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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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Convenience foods have become the defining feature of urbanization. From ready-to-eat breakfasts to microwavable dinners and takeaway lunches, packaged food fits into all our lives.
But behind this convenience, what lies underneath are the tiny plastic particles, also referred to as microplastics, which are accentuating health concerns across the globe. Unknowingly, these microplastics are seeping through the plastic cutlery, food packaging, etc., potentially into our bodies. Plastics have been widely used for ages due to their higher affordability, durability, and extensive applications in various industries.
As per a recent literature quoted by Zhang et al. 2025, only about 20% of the plastic waste produced is recycled, whereas the rest is either abandoned in landfills or dispersed into the environment. Microplastics are the new emerging pollutant category in the modern era, raising prominent concerns in both health & environmental contexts. As per scientific literature, microplastics are plastic fragments with a diameter of less than 5mm.
Plastic food packaging dominates the global food system, since it can be designed in any form (container, wrapper, pouch, etc) while keeping food fresh for longer periods.
Microplastics are released from food packaging(s), especially when they are exposed to prolonged heat, abrasive forces, and undue environmental stresses. Heating and/or reheating food in plastic containers or choosing to decant packaged food commodities in plastic containers and maintaining them under unfavorable circumstances can all increase the likelihood of microplastic release.
Bottled water has also proven to release thousands of microplastic particles into the water they contain when exposed to sunlight/ heat. We never give a thought to such bottles being sold by the roadside vendors, wherein these plastic bottles are hung for indefinite days on that kiosk.
Those bottles are in constant light exposure all day without even pondering about the ill effects it may cause to the consumers. Similarly, single-use tea bags have also been shown to release billions of microplastics when steeped in hot water. These findings highlight a troubling paradox that products marketed for convenience and safety may be introducing new risks that consumers never thought about.
The health implications of ingesting microplastics remain an active area of research, but early findings are enough to raise concerns. Studies have demonstrated microplastics in human blood, lungs, and even placental tissue. This suggests that upon ingestion, these particles may not simply pass through the body. Instead, they would accumulate in tissues or interact with biological systems in ways that are not yet fully explored.
One of the major health implications pertaining to microplastic ingestion is inflammation. These particles can trigger irritation in tissues, eventually impacting the immune responses.
Plastics often contain additives in the form of plasticizers, etc., which may disrupt hormone function and impair the normal cellular function.
Infants and children are more often vulnerable as their food is also packed in plastic packaging or containers (like plastic sippers, feeding bottles, baby food pouches, etc.), raising long-term exposure risk during critical stages of growth.
The issues relating to plastic usage also reflect a broader tension in the modern era, where convenience seems to intersect with health! For people or families juggling work and financial burdens, avoiding packaged foods mostly sounds unrealistic.
Still, some small and consistent actions can help us reduce the exposure to microplastics, like opting for glass or paper packaging wherever possible. Avoiding heating food in plastic containers or opting for biodegradable packaging options could prove to be beneficial in the future. Though microplastics are invisible to our naked eyes, what we do next to curb them would help us shape a healthy future.
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Are you aware? Scientific insights are helping people of all ages understand heart health better and take the right steps at the right time. Heart health is no longer a concern only for older adults. So, people across all age groups are at risk of developing Heart Disease because of changing lifestyles, stress, and unhealthy habits.
So, here, science plays a pivotal role. With the help of improved research, advanced diagnostics, and increased awareness, science is helping individuals understand their risk factors early and take preventive steps before serious complications arise.
Heart disease is commonly seen in people of all age groups. So, according to scientific research, heart disease develops gradually over time. Early markers such as high cholesterol, blood pressure, and poor lifestyle habits can begin affecting the body even in the 20s or 30s and lead to a poor quality of life.
Today, advanced screening tools and regular health check-ups make it possible to detect these risks early and initiate timely intervention.
For youngsters, science tends to highlight the importance of prevention through healthy eating, regular exercise, quitting smoking, and alcohol. When it comes to middle-aged adults, monitoring conditions like diabetes, hypertension, and cholesterol can help save the heart.
In older adults, it will be necessary to manage existing conditions like diabetes and high blood pressure and prevent heart attacks or stroke.
Moreover, you will also have to understand that genetics also plays an important role. Scientific advancements help doctors identify individuals with a family history of heart disease and guide them with individualized treatment care plans for outcomes.
Currently, you will be surprised to know that modern science has also shed light on the importance of lifestyle in maintaining heart health. So, opting for wearable devices, health apps, and regular screenings helps track heart rate, physical activity, and prevent any concerning heart problems in people.
Robotic surgeries are now enabling heart patients to recover more quickly and provide benefits such as shorter hospital stays, minimal blood loss, and are extremely safe.
Hence, by understanding risk factors, adhering to healthy habits, and undergoing regular check-ups as advised by the doctor on a yearly basis, individuals can take control of their heart health.
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Inflammatory Bowel Disease (IBD) is no longer a rare disease in India. Over the last decade, gastroenterologists across the country have seen a steady rise in patients suffering from ulcerative colitis and Crohn’s disease, the two main forms of IBD.
Yet despite increasing numbers, awareness about the disease remains surprisingly poor. Many patients continue to suffer silently for years because their symptoms are misunderstood, ignored, or mistaken for other common intestinal illnesses.
IBD is a chronic inflammatory condition of the digestive tract caused by an abnormal immune response. Unlike routine stomach infections, it is not simply a “bad stomach” or food-related issue.
Patients commonly experience persistent diarrhea, blood in stools, abdominal pain, weight loss, fatigue, and loss of appetite. In children and young adults, it may also affect growth, nutrition, and quality of life.
Unfortunately, in India, these symptoms are often initially treated as recurrent food poisoning, piles, irritable bowel syndrome, or intestinal infections. Many patients repeatedly receive antibiotics without proper evaluation.
Some even undergo unnecessary treatments before finally reaching a specialist. This delay in diagnosis can lead to severe complications, including intestinal strictures, fistulas, malnutrition, hospitalization, and the need for surgery.
One major reason for underdiagnosis is the overlap of symptoms with intestinal tuberculosis, which remains common in India. Distinguishing Crohn’s disease from intestinal TB can sometimes be extremely challenging, even for experienced doctors.
As a result, some patients are unnecessarily started on anti-tubercular therapy while their actual disease continues to progress silently.
Another important issue is stigma. Many patients hesitate to discuss bowel-related symptoms openly due to embarrassment. Young individuals, especially, may ignore rectal bleeding or chronic diarrhea for months, assuming it is temporary or stress-related. Social media misinformation and self-medication further worsen the problem.
The good news is that treatment options for IBD have improved tremendously. Modern therapies, including biologic medications, advanced endoscopy, nutritional therapy, and personalized treatment strategies, now allow many patients to live completely normal and productive lives. Early diagnosis is the key.
Persistent bowel symptoms lasting more than a few weeks should never be ignored, especially if associated with bleeding, weight loss, anemia, or nighttime symptoms.
India urgently needs greater public awareness about IBD. Equally important is timely referral to gastroenterologists and access to proper diagnostic facilities such as colonoscopy, imaging, and histopathology. IBD is not merely a stomach problem — it is a lifelong immune-mediated disease that requires understanding, long-term care, and compassionate management.
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