Alcohol-Free But Not Risk-Free: How ‘Safe’ Non-Alcoholic Drinks Could Be Slowly Damaging Your Liver

Updated Feb 10, 2025 | 01:03 PM IST

SummaryEven alcohol-free drinks can slowly damage your liver—high sugar, artificial sweeteners, and fermentation byproducts may trigger liver enzyme activity, leading to fatty liver and metabolic imbalances over time.
Alcohol-Free But Not Risk-Free: How ‘Safe’ Non-Alcoholic Drinks Could Be Slowly Damaging Your Liver

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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.

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.

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NHS Warns Furosemide Users About Dehydration Risk: Here’s Why

Updated Jan 2, 2026 | 06:11 PM IST

SummaryNHS warns furosemide users about dehydration risks, listing who should speak to a doctor, medicines to avoid, and how the diuretic drug should be taken safely.
Furosemide warning

Credits: Canva

Furosemide is commonly prescribed in the UK to help manage conditions such as heart failure and high blood pressure. The diuretic medication is used by people of all ages, including children and infants. In 2024 alone, it was dispensed around 11 million times, making it one of the 20 most frequently prescribed medicines in the country.

Although it is widely used, doctors stress that furosemide must be taken carefully and in line with medical advice, as misuse can lead to serious health problems.

Furosemide: Why The NHS Is Warning Furosemide Users About Dehydration

To ensure safe use, the NHS has issued guidance urging certain people to speak to a doctor before taking furosemide. This is particularly important for anyone showing signs of dehydration, which can include feeling unusually thirsty, having a dry mouth, or noticing dark-coloured urine. Because furosemide increases urine output, it can raise the risk of fluid loss if not managed properly.

Who Should Speak To A Doctor Before Taking Furosemide?

The NHS advises the following people to consult a doctor before using furosemide:

  • Anyone who has previously had an allergic reaction to furosemide or any other medicine
  • Anyone with low blood pressure, also known as hypotension
  • Anyone showing signs of dehydration, such as thirst, dry mouth, or dark urine
  • Anyone diagnosed with liver disease
  • Anyone living with diabetes
  • Anyone who has difficulty passing urine
  • Anyone diagnosed with Addison’s disease, a rare disorder affecting the adrenal glands
  • Anyone diagnosed with gout

Furosemide: When Should Users Contact A Doctor Or Delay Treatment

Beyond these groups, the NHS also says furosemide users should seek medical advice if:

  • You are due to have a glucose test
  • You are scheduled for a scan or X-ray that involves an iodine-based dye being injected into your blood
  • You are preparing for major surgery or a procedure that requires a general anaesthetic

How Furosemide Works And Why It Is Called A ‘Water Tablet’

Official NHS guidance explains that diuretics are often referred to as “water tablets” because they increase how often you urinate. This helps the body remove excess fluid.

“Furosemide is only available on prescription,” the NHS states. “It comes as tablets and a liquid that you swallow. It can also be given by injection, but this is usually only done in hospital.”

Medicines That Can Interfere With Furosemide

The NHS also warns that certain medicines can reduce how well furosemide works or increase the risk of side effects. This includes some commonly used over-the-counter treatments, such as paracetamol, co-codamol, and remedies for heartburn or indigestion.

Common Painkillers And Remedies To Use With Caution

Anyone prescribed furosemide is advised to speak to a doctor before taking:

  • Medicines used to treat mental health conditions, including amisulpride, lithium, pimozide, or risperidone
  • Medicines used to treat high blood pressure, or drugs that may cause low blood pressure as a side effect
  • Sucralfate, a medicine used to treat stomach ulcers. Patients should leave around two hours between taking sucralfate and furosemide
  • Non-steroidal anti-inflammatory drugs, known as NSAIDs, such as diclofenac, ibuprofen, or naproxen

Why Potassium Supplements Can Affect Furosemide?

Other medicines can also interfere with how furosemide works, including:

  • Potassium supplements, steroids, or other diuretics that affect potassium levels
  • Medicines used to treat, or that may cause, irregular heart rhythms, such as amiodarone, digoxin, disopyramide, flecainide, or sotalol
  • Soluble paracetamol
  • Soluble co-codamol

Certain Treatments For Heartburn And Indigestion

The NHS advises patients to tell their doctor if they are taking potassium supplements, as these can alter potassium levels in the blood and affect how furosemide works.

The health service also cautions against combining furosemide with herbal remedies or supplements. According to NHS guidance, there is not enough evidence to confirm they are safe to take alongside the drug.

Unlike prescription and pharmacy medicines, herbal products are not tested to the same standards and are generally not assessed for how they interact with other medications.

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High Blood Pressure In UK Children: Who Is At Risk As Doctors Raise Concern

Updated Jan 2, 2026 | 05:22 PM IST

SummaryHigh blood pressure in UK children is rising fast, with doctors warning of long-term organ damage and calling for early testing after new Lancet study findings.
high blood pressure in uk children

Credits: Canva

High blood pressure, also known as hypertension, is usually thought of as an adult health issue. But doctors are now raising serious concerns after a study published in The Lancet Child & Adolescent Health in November 2025 showed that rates of high blood pressure among children and teenagers have nearly doubled over the past two decades.

Blood Pressure In UK: The Lancet Study and Why Doctors Are Concerned in the UK

Hypertension has long been associated with people in their 30s and 40s, often linked to work stress and ageing. Today, however, shifts in daily habits and increasingly inactive lifestyles mean the condition is appearing more often in children and adolescents too. For years, young people were largely overlooked in discussions around blood pressure, and routine screening was rarely carried out. As a result, the true scale of the problem remained unclear. UK doctors are now calling for a nationwide testing programme to assess how widespread the issue is and to identify children who may need early support and treatment.

What Is Hypertension?

Hypertension is the clinical term for high blood pressure. It develops when the force of blood pushing through the arteries remains higher than what is considered healthy over time. Arteries are the blood vessels that carry oxygen-rich blood from the heart to the brain and the rest of the body. High blood pressure is often described as a silent killer because it can cause lasting damage without clear warning signs or symptoms.

Blood Pressure: How Is It Diagnosed?

Blood pressure is usually checked using a monitor with an inflatable cuff placed around the upper arm. The reading is shown as two numbers, measured in millimetres of mercury, written as one over the other. The top number, known as systolic pressure, reflects the force of blood when the heart beats and pumps blood around the body. The bottom number, called diastolic pressure, measures the pressure in the arteries when the heart relaxes between beats.

The definition of high blood pressure varies between countries. In the UK, a normal adult reading falls between 90/60 and 119/79. Readings from 120/80 to 139/89 are considered raised, while 140/90 and above is classed as high blood pressure. In the United States, readings between 130/80 and 139/89 are labelled stage 1 hypertension, with stage 2 beginning at 140/90.

Diagnosing hypertension in children is more complex. Blood pressure naturally changes as children grow and depends on age, height, and sex. Rather than fixed numbers, doctors diagnose high blood pressure when a child’s readings fall within the highest five per cent for others of the same age, height, and sex.

Blood Pressure In UK: Who Is At Risk?

High blood pressure is widespread, particularly among older adults. Around one in three adults in the UK and nearly half of adults in the US live with hypertension. Age plays a key role because arteries gradually lose flexibility and become thicker over time. Family history also matters, as genetics can increase risk. People from Black African, Black Caribbean, and South Asian backgrounds are known to face a higher likelihood of developing the condition.

Lifestyle choices also have a strong influence. Diets high in salt, being overweight or obese, lack of regular physical activity, smoking, excessive alcohol intake, and prolonged stress can all contribute to raised blood pressure.

What About Children?

In babies and very young children, high blood pressure is usually linked to underlying medical issues such as heart defects, kidney disease, or genetic and hormonal conditions. This form is known as secondary hypertension. Since the 1990s, however, rates of high blood pressure among children and adolescents have risen more than fourfold, reaching around six per cent. Poor diets, low levels of physical activity, and increasing rates of overweight and obesity are major factors behind this rise.

Why Is Hypertension Harmful?

High blood pressure can quietly harm the body for many years before symptoms appear. Constant strain on the blood vessels can lead to aneurysms, where weakened artery walls bulge and may rupture, sometimes with fatal consequences. The heart is forced to work harder, increasing the risk of heart failure. Damage to the inner lining of arteries can trigger inflammation and the buildup of plaques, making blood vessels narrower and less flexible. This restricts blood flow and raises the risk of chest pain, irregular heartbeats, and heart attacks.

The kidneys are especially sensitive to high blood pressure. Damaged blood vessels can stop them from filtering waste effectively, potentially leading to kidney failure that requires dialysis or a transplant. The eyes can also be affected, as their delicate blood vessels are prone to damage, causing bleeding, blurred vision, or even blindness.

When blood flow to the brain is reduced by narrowed or blocked arteries, it can lead to vascular dementia or mini-strokes. Severe cases may result in major strokes caused by clots or bleeding linked to long-term high blood pressure.

In children, hypertension can harm vital organs such as the heart, kidneys, and eyes at an early age. This makes early detection and treatment crucial to protect long-term health.

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NHS Rolls Out Chickenpox Vaccine For Kids— What Parents Should Know

Updated Jan 2, 2026 | 05:15 PM IST

SummaryChickenpox vaccine will be added to the NHS childhood immunisation programme, explaining why the rollout is happening now, who is eligible, and what parents need to know. Keep reading to know more details.
chickenpox vaccine kids

Credits: Canva

Chickenpox will soon become part of the NHS routine childhood vaccination schedule, a step health leaders are calling a landmark moment for public health. Officials say the decision will strengthen population immunity, reduce hospital admissions, and help the NHS save substantial costs over time. It is also expected to cut down on missed nursery and school days for children, while easing the burden on parents who often have to take time off work to care for sick kids.

Doctors have also stressed that while chickenpox is often mild, it can lead to serious complications and, in very rare cases, can be life-threatening. Below, we answer key questions, including why the vaccine is being introduced now, which children are eligible for free NHS doses, and what parents should do if their child falls just outside the qualifying age group.

Also Read: Superbug Fungus Candida Auris Is Spreading In The U.S., Check Where Cases Are Rising Fastest?

Dr Claire Fuller, National Medical Director for NHS England, said the move marks a major step forward. “This is a hugely positive moment for children and their families,” she said, adding that routine protection against chickenpox will now sit alongside other childhood vaccinations designed to guard against serious illness.

Chicken pox vaccine: What Is Chickenpox?

Chickenpox is caused by the varicella zoster virus, which is why the letter “V” has now been added to the standard MMR vaccine. The illness mainly affects children, but anyone can catch it at any age.

During the pandemic, chickenpox cases fell sharply due to lockdowns and reduced social contact. As a result, experts believe natural immunity to the virus across the population remains lower than usual.

Although uncommon, complications can include serious bacterial infections such as group A streptococcus, brain swelling known as encephalitis, lung inflammation called pneumonitis, and even strokes. Very young babies under four weeks old face a higher risk of severe illness, as do adults who have never had chickenpox before.

Also Read: Australian Cricketer Damien Martyn in Hospital With Meningitis

Chicken pox vaccine: Why Is The NHS Rolling It Out Now?

Until now, chickenpox vaccination was not routinely offered to all children because of long-standing concerns about shingles. Shingles is caused by the same virus, which can lie dormant in the nervous system for years before reactivating later in life, often when immunity weakens due to age, illness, or stress.

In 2009, the Joint Committee on Vaccination and Immunisation decided against a nationwide rollout, fearing it could increase shingles cases among middle-aged adults. At the time, it was thought that natural exposure to chickenpox helped protect against shingles later on. More recent research from the United States, however, has challenged and largely dismissed that theory, paving the way for the NHS decision.

Chicken pox vaccine: Which Children Are Eligible And When?

Children born on or after 1 January 2025 will be offered two doses of the combined MMRV vaccine at 12 months and again at 18 months. Those born between 1 July 2024 and 31 December 2024 will receive two doses at 18 months and at 3 years and 4 months.

Children born between 1 September 2022 and 30 June 2024 will be offered a single dose at 3 years and 4 months. In addition, the NHS plans to introduce a one-dose catch-up programme later this year for older children born between 1 January 2020 and 31 August 2022.

Previously, children received two doses of the MMR vaccine at 12 months and at 3 years and 4 months. For children born on or after 1 July 2024, the second dose will now be brought forward to 18 months to offer earlier protection.

Chicken pox vaccine: What Happens Next?

The rollout across England, Scotland, Wales, and Northern Ireland means hundreds of thousands of children will become eligible for the vaccine from Friday. Parents should be contacted by their GP and invited to book appointments for the new combined MMRV jab as part of routine childhood vaccinations.

As per Mirror News, Dr Claire Fuller said the change ensures protection against measles, mumps, rubella, and chickenpox is now delivered together. She added that making the vaccine part of standard appointments will help keep children healthier and reduce the spread of these highly contagious infections.

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