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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.
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Do you feel an awful soar in your throat? Have you noticed that anyone you speak to are also complaining of the same symptoms? All of them, and you, seem tired, have a sore throat and no energy for days and weeks to follow. This might be what people are called "mystery disease" or the "mystery throat virus". However, this is actually the adenovirus.
Most patients with bad throat, explain experts have adenovirus, which is a common virus that spreads throughout the year. However, unlike the flu and COVID, which now have their own prescribed medicines, adenovirus has none.
Read: This Mysterious New Virus Could Spread Faster Than Covid-19 And Flu
Adenovirus is a virus that has more than 60 different strains, which is why it is able to cause a variety of symptoms. Adenovirus refers to a group of common viruses that usually trigger cold- or flu-like illness. It spreads easily because it is far more resilient than many other viruses. Ordinary soap, water, and standard disinfectants do not reliably destroy it, allowing it to persist in the environment. As a result, infections often cluster in places where people spend time close together, such as daycares and military barracks. The virus spreads through the respiratory tract, can be shed in stool, and can survive for some time on contaminated surfaces, according to the CDC.
The reason for its spread right now is due to the surge of flu cases in the southern hemisphere which has influenced the outbreaks in the northern hemisphere. Another reason is the lower flu vaccinate rates, which has now made a large number of population more vulnerable to infections, overall, including adenovirus.
While a lot of the symptoms mimics of those in flu or COVID, including shortness of breath, a sore throat and or a runny nose. However, there are certain unique symptoms of adenovirus that include:
Other rare symptoms could also include impact on your bladder or nervous system. As viruses in your bladder can also cause urinary tract infections, and the same virus in your nervous system can cause condition that can affect your brain. These conditions also include encephalitis and meningitis.
Read: Unique Symptoms Of Mysterious Adenovirus And How Long Infection Now Last
What makes this virus unique is that it can spread through easily. Adenovirus is highly contagious. It can spread from one person to another through shaking hands, kissing, or even hugging. The virus could also spread through sneezing, coughing, and if by any other means respiratory droplets transfers to other person in air. It can also spread by touching contaminated surface, and you can get the virus by touching your eyes, nose, or mouths if you do not wash your hands.
The virus can also spread through stool of an infected person. For instance, you can be infected while changing your baby's diaper. It can also spread through unchlorinated water, and a person can be infected with the virus if he or she swims in a pool without adequate chlorine.
Adenoviruses are resistant to many common disinfectants. Therefore, they can remain infectious on surfaces for a long time.
If you are generally healthy, and feel a little down, but do not have shortness of breathe or a high fever, you are safe to go, with supportive care at home. However, pay close attention to those who are already on medical attention, or those who are immunocompromised, or are infants.
If you are sick, have a high fever, and experiencing shortness of breath, it is best to consult your doctor. However, do not show up to your doctor's office, call first.
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Ben Sasse, former Senator, on Tuesday shared that he has been diagnosed with pancreatic cancer. His diagnosis came at Stage 4.
The former two-term senator, 53, revealed this in a social media or X, message: “This is a hard note to write, but since many of you have already sensed something, I’ll get straight to it: Last week I was diagnosed with metastasized, stage-four pancreatic cancer, and I am going to die.”
Also Read: 2 Dead, 21 Injured After Pennsylvania Nursing Home Catches Fire
Stage 4 cancers are terminal and his terminal diagnosis was "hard for someone wired to work and build, but harder still as a husband and a dad," he said.
Stage 4 cancers are terminal because the cancer has metastasized, which means it has spread from its original site or the primary tumor to distant organs and tissues. This makes it extremely difficult to cure with localized treatments like surgery or radiation.
However, the American Oncology Institute does note that stage 4 cancer always does not have to be terminal, especially with breakthrough treatment options like targeted therapy, immunotherapy, or precision medicine. There are now also advanced surgical techniques that use minimal invasion procedures.
Also Read: Ben Sasse Diagnosed With Stage 4 Pancreatic Cancer: What We Know About His Diagnosis
According to the American Cancer Society, pancreatic cancer makes up about 3 percent of all cancers in the United States but accounts for roughly 8 percent of cancer-related deaths. Most patients are diagnosed at Stage 4, and the disease is widely regarded as largely incurable. Prostate cancer, by contrast, is the second most common cancer among men, and the majority of those diagnosed do not die from it. The five-year relative survival rate for non-metastasized prostate cancer is 97.9 percent, dropping to about 38 percent once it spreads. These figures highlight how early detection and effective treatment options make prostate cancer far more survivable than pancreatic cancer.
While treatments including chemotherapy, radiation, and in rare situations surgery are available, stage-four pancreatic cancer is still considered largely incurable. The absence of effective early screening contributes to delayed diagnosis, and although a small number of patients, such as Ruth Bader Ginsburg, have lived longer following surgery, these cases are rare. Well-known individuals including Alex Trebek and Aretha Franklin also battled the disease, which remains one of the deadliest cancers in the United States.
Former senator and former University of Florida president Ben Sasse announced on Tuesday, Dec. 23, that he has been diagnosed with terminal stage 4 cancer, as per CNN News.
In the deeply personal message, the former Republican lawmaker from Nebraska described the diagnosis as a “death sentence,” while expressing appreciation for the steady support of his family and close friends.
“I’m fortunate to have incredible siblings and half a dozen friends who are truly like brothers to me. As one of them said, ‘Yes, you’re on the clock, but all of us are.’ Death is a cruel thief, and none of us escape it,” he added.
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For many men trying to conceive, testosterone sounds like an obvious answer. It is often linked with strength, vitality, and male health, so the assumption is that higher levels must also support fertility. In reality, the opposite is often true. Medical experts caution that using testosterone, especially without supervision, can interfere with sperm production and quietly lower the chances of becoming a father.
To know more about the same, we got in touch with Dr. Ambavarapu Divya Reddy, Fertility Specialist, Nova IVF Fertility, LB Nagar, Hyderabad.
Dr. Ambavarapu Divya Reddy said, the short answer is no. Testosterone is a male sex hormone, but it does not support fertility in the way many people assume. In fact, taking testosterone can work directly against sperm production. For men who want children, using testosterone without expert guidance can quietly reduce fertility rather than improve it. Here is what doctors want patients to understand.
Testosterone is fundamentally opposed to male fertility when taken from outside the body. Using testosterone injections, gels, patches, or pellets suppresses the natural communication between the brain and the testicles that keeps sperm production going. Dr Reddy said, “When this system is switched off, sperm counts fall and in some cases drop to zero. Fertility declines instead of improving.”
This is why men who plan to have children should never begin testosterone therapy without speaking to a specialist.
Sperm are produced in the testicles with the help of testosterone that is made inside the testicles themselves. This internal testosterone is tightly controlled by the brain through a hormone called luteinizing hormone, or LH.
Dr Reddy told us, when external testosterone is introduced into the body, the brain senses enough hormone is present and stops releasing LH. As a result, the testicles reduce their own testosterone production and sperm production slows or stops altogether.
In real-world practice, many men on testosterone therapy develop extremely low sperm counts or complete absence of sperm, known as azoospermia, often without any obvious symptoms. This is a well-recognised cause of male infertility and one that is largely preventable.
If a man truly has hypogonadism, meaning he has symptoms along with low testosterone levels on blood tests, treatment is still possible but must be handled carefully. Current guidelines from the AUA, ASRM, and endocrine societies strongly advise against starting standard testosterone replacement in men who want children in the near future.
Instead, specialists use treatments that can raise testosterone levels while allowing sperm production to continue. These include clomiphene, human chorionic gonadotropin or hCG, and other targeted therapies that stimulate the testicles rather than shutting them down. Updated guidance for 2024 and 2025 stresses identifying the cause of low testosterone and choosing options that protect fertility.
If you think you have low testosterone but want children
a) Do not self-prescribe testosterone.
b) Consult a reproductive urologist or endocrinologist.
c) Ask about fertility-preserving treatments such as clomiphene or hCG and consider sperm banking if timing matters.
d) If you have already used testosterone, request a semen analysis and hormone tests. Acting early can help guide recovery or fertility treatment.
Testosterone may seem like an easy solution, but external testosterone is a common and avoidable cause of male infertility. If having children is important to you, proper testing and specialist care matter. The treatment that relieves symptoms is not always the one that protects your ability to become a father.
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