U.S. Surgeon General Calls for Cancer Warnings on Alcohol

How do I tell which are the alfatoxin Peanuts?

Reagan was infamous for hoarding Chateau Margaux.

That was Nixon

That was enemies

True. And in All the President’s Men, Woodward and Bernstein wrote that Nixon loved Margaux and would hoard it for himself, often in another wine bottle. If my memory serves…

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Nixon.

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Michael,

I appreciate the information you’ve shared in this thread. When making personal health decisions, I try to evaluate my own risk thoughtfully, avoiding panic over data from large population studies. For example, let’s say a woman’s lifetime risk of developing breast cancer is around 10–12%.

If consuming one alcoholic drink per day increases this risk by 7–10%, that sounds significant at first glance, especially when considering the total number of cases across a population. However, for an individual, this translates to an increase of less than one percentage point. For example, a 12% baseline risk would rise to approximately 13%, which is a relatively modest change.

On the other hand, if consuming two to three drinks daily raises the risk by 20%. For the individual, this increases the lifetime risk from 12% to around 14.5%, which is not insignificant.

Ultimately, the question becomes this: is this level of increased risk enough to justify giving up something that adds greatly to one’s enjoyment and quality of life? Everyone’s answer will differ based on their values, priorities, and personal circumstances. I’ve personally cut back, but I still hope to be raising a glass and making toasts from my deathbed—ideally, many years from now.

Cheers,
Warren

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Yeah, I think this is a good summary. I don’t think the increased risk of low/moderate alcohol consumption is very large, especially compared to other risk factors such as smoking, lack of exercise (especially resistance training), and metabolic syndrome.

Adults make their own decisions and can consider the risks of their decisions.

For me, regular alcohol consumption negatively affects sleep (which has much more significant health effects to me than the small increased risk of cancer described above) which is why I choose not to do it regularly. If I feel like drinking wine, cocktails, beer, whatever, i will, but I usually choose not to.

At the end of the day it’s up to adults to make their own decisions, but I think it’s helpful for everyone to at least have the right information.

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This is true of course, but ā€˜warnings’ set off red flags and folks tend to ā€˜over react’ to these things in general, and certainly a lot more now with social media, influencers, etc. And add in a very neo-Prohibitionist leaning these days and over reacting will probably become the norm.

If I were producing NA wines and/or beers, I’d be blasting this out ASAP.

Thanks for all if your info too

Cheers

Warren,

I share your general attitude about personal lifestyle choices but your illustrative example for breast cancer for women unfortunately may understate the risk identified from drinking:

For those who have < one drink per week:
11.3%

For those who have one drink per day: 13.1%
For those who have two drinks per day: 15.3%

Added risk due to moderate/low drinking for men is (fortunately) smaller. Increase for all associated cancers goes from 10% to 11% for men who have one drink per day.

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At least some of the studies were also not statistically significant at p of 0.05 also for men.

@Frank_Murray_III happy new year to you and Jill. I hope we can catch up soon!

Warren said:

For example, let’s say a woman’s lifetime risk of developing breast cancer is around 10–12%. If consuming one alcoholic drink per day increases this risk by 7–10%, that sounds significant at first glance, especially when considering the total number of cases across a population. However, for an individual, this translates to an increase of less than one percentage point. For example, a 12% baseline risk would rise to approximately 13%, which is a relatively modest change.

He was simply pointing out that a ā€œ7-10% increase in riskā€ does not mean adding 7-10 percentage points, as many mistakenly assume.

If you want to quibble with the figures he threw out to frame an example, you might at least cite your source…

Good point. Thanks.
It reinforces your earlier point that biggest effect by far relates to female breast cancer.

Apologies. I appreciated Warren’s post and was simply trying to add some numbers that reflected the Surgeon General’s report. My data source was NYT reporting on that report.

Just a few data points:

Cancer rates amongst Amish, Hutterites, Muslims are lower. This would suggest that there might be a link to alcohol. But that could also be because of diet, fasting, less excess, less sugar etc. There’s no real way to know without a dedicated study.

What we do know is - breast cancer rates among the Amish are disproportionately higher. Why? Could it be a diagnostics problem?

Cancer rates amongst muslims increasing sharply. They haven’t started drinking, so this points towards a dietary or environmental change affecting this.

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If you give Murthy any credence after his antics in 2021-22, Rudy Kurniawan has a new offer you might be interested in.

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Tom,
All peanuts have some level of this carcinogen. It comes from Aspergillis mold. Most large countries have very strict control on the levels in processed food like peanut butter that are sold. The highest risk is probably buying peanuts from local farmers that have been tainted. This is low granted. There are varieties of peanuts now that are resistant to making this toxin that are being developed. If you eat peanut butter at all, you will get small amounts of these toxins although it it probably insignificant. FWIW.

Just looking at the data without any high level analysis isn’t particularly useful.

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I stand corrected