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

Image Credit: Freepik

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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Study Links Fructose With Metabolic Diseases: Why This Popular Sweetener Is Raising Concerns

Updated Apr 25, 2026 | 04:00 PM IST

SummaryWhile both contain glucose and fructose, fructose has unique metabolic effects that may more directly contribute to obesity and related conditions. Fructose metabolism also bypasses key regulatory steps in the body’s energy-processing pathways.
Study Links Fructose With Metabolic Diseases: Why This Popular Sweetener Is Raising Concerns

Credit: iStock

Fructose, found in all processed foods such as sodas and snacks, may not just be adding to your calories. A new study warns about its significant role in the rising metabolic diseases.

The study, published in the journal Nature Metabolism, showed that fructose may be playing a distinct role in driving metabolic disease, acting as a signal that promotes fat production and storage.

“Fructose is not just another calorie,” said lead author Richard Johnson, professor at the University of Colorado Anschutz.

“It acts as a metabolic signal that promotes fat production and storage in ways that differ fundamentally from glucose,” he added.

Why Fructose's Metabolic Effects Raise Concern?

In the study, the researchers examined how common dietary sweeteners, including table sugar (sucrose) and high-fructose corn syrup, impact human health.

While both contain glucose and fructose, fructose has unique metabolic effects that may more directly contribute to obesity and related conditions.

“Its metabolism bypasses normal energy regulation, leading to increased fat synthesis and lower cellular energy, processes linked to obesity, insulin resistance, and cardiovascular risk,” revealed the researchers.

As the body can produce fructose internally from glucose, the team pointed out that its impact on disease may be broader than just dietary sugar intake.

Also read:The Sweet Trap: How Much Natural Sugar Should You Consume Daily?

The study also outlined how fructose metabolism bypasses key regulatory steps in the body’s energy-processing pathways.

This can lead to

  • increased fat synthesis,
  • depletion of cellular energy (ATP)
  • the production of compounds linked to metabolic dysfunction.
Over time, these effects may contribute to metabolic syndrome, a cluster of conditions that includes obesity, insulin resistance, and cardiovascular risk.

“This review highlights fructose as a central player in metabolic health,” said Johnson. “Understanding its unique biological effects is critical for developing more effective strategies to prevent and treat metabolic disease.”

How Much Sugar Is Too Much?

The World Health Organization (WHO) advises that added sugars must make up fewer than 10 per cent of your daily total energy intake, better yet, aiming for 5 per cent for optimal health gains—approximately 25 grams or 6 teaspoons a day for an adult eating 2,000 calories a day.

The American Heart Association (AHA) is even more stringent:

Women: Restrict to 100 calories/day of added sugars (approximately 25 grams or 6 teaspoons).

Men: Restrict to 150 calories/day (approximately 38 grams or 9 teaspoons).

You're taking in too much added sugar if:

  • Over 10 per cent of your total daily calories are from sugar.
  • You're taking in more than 150 calories/day (men), or 100 calories/day (women) from sugar.

Read: Benjamin Netanyahu Undergoes Treatment For Early-stage Prostate Cancer: Symptoms You Should Not Ignore

While sugar in whole foods such as fruits and vegetables isn't the problem—it's part of a nutrient-dense package, the problem lies with the sneakily added sugars in everyday products such as ketchup, cereals, salad dressings, protein bars, and "health" drinks.

Instead of being afraid of all sugar, pay attention to where it's coming from. Read labels carefully. Stick to whole foods, avoid processed items. While natural sugars in your bowl of fruit or glass of milk may not be a problem, keep an eye out for the syrup in your coffee or that "healthy" granola.

Natural sugars can absolutely be part of a balanced, healthy diet. However, the body doesn’t distinguish between a sugar cube and a fruit smoothie when it comes to blood glucose spikes. What makes all the difference is the nutritional context.

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Benjamin Netanyahu Undergoes Treatment For Early-stage Prostate Cancer: Symptoms You Should Not Ignore

Updated Apr 25, 2026 | 11:37 AM IST

SummaryNetanyahu had a surgery on his prostate in 2024 after he was diagnosed with a urinary tract infection resulting from a benign prostate enlargement. Since then, he has been under routine medical monitoring.
Benjamin Netanyahu Undergoes Treatment For Early-stage Prostate Cancer: Symptoms You Should Not Ignore

Credit: Benjamin Netanyahu/X

Israeli Prime Minister Benjamin Netanyahu has announced successful treatment for early-stage prostate cancer and stated that he is “in excellent physical condition” now and that there is "no trace left of it".

The small tumor was discovered during a routine checkup, the 76-year-old leader informed on the social media platform X.

Netanyahu had a surgery on his prostate in 2024 after he was diagnosed with a urinary tract infection resulting from a benign prostate enlargement. Since then, he has been under routine medical monitoring.

“In the last monitoring, a tiny spot of less than a centimeter was discovered in the prostate,” he said in the post, adding that it was “a very early stage of a malignant tumor, with no spread or metastases”.

Netanyahu noted that his doctors gave him two options – either not to treat and keep monitoring or to “undergo treatment and remove the problem”.

However, sensing a “potential danger, I want to address it immediately,” he said, citing his character, which stands “true on the national level and also on the personal level”.

“I underwent targeted treatment that removed the problem and left no trace of it. I went to a few short treatments, read a book, and continued working. The spot disappeared completely. Thank God, I overcame this too,” the Israeli Prime Minister said while thanking doctors.

Netanyahu also advised people to “take care of health. Get checked, and follow the doctors' instructions”.

Benjamin Netanyahu Undergoes Treatment For Early-stage Prostate Cancer: Symptoms You Should Not Ignore

What Is Prostate Cancer?

The prostate is the walnut-sized gland in the male reproductive system that makes seminal fluid.

Dr. Srikanth Munna, Consultant Urology, Andrologist, Laparoscopy and Penile Implant Surgeon at KIMS Hospital, Hyderabad, told HealthandMe that it is the most common type of slow-growing cancer in men that sees the abnormal growth of cells in the gland.

Importantly, if detected early, it is very much curable.

Age, family history, or lifestyle choices are the most common risk factors.

Prostate cancer treatment guidelines have shifted their path a bit in recent years, with many men opting for active surveillance rather than immediate treatment for slow-growing tumors.

However, about 50 per cent of men on "watchful waiting" will require further treatment within 5 years because of the tumour progression. A simple Prostate-Specific Antigen (PSA) blood test can help rule out the risk, Dr Munna said

Read: What Every Indian Man Should Know About Prostate Cancer

The expert noted that some early-stage symptoms of the disease include

  • blood in the urine or semen,
  • trouble urinating
  • erectile dysfunction.
More advanced prostate cancer may cause symptoms such as:

  • Decreased force in the stream of urine
  • Bone pain
  • Losing weight without trying.

Not All Prostate Issues Are Indicative Of Cancer

Also read: Bob Harris: BBC Radio 2 Host Hospitalized For Prostate Cancer Treatment

Not all prostate problems are indicative of cancer. While prostate cancer is a serious concern, other conditions can cause similar symptoms but are non-cancerous. One common condition is benign prostatic hyperplasia (BPH).

Experts state that nearly every individual with a prostate will experience BPH as they age. It leads to the enlargement of the prostate gland but does not increase the risk of cancer.

Another condition is prostatitis, which primarily affects men under 50. It is characterized by inflammation and swelling of the prostate, often due to bacterial infections. Early diagnosis can help manage these conditions effectively.

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Stress Or Screen Time? What Is Driving IBS Cases In IT Industry

Updated Apr 24, 2026 | 07:00 PM IST

SummaryThere exists a high rate of occurrence of IBS amongst information technology professionals in India’s urban cities.
IT workers

The management and prevention of IBS require a comprehensive approach. (Photo credit: iStock)

Irritable Bowel Syndrome (IBS) is becoming an increasingly important health issue among IT professionals, who are specifically at risk because of certain factors present in corporate culture. There has been a gradual rise in the prevalence of IBS among these individuals over the last ten years, due not only to better diagnosis but also to the accumulation of stress, erratic lifestyles, and physical inactivity.

What is contributing to IBS cases in the IT industry?

Dr Sudha Subhana Desai, Senior Consultant in Internal Medicine and Critical Care at Ruby Hall Clinic, Pune, said, "The first factor contributing to the development of IBS in the IT environment is constant psychological stress. Working in the information technology industry requires the ability to meet tight deadlines, maintain high-level performance, and spend many hours in front of a computer while coordinating with colleagues from different time zones. All these activities affect normal circadian rhythms, placing an individual's body under constant stress. This becomes particularly relevant as the connection between the central nervous system and the digestive tract via the gut-brain axis is involved in this mechanism. Thus, constant stress can lead to disturbances in gut motility, increased sensitisation, and an imbalance of the flora. Hence, individuals develop common IBS symptoms such as abdominal pain, bloating, constipation, diarrhoea, or an alternation between these."

How do dietary habits of IT professionals worsen IBS?

Further, Dr Desai spoke about how the dietary practices common among employees in IT professions exacerbate the issue. The expert said that the hectic nature of their work schedules often forces them to resort to unhealthy eating practices, including eating out at fast food restaurants. Their diet often consists of foods lacking dietary fibre but containing high levels of fats, sugars, and additives. This is unhealthy not only because it is nutritionally unbalanced but also because such foods may cause gastrointestinal problems. In addition, their unpredictable work hours make their diet and sleep habits less regular, thus disrupting digestive processes.

The role of lifestyle habits in IBS risk

Other lifestyle behaviours typical of employees in IT professions put them at higher risk. Firstly, a lack of exercise, which results from long working days, prolonged sitting, and little physical activity, slows down intestinal motility and decreases overall metabolism. Secondly, long screen exposure and sedentary behaviour have the same effect. Thirdly, poor sleep quality, experienced by night shift workers and those responsible for international projects, adversely impacts the hormonal balance necessary for healthy digestion. Lastly, high caffeine intake is typical of these employees, as they use coffee and energy drinks to alleviate fatigue.

While there is increased health consciousness, along with improved availability of medical care, the increase in IBS can only be partially explained by increased diagnoses. Rather, there is an actual increase due to stress factors and living patterns associated with the working environment of the IT industry.

Treating IBS among IT professionals

In the treatment of IBS among IT professionals, a number of factors must be addressed in order to help individuals cope with their conditions. One such factor is stress management. Professionals must be taught various methods of coping with stress, ranging from exercises such as yoga and breathing techniques to more structured interventions. The environment must also be conducive to health and well-being. In other words, organisations must facilitate a healthy working environment and encourage individuals to achieve a work-life balance while reducing any workload stresses. Professionals must also make alterations to their dietary habits, including eating regularly, having fibre-rich meals, and avoiding highly processed foods.

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