Hacker News new | past | comments | ask | show | jobs | submit login

Incidentally and completely off-topic, unless your mental associations are as loose as mine, but I was recently rather shocked to find out that alcohol is a neurotoxin (http://het.sagepub.com/content/26/3/251.abstract - just google for a mountain worth of references). This is plain scary.



Yes, lots of drugs are neurotoxins. Caffeine is a neurotoxin as well, so is nicotine.

However, that doesn't mean that consuming moderate amounts of alcohol or caffeine will kill you. When people look at all-cause mortality data (here's one example picked at random from Google http://ukpmc.ac.uk/abstract/MED/8628131/reload=0;jsessionid=... , I've seen several studies that come to more or less the same conclusions), they find that moderate drinking (1-2 drinks per day for men, 1 drink per day for women), is associated with lower all-cause mortality than abstaining. And I've seen studies that show that this effect is even present if you control for factors that may be correlated with abstention, such as poverty (can't afford alcohol), or previous alcoholism that may have had health effects (some people are teetotalers because they have previously had problems with alcohol, so they may have had any ill effects outside of the study period).

Don't assume that just because something is neurotoxic in high doses means that it's bad in low doses as well. There are many things that can kill you if you take too much, but are healthy in moderation.


Please show me a study which demonstrates caffeine's neurotoxicity in humans if you're going to make a claim like that. I can only find ones exploring neurotoxicity in rats and at some pretty high doses.

Nicotine has only been found to be neurotoxic in adolescents or in extremely high doses. At the normal rate of consumption, it acts as an anti-oxidant and has a protective effect on the brain.

That study demonstrates an association and does not suggest one way or the other that drinking is in any way healthy. What if people who choose to drink in moderation just happen to be more likely to do everything else in moderation too? What if people who choose to abstain are more likely to fall into extremes and affect their life span that way? What if someone who moderates everything else and chooses not to drink is healthier than the moderate drinkers?

On the subject of low doses being completely safe, from a link someone else provided (http://pubs.niaaa.nih.gov/publications/aa53.htm):

>...some deficits are possible even in people who are not heavy drinkers.


This is an ill-informed perception of nicotine. Nicotine is actually acutely lethal in extremely small doses. 75mg (the equivalent mass of a baby aspirin) of nicotine is above the LD50 for human non-smokers.


It doesn't take much caffeine to produce fasciculation (specially on facial muscles) in some people, for instance.


That doesn't indicate neurotoxicity though.

Involuntary movements are caused by excess dopamine and are seen in people who use too much L-Dopa (dopamine precursor) for extended periods of time, for example. Interestingly, this effect is blocked when co-administering and NMDA antagonist. Even more interestingly, NMDA antagonists have been observed to reduce/prevent stimulant tolerance. All of this suggests that it's possible that involuntary movements are simply dopamine deficiencies (e.g. in the case of L-Dopa, dopamine receptors down-regulate too much).

Caffeine is known to release significant amounts of dopamine. Over a period of time, this will down-regulate dopamine receptors.


> Please show me a study which demonstrates caffeine's neurotoxicity in humans if you're going to make a claim like that. I can only find ones exploring neurotoxicity in rats and at some pretty high doses.

> Nicotine has only been found to be neurotoxic in adolescents or in extremely high doses. At the normal rate of consumption, it acts as an anti-oxidant and has a protective effect on the brain.

That's exactly my point. Just because something is a neurotoxin for some animals, or at extremely high doses, does not mean that it's actually dangerous. I wasn't trying to make caffeine or nicotine sound dangerous; I was pointing out that looking at some research, seeing "neurotoxic", and being scared is a bad way of approaching science.

Obviously, there are dangers in alcohol consumption. Alcohol has a fairly narrow range between the effective dose (the dose at which you start noticing any effects), and a dangerous dose. There are the obvious cognitive impairments while you are drinking, and some slight longer term impairment (that is much worse for heavy drinkers, and even worse for people who were heavy drinkers and then quit). But there are also advantages. There are some physical advantages to alcohol consumption, related to heart disease. There are the obvious social advantages, which many people cite as the reason they drink. And looking at all-cause mortality, the advantages appear to outweigh the disadvantages, at least for moderate drinkers.

> What if people who choose to drink in moderation just happen to be more likely to do everything else in moderation too? What if people who choose to abstain are more likely to fall into extremes and affect their life span that way? What if someone who moderates everything else and chooses not to drink is healthier than the moderate drinkers?

There is also this study: http://while-science-sleeps.com/pdf/628.pdf which discusses the weaknesses in previous studies, and attempts to correct for them. They look at a quite wide range of potential factors that might be correlated with abstention and increase mortality. The findings are somewhat surprising: in this study, even heavy drinkers had a lower mortality rate than teetotalers. And these effect were still present, though diminished, even once they controlled by many compounding factors.

It does admit that:

> In fact, in tests of potential covariates, we found among these older adults that at baseline, abstainers were significantly more likely to have had prior drinking problems, to be obese, and to smoke cigarettes than moderate drinkers and significantly higher than moderate drinkers on health problems, depressive symptoms, and avoidance coping. Moreover, at baseline, abstainers were significantly lower than moderate drinkers on SES, physical activity, number of close friends, and quality of friend support and significantly less likely to be married than moderate drinkers. Moreover, all of these covariates significantly predicted mortality.

However, it goes on to state:

> Controlling for age and gender, all eleven additional covariates, and the gender-marital status and gender-avoidance coping interactions in the Cox proportional hazards regression analysis reduced the 20-year mortality risk for abstainers compared to moderate drinkers. After including all covariates, the relative mortality risk for abstainers compared to moderate drinkers dropped by close to one-third and approached that of heavy drinkers. However, even after adjusting for all covariates, abstainers and heavy drinkers continued to show increased mortality risks of 49 and 42%, respectively, compared to moderate drinkers. After adjusting for all covariates, the relative risk for light drinkers compared to moderate drinkers was no longer significant.

Now, this study was for older adults (who were 55 to 65 at the beginning of the 20 year study). It discusses in some detail the weaknesses that it has, such as the possibility that it has selected for people who have survived higher levels of drinking. However, it did a very good job of controlling for a lot of compounding factors; and it still found that people who drank had lower mortality rates than people who abstained.


> and even worse for people who were heavy drinkers and then quit

Can you provide links or elaborate on this? I'm curious.


Sorry, I think I may have misread something. There are withdrawal symptoms from alcohol, which will affect people temporarily after they quit drinking, but that doesn't mean that they last long term; I don't know whether or not the effect is longer term. Apologies for being sloppy.


> Incidentally and completely off-topic, unless your mental associations are as loose as mine, but I was recently rather shocked to find out that alcohol is a neurotoxin

Of course it's a neurotoxin, the whole point is that it messes up the way your brain operates in a way that happens to be enjoyable.


If we're talking about this, let's not forget that it also causes brain damage, in moderate to heavy drinkers. http://pubs.niaaa.nih.gov/publications/aa53.htm


I'm sorry but what? There are plenty of drugs which are not neurotoxic and are still enjoyable.


Actually it's not especially neurotoxic in and of itself. It's the withdrawal from alcohol that causes brain damage, IIRC because when you drink a lot your brain starts getting its energy from alcohol, and when you stop it takes a while to switch back to burning regular glucose. (This is probably not exactly correct, but it's something like this.)

Anyway there are various neuroprotectants you can take to reduce the amount of brain damage. Although if you are drinking in moderation it isn't much of an issue because your brain won't be getting its energy from the alcohol to begin with.

That said, alcohol is pretty terrible for you in general, and it definitely isn't a good idea if you're depressed because it causes inflammation, among other things.


Alcohol is toxic to virtually every kind of tissue in your body. They say drinking enough to feel drunk is much worse for your long-term health than a moderate dose of recreational powder cocaine. But it feels good, it's legal in most countries so you don't have to risk contaminants on the black market, and lots of people pretend it's not even a drug, so Christian fundamentalists and old people won't even look down on you!


> They say drinking enough to feel drunk is much worse for your long-term health than a moderate dose of recreational powder cocaine.

Then "they" are proffering dangerous medical mis-advice that you should probably not be repeating on a forum.


The they was the World Health Organization. I can't actually find the article, but http://www.guardian.co.uk/commentisfree/2009/jun/13/bad-scie... suggests it was suppressed by the U.S. government, so I must have read a leaked copy that I can't find anymore. The leaked copy the Guardian links to doesn't appear to exist. But it was found that very low doses of cocaine such as the amount found in tea brewed from coca leaves are marginally healthful, and infrequent lowish doses of uncomtaminated powder cocaine aren't good but aren't very harmful. High doses of powder and basically any effective dose of crack are highly cardiotoxic and addictive. And cocaine combined with alcohol reacts synergistically and creates cocaethelene, which is very, very cardiotoxic.

Also, saying that alcohol is even more harmful than cocaine and that you should probably avoid it (well I sarcastically said you should drink it, but no one would interpret the above post as a recommendation for alcohol) is providing very safe medical advice. I don't see how you got me recommending black market recreational cocaine use from my previous post. If that's how it came across, I'd like to make it clear I do not endorse cocaine use either.


* Surely the amount of cocaine found in "very low doses" of brewed coca tea is not what one would consider, in your words, "a moderate dose of recreational powder cocaine." So I don't think that what you've posted really supports your claim that the WHO finds recreational cocaine usage to be less hazardous than drinking enough to get drunk.

* Whether or not the US's drug policies are more harmful than the drug itself is a totally different question.


My original post said nothing at all about cocaine being good for you. It said alcohol is even worse. I was not referring to coca leaves in my original post. I said "moderate recreational dose of powder cocaine." I was very clear. I really don't see what problem you have with my original post.

As for whether or not the typical recreational dose is moderate or high, I have met several people who have admitted to consuming cocaine recreationally at least once, and all of them reported snorting a relatively low amount of powder. That's consistent with what I remember the WHO report saying is somewhat toxic but not likely a big concern if not done frequently. It emphasized that chronic users and users of large doses almost invariably suffer from huge health problems. I don't advocate recreational drug use, let alone powerful stimulates. All I advocated in the original post was that alcohol is awful for you and should probably be avoided. Please stop changing my words.


> My original post said nothing at all about cocaine being good for you.

Who said anything about it being good for you? Neither you nor I, as far as I know.

In your original post, you said, "They say drinking enough to feel drunk is much worse for your long-term health than a moderate dose of recreational powder cocaine."

You then followed it up with "The they was the World Health Organization."

So I don't think it's unfair to read that as you saying: "The World Health Organization say drinking enough to feel drunk is much worse for your long-term health than a moderate dose of recreational powder cocaine."

I then reviewed your source and concluded, "I don't think that what you've posted really supports your claim that the WHO finds recreational cocaine usage to be less hazardous than drinking enough to get drunk."


>I then reviewed your source and concluded, "I don't think that what you've posted really supports your claim that the WHO finds recreational cocaine usage to be less hazardous than drinking enough to get drunk."

That's because he couldn't provide the source he was thinking of. The source he did post demonstrates why he couldn't find it.

>I can't actually find the article, but http://www.guardian.co.uk/commentisfree/2009/jun/13/bad-scie.... suggests it was suppressed by the U.S. government, so I must have read a leaked copy that I can't find anymore.


No. I read that article and it did not even hint that the WHO endorses the thing that the GGP suggests. Plus the evidentiary standard even for Internet discussion is higher than this. One can't say "a paper was suppressed, somehow I magically saw it even though nobody else did, and therefore you cannot refute my on-its-face improbable statement."


> Who said anything about it being good for you? Neither you nor I, as far as I know.

You said I gave "dangerous medical mis-advice" and someone, who I assumed was you, flagged my post. Assuming you didn't think the suggestion of not drinking was dangerous, what could you have meant besides interpreting my post as an endorsement of cocaine use? Either you keep changing what you're saying, or I've been misinterpreting each of your posts. I'm legitimately confused now.

> I then reviewed your source and concluded, "I don't think that what you've posted really supports your claim that the WHO finds recreational cocaine usage to be less hazardous than drinking enough to get drunk."

I recall them explicitly making that claim, as I referenced in my original post. Could the source I originally read have been a forgery and the Guardian made the same mistake? Yes. I don't think that's the case, but it could be. But I've definitely come across in other sources (that I guess could have gotten their information from the same unofficial WHO document, but I think they were sources that had citations, so that shouldn't be the case) the same general conclusion that powder cocaine isn't nearly as harmful as alcohol or opiates unless you take large enough doses or do it enough to develop a dependency.


At no point have I flagged or downvoted you; I do believe my responses to what you have written stand on their own merits.


A lot of Christian fundamentalists will look down on you. That's sort of the point of fundamentalism - extreme adherence to some principles. "No alcohol" is a pretty common one in a lot of Christian churches. Many will perform their communion with grape juice, not wine.


I was under the impression that Christian teetotalism, at least among the predecessors of present-day social conservatives in America, became much less common after the prohibition of alcohol in the U.S. ended. I guess that's not the case. But there are certainly lots of people, many but not all being religious Christians, who define alcohol as something other than a drug (as can be seen from the phrase "drugs and alcohol," which in my view is even harder to defend than "humans and animals" or "doctors and dentists," but I digress yet again...), which allows them to drink while simultaneously criticizing other recreational drug users. Oh the wonders of cognitive dissonance.


This is absolutely true in America and in almost no way is it necessarily tied to being a Christian, even those who are non-religious will often espouse the fact that alcohol "isn't like other drugs". Obviously this is just anecdotal evidence but a number of people I know will insist, for example, that alcohol is far less harmful and "not a drug" when compared to marijuana. They usually use an example of someone they know who they know uses / has used marijuana, who clearly has issues / problems in their life and say, "see what it can do to you", while completely ignoring X number of alcoholics all around them that have completely fucked up lives and the fact that the person they are talking about often also abuses alcohol so there is really no way to separate his / her alcohol use from their marijuana use to pinpoint which has a more negative affect.

The scary thing here is that basically no one in the U.S., who isn't a teenager / in college, will openly come out and say to most people, "I smoke marijuana", so anyone who is remotely normal / has a job, etc will only tell other people whom they know also smoke marijuana (even if just occasionally), because otherwise they are ostracized. Therefore, we have this skewed perception where only people who are either too close to someone to hide it (such as a son / daughter) or there life is messed up in such a way that its obvious / they don't care about hiding it are the ones that these people can point to and say "they use marijuana" as any "normal" person who uses it will never admit to it around someone who they know is against it or even neutral / not in favor and may actually go to great lengths to hide it as the repercussions can be extremely severe. If you live in the wrong state, you can quickly lose your job, etc very fast if word gets out.


The Presbyterian church I grew up in used grape juice instead of wine. In other ways, it was fairly progressive - especially in the kind of music played/performed during services. And the teachings were fundamentalist in a completely different way than most folks think of fundy christians.


I think that is common in Presbyterian churches. Same for me, though we had traditional hymns and piano accompianment. Not sure what is fundamentalist Presbyterian as I only attended 1 church, but things were laid back.


The Anglicans/Episcopalians use real wine. You can't change the Greek word "oinos" in the New Testament to grape juice, at least not in any lexically credible way.


they put the "fun" in fundamentalism?

:)


Not...quite. ;)


I think that's a very American thing? Never encountered it in (Central/North/East) Europe.


That's not what's scary to me. What's scary is the number of people in my country's parliment who drink like fish and, more than that, the number of them who drink at lunch. Some of these studies plainly state that behavioral and decision making side effects have been observed. I hate to sound alarmist, but my country is being run by people with compromised cognitive ability and, I assume, personality.

I wonder if there's a threshold at which the toxicity starts or if it's just an inherent quality of alcohol just as the high from huffing paint is an integral part of the brain damage that it causes.

Pretending it's not a drug is certainly an interesting perspective considering that it's one of the harder drugs out there.


I understand your concern, but I don't see how that's any different than any other country for the last few thousand years.

If anything, people probably drink less these days.


England, I'm guessing? Parliament even have their own pub! The joke is that at floor level, there are little arrows on the wall pointing to the door so that drunk MPs can find their way out.


Nice try, cocaine dealer.


just what I was thinking


Death can result from a blood alcohol content of 0.4%, so yeah you might want to consider its toxicity.

Ever had moonshine? The old saying "it'll make ya go blind" is based on the improper distilling by amateur moonshiners, but not because of the equipment they use. Methanol has a lower boiling point than ethanol and as such will vaporize first, but some distillers don't remove this and other harmful compounds properly. Methanol is incredibly damaging to the optic nerve, so even in small amounts it can destroy eyesight over a period of time.

If you really want to be freaked out, read this: http://en.wikipedia.org/wiki/Alcohol_consumption_and_health


It's fairly difficult to produce significant quantities of methanol from the likely mixtures most people would be fermenting to make their own vodka/whisky/etc. Typically it's found (at all) if you're fermenting fruit juices, not grains or sucrose.

I can't find any good references right now, but it seems that a lot of the widespread idea that it's easy to screw up amateur alcohol fermentation is probably a lie that was spread in support of strict regulation on such activities.


With a perfect still and no additives it should be relatively harmless, but depending on the individual set-up the simplest safety measure is to discard the first 50mL per 20L. Moonshine isn't made by people with rigorous safety and quality practices, so better safe than sorry.


The benefits of stepping away from being overworked and overstressed, to relax and have one or two beers, far outweight any toxicity in those two beers. If you can always mentally shutoff and relax after a day of concentration without a beer, then all power to you, but a beer (read: 1) is a well known and decent shortcut.


Off-topic and irrelevant to the OP. Have you been drinking by any chance?




Guidelines | FAQ | Lists | API | Security | Legal | Apply to YC | Contact

Search: