

A Preventable Tragedy

While the disease has no cure, prompt medical treatment after exposure can prevent infection. NSW Health strongly urges the public to avoid all contact with bats. In the event of a bite or scratch, the following steps should be taken immediately:

• Wash the wound thoroughly with soap and water for at least 15 minutes
• Apply an antiseptic with antiviral action
• Seek urgent medical attention for administration of rabies immunoglobulin and a rabies vaccine series

Dr. Jeremy McAnulty, Director of Health Protection at NSW Health, emphasized the importance of public awareness: “No matter how minor the scratch or bite may seem, immediate treatment is essential. Rabies vaccines are extremely effective when administered quickly.”

The Broader Context: Lyssaviruses and Rabies Risk

Australian bat lyssavirus may be rare, but its relation to rabies—one of the deadliest infectious diseases globally—makes it especially concerning.

According to a 2021 study titled "Rabies Infection: An Overview of Lyssavirus-Host Protein Interactions," lyssaviruses are negative-sense, single-stranded RNA viruses known to infect mammals and cause fatal encephalomyelitis. Despite differences in geography and host species, illnesses caused by rabies virus (RABV) and other lyssaviruses are virtually indistinguishable once symptoms appear.

Worldwide, rabies still causes approximately 60,000 deaths annually, mostly in Asia and Africa. The fatality rate of clinical rabies—once symptoms begin—is nearly 100%, underscoring the importance of pre- and post-exposure prophylaxis.

Flying Foxes and Microbats Under Scrutiny

ABLV has been found in multiple Australian bat species, particularly flying foxes and insect-eating microbats. These animals often come into contact with humans, especially in urban or suburban environments where bats may roost or forage.

Despite the important ecological role bats play—as pollinators, pest controllers, and seed dispersers—public health officials continue to stress no direct handling of bats by untrained individuals. Wildlife carers and veterinarians are advised to wear protective gear and be vaccinated against rabies.

Public Health Measures Going Forward

This latest case serves as a stark reminder of the persistent, though rare, risk that Australian bat lyssavirus poses to human health. NSW Health is reinforcing education campaigns and urging any bat encounters to be reported immediately.

Authorities continue to collaborate with wildlife and disease surveillance networks to monitor ABLV across bat populations and ensure rapid response to potential exposures.

In closing, NSW Health reiterated, “Although Australian bat lyssavirus cases are extremely rare, they are always fatal without timely treatment. Awareness and early action can mean the difference between life and death.”