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rpdillonyesterday at 8:47 PM2 repliesview on HN

It works very differently for different people, I think. Many people metabolize the alcohol more slowly, and get less of a "hit" from drinking, which makes them less susceptible to addiction. Others, like me, metabolize it very fast and that makes it quite a bit more addictive. Risk factors like ADHD increase this.

All that said, no one I've ever met said a glass of wine on Friday nights isn't "drinking in moderation". I think the medical establishment is quite well aligned on this. One source is the CDC, which defines moderate drinking to be roughly an order of magnitude more alcohol consumption than "one drink every Friday night."

https://www.cdc.gov/alcohol/about-alcohol-use/moderate-alcoh...


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murderfsyesterday at 9:34 PM

> Many people metabolize the alcohol more slowly, and get less of a "hit" from drinking, which makes them less susceptible to addiction.

This is the opposite of how it works, ethanol is the active ingredient for all of the fun parts of drinking, the metabolite, acetaldehyde, is the cause of all of the unfun parts (nausea, headache, flushing).

A significant percentage of East Asians have one or both of a superactive alcohol dehydrogenase (which converts ethanol to acetaldehyde) and a defective aldehyde dehydrogenase (which converts acetaldehyde to acetic acid), and they have significantly lower rates of alcoholism.

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throwaway2037yesterday at 9:09 PM

    > Many people metabolize the alcohol more slowly, and get less of a "hit" from drinking, which makes them less susceptible to addiction. Others, like me, metabolize it very fast and that makes it quite a bit more addictive.
I never heard this theory before, but on the surface, it sounds reasonable. Is there any published literature about it?

One thing to keep in mind when discussing "drinking in moderation": I think people will surprised to learn that each country has their own (often, very different) idea of what it means. For example, healthy alcohol consumption levels are persistently higher from UK public health sources, compared to the United States (mostly CDC). My sense (that I cannot prove): If your median alcohol consumption is higher than global average, your national health agency will have higher values for "drinking in moderation". I would love to see a comparison of wealthy (primarily) Judeo-Christian countries and their recommended limits.

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