Contents
Does coffee remove alcohol from your system?
Alcohol and Caffeine
- The 2015–2020 cautions against mixing alcohol with caffeine.1
- When alcohol is mixed with caffeine, the caffeine can mask the depressant effects of alcohol, making drinkers feel more alert than they would otherwise. As a result, they may drink more alcohol and become more impaired than they realize, increasing the risk of alcohol-attributable harms.1–5
- Caffeine has no effect on the metabolism of alcohol by the liver and thus does not reduce breath or blood alcohol concentrations (it does not “sober you up”) or reduce impairment due to alcohol consumption.1
- Energy drinks typically contain caffeine, plant-based stimulants, simple sugars, and other additives.3
- Mixing alcohol with energy drinks is a popular practice, especially among young people in the United States.6–8 In 2017, 10.6% of students in grades 8, 10, and 12 and 31.8% of young adults aged 19 to 28 reported consuming alcohol mixed with energy drinks at least once in the past year.7,8
- In a study among Michigan high school students, those who binge drank were more than twice as likely to mix alcohol with energy drinks as non-binge drinkers (49.0% vs.18.2%). Liquor was the usual type of alcohol consumed by students who reported mixing alcohol and energy drinks (52.7%).9
- Drinkers aged 15 to 23 who mix alcohol with energy drinks are 4 times more likely to binge drink at high intensity (i.e., consume 6 or more drinks per binge episode) than drinkers who do not mix alcohol with energy drinks.10
- Drinkers who mix alcohol with energy drinks are more likely than drinkers who do not mix alcohol with energy drinks to report unwanted or unprotected sex, driving drunk or riding with a driver who was intoxicated, or sustaining alcohol-related injuries.11
- Caffeinated Alcoholic Beverages (CABs) were premixed beverages popular in the 2000s 12 that combined alcohol, caffeine, and other stimulants. They were malt or distilled spirits-based beverages and they usually had a higher alcohol content than beer (e.g., 12% alcohol by volume compared to 4% to 5% for beer).2,12
- CABs were heavily marketed in youth-friendly media (e.g., social media) and with youth-oriented graphics and messaging that connected the consumption of these beverages with extreme sports or their risk-taking behaviors.13
- In November 2010, the US Food and Drug Administration (FDA) told the manufacturers of seven CABs that their drinks could no longer stay on the market in their current form, stating that “FDA does not find support for the claim that the addition of caffeine to these alcoholic beverages is ‘generally recognized as safe,’ which is the legal standard.” 2,14 Producers of CABs responded by removing caffeine and other stimulants from their products.3
- Excessive alcohol use is responsible for more than 140,000 deaths in the United States each year 15 and $249 billion in economic costs in 2010.16
- Binge drinking (consuming 4 or more drinks per occasion for women or 5 or more drinks per occasion for men) is responsible for more than 40% of these deaths and three quarters of economic costs.15,16
- Binge drinking is also associated with many health and social problems, including alcohol-impaired driving, interpersonal violence, risky sexual activity, and unintended pregnancy.17
- Most people younger than age 21 who drink report binge drinking, usually on multiple occasions.18
- The Community Preventive Services Task Force recommends effective population-based strategies for preventing excessive alcohol consumption and related harms, including increasing alcohol excise taxes, limiting alcohol outlet density, and commercial host (dram shop) liability for service to underage or intoxicated customers.19
- States and communities have also developed educational strategies to alert consumers to the risks of mixing alcohol with energy drinks. At least one community enacted an ordinance requiring retailers to post warning signs informing consumers of the risks of mixing alcohol and energy drinks.20
- Monitoring and reducing youth exposure to alcohol advertising through “no-buy” lists could also help reduce underage drinking. No-buy lists identify television programming that advertisers can avoid to improve compliance with the alcohol industry’s self-regulated alcohol marketing guidelines.21
- US Department of Health and Human Services and US Department of Agriculture.8th ed. Washington, DC US Department of Health and Human Services and US Department of Agriculture; 2015.
- Federal Trade Commission. FTC sends warning letters to marketers of caffeinated alcohol drinks website:, Accessed February 4, 2020.
- Marczinski CA, Fillmore MT. Nutr Rev,2014;72(suppl 1):98–107.
- McKetin R, Coen A, Kaye S., Drug Alcohol Depend.2015;151:15–30.
- Seifert SM, Schaechter JL, Hershorin ER, Lipshultz SE., Pediatrics.2011;127(3):511–528.
- Kponee KZ, Siegel M, Jernigan DH. Addict Behav.2014;39(1):253–258.
- Johnson LD, Miech RA, O’Malley PM, Bachman JG, Schulenberg JE, Patrick ME., Ann Arbor, MI: Institute for Social Research, The University of Michigan; 2018.
- Schulenberg JE, Johnson LD, O’Malley PM, Bachman JG, Miech RA, Patrick ME., Ann Arbor, MI: Institute for Social Research, The University of Michigan; 2018.
- Gonzales KR, Largo TW, Miller C, Kanny D, Brewer RD., Prev Chronic Dis.2015;12:150290. doi: http://dx.doi.org/10.5888/pcd12.150290s.
- Emond JA, Gilbert-Diamond D, Tanski SE, Sargent JD., J Pediatr.2014;165(6):1194–200.
- Roemer A, Stockwell T., J Stud Alcohol Drugs.2017;78(2):175–183.
- M. Shanken Communications, Inc. The U.S. Beer Market: Impact Databank Review and Forecast, New York, NY: M. Shanken Communications, Inc.; 2009:533.
- Simon M, Mosher J., San Rafael, CA: Marin Institute; 2007.
- US Food and Drug Administration. Caffeinated Alcoholic Beverages Website., Accessed February 4, 2020.
- Centers for Disease Control and Prevention., Accessed April 19, 2022.
- Sacks JJ, Gonzales KR, Bouchery EE, Tomedi LE, Brewer RD., Am J Prev Med,2015;49(5):e73–e79.
- World Health Organization., Geneva, Switzerland: World Health Organization; 2018.
- Esser MB, Clayton H, Demissie Z, Kanny D, Brewer RD., MMWR.2017;66:474-478.
- Community Preventive Services Task Force. The Guide to Community Preventive Services., Accessed February 4, 2020.
- City of Thousand Oaks, CA., Title 5. Chapter 27. Sec.5-27.01–5-27.03.
- Ross CS, Brewer RD, Jernigan DH., J Stud Alcohol Drugs.2016;77:7–16.
How long does alcohol stay in your liver?
Alcohol is predominantly broken down by the liver, which can metabolize roughly 1 standard drink per hour for men. Factors such as age, weight, gender, and amount of food eaten can affect how fast the body can process alcohol.
How can I clean my liver?
A liver detox, cleanse, or flush is a program that claims to take out toxins in your body, help you lose weight, or improve your health. You want to do everything you can to take an active role in your health. But if you think you need a liver detox, you should know that there isn’t much it can do for you.
- Your liver is one of the largest organs in your body.
- It helps remove waste and handles various nutrients and medicines.
- Most people think a cleanse will help their liver remove toxins after they drink too much alcohol or eat unhealthy foods.
- Some hope it will help their liver work better on a daily basis.
Many believe it’ll help treat liver disease. Like most detoxes, a liver cleanse has specific steps. It may tell you to fast or to drink only juices or other liquids for several days. You might need to eat a restricted diet or take herbal or dietary supplements,
Some detoxes also urge you to buy a variety of products. There are medical treatments for liver diseases. But nothing shows that detox programs or supplements can fix liver damage. In fact, detoxes may harm your liver. Studies have found that liver injuries from herbal and dietary supplements are on the rise.
Green tea extract, for example, can cause damage like that from hepatitis. And the coffee enemas involved in some regimens can lead to infections and electrolyte problems that might be deadly. Other things to know about these programs and products:
Some companies use ingredients that could be harmful. Others have made false claims about how well they treat serious diseases.Unpasteurized juices can make you sick, especially if you’re older or have a weakened immune system.If you have kidney disease, a cleanse that includes large amounts of juice can make your illness worse.If you have diabetes, be sure to check with your doctor before you start a diet that changes how you usually eat.If you fast as part of a detox program, you may feel weak or faint, have headaches, or get dehydrated. If you have hepatitis B that has caused liver damage, fasting can make the damage worse.
There isn’t any scientific proof that cleanses remove toxins from your body or make you healthier. You may feel better on a detox diet simply because you aren’t eating highly processed foods with solid fats and processed sugar. These foods are high in calories but low in nutrition.
Detox diets can also cut out foods that you might be allergic or sensitive to, like dairy, gluten, eggs, or peanuts. Doctors say liver detoxes aren’t important for your health or how well your liver works. There’s no proof that they help get rid of toxins after you’ve had too much unhealthy food or alcohol.
Ways to help your liver after drinking too much alcohol There’s a limit on how much alcohol your liver can handle at one time. It has to work harder when you drink too much. Over time, this can lead to inflammation, scarring, or cancer, If you’re going to drink alcohol, experts recommend no more than one drink a day for women and two for men.
- A drink is 12 ounces of beer, 5 ounces of wine, or one shot of liquor.
- Your liver can heal minor damage from alcohol in days or weeks.
- More severe damage could take months to heal.
- And after a long time, it may be permanent.
- Give your liver a break by avoiding alcohol at least 2 days in a row each week.
Your overall health and your genes affect your liver. So do your diet, lifestyle, and environment. Liver detox programs don’t treat damage or prevent disease. Ways to prevent liver disease Lifestyle changes can help keep your liver healthy without detox programs.
Limit the amount of alcohol you drink.Eat a well-balanced diet every day. That’s five to nine servings of fruits and vegetables, along with fiber from vegetables, nuts, seeds, and whole grains. Be sure to include protein for the enzymes that help your body detox naturally.Keep a healthy weight, Exercise every day if you can. Check with your doctor first if you haven’t been active.Cut down on risky behavior that can lead to viral hepatitis:
Avoid recreational drugs, If you do use them, don’t share needles or straws to inject or snort them.Don’t share razors, toothbrushes, or other household items.Get tattoos only from a sterile shop.Don’t have unprotected sex with people you don’t know.
A few studies have linked liver cleanses with weight or fat loss, but they’ve been low-quality or looked at only a small number of people. Other research has found that a detox program’s low-calorie diet may lead to early weight loss, but people tend to regain the pounds as soon as they go back to their usual diet.
Eat a healthy diet with plenty of water, fruits, and vegetables.Exercise regularly.Follow guidelines on alcohol use.
Milk thistle is an herb that contains a compound called silybin. Some people claim that it helps your liver work better and can help treat liver disease. But just as there isn’t enough evidence that liver detoxes work, there isn’t enough to show that milk thistle or extracts make your liver healthier.
- Some studies say compounds from milk thistle have helped ease the symptoms of certain types of liver disease.
- But no research shows that it treats the disease itself.
- Turmeric, sometimes called “the golden spice,” can give your body a boost and may help protect against liver injury.
- But there’s not enough research to support using it regularly for prevention.
Dandelion has also been considered a natural remedy for various conditions. More study is needed to prove that it works. Remember that FDA rules about supplements aren’t the same as for foods or medicines. There’s no guarantee that that they work the way they say or that they’re safe.
Does lemon water detox your liver?
Lemon Water – Many citrus fruits, including lemon, can be added to water to help stimulate and flush out the liver. To help improve liver function, enjoy 4-6 tablespoons of lemon juice mixed with water each day.
How do I detox my body quickly?
To detox your body safely, drink plenty of water, eat a balanced diet, exercise regularly, get enough sleep, avoid unhealthy foods and consider natural supplements after consulting with a healthcare provider.
What food soaks up alcohol?
Salmon can help replenish key nutrients and counteract inflammation – Salmon contains a ton of, an important nutrient that’s known to decrease with moderate to high alcohol consumption. The vitamin is essential for red blood cell production and nervous system functioning.
The fishy superfood is also high in protein and healthy fats, both of which may slow the pace of alcohol absorption. In addition, can offset some of the inflammation in the brain and body that occurs due to heavy drinking. For a well-rounded pre-drinking meal, try cooking up some salmon with a side of asparagus.
The vegetable contains minerals and amino acids that are beneficial to liver health and may help, Top your toast will some healthy fats and protein. Westend61/Getty Images
How much is too much alcohol?
Heavy Alcohol Use: –
NIAAA defines heavy drinking as follows:
For men, consuming more than 4 drinks on any day or more than 14 drinks per week For women, consuming more than 3 drinks on any day or more than 7 drinks per week
SAMHSA defines heavy alcohol use as binge drinking on 5 or more days in the past month.
Does taking a cold shower help you sober up?
Cold showers slow down the sobering process – Bhakpong/Shutterstock Cold showers might wake you up, but they won’t sober you up. Think of it this way: In order to sober up, your body needs to relax. Dousing yourself in cold water accomplishes the exact opposite. Dr. Niket Sonpal, a New York-based internist, gastroenterologist, and an adjunct professor at Touro College told INSIDER cold showers “raise your awareness and alertness by shocking your body with ice-cold water sending signals to your brain to wake up.” When this happens, he explained, your brain and body become stressed, making you feel worse.
What is the best way to recover your liver from alcohol?
How ARLD is treated – There’s currently no specific medical treatment for ARLD. The main treatment is to stop drinking, preferably for the rest of your life. This reduces the risk of further damage to your liver and gives it the best chance of recovering.
If a person is dependent on alcohol, stopping drinking can be very difficult. However, support, advice and medical treatment may be available through local alcohol support services, A liver transplant may be required in severe cases where the liver has stopped functioning and doesn’t improve when you stop drinking alcohol.
You’ll only be considered for a liver transplant if you’ve developed complications of cirrhosis, despite having stopped drinking. All liver transplant units require a person to not drink alcohol while awaiting the transplant, and for the rest of their life.
How is alcohol absorbed and removed by the body?
Abstract – Alcohol is eliminated from the body by various metabolic mechanisms. The primary enzymes involved are aldehyde dehydrogenase (ALDH), alcohol dehydrogenase (ADH), cytochrome P450 (CYP2E1), and catalase. Variations in the genes for these enzymes have been found to influence alcohol consumption, alcohol-related tissue damage, and alcohol dependence.
The consequences of alcohol metabolism include oxygen deficits (i.e., hypoxia) in the liver; interaction between alcohol metabolism byproducts and other cell components, resulting in the formation of harmful compounds (i.e., adducts); formation of highly reactive oxygen-containing molecules (i.e., reactive oxygen species ) that can damage other cell components; changes in the ratio of NADH to NAD + (i.e., the cell’s redox state); tissue damage; fetal damage; impairment of other metabolic processes; cancer; and medication interactions.
Several issues related to alcohol metabolism require further research. Keywords: Ethanol-toacetaldehyde metabolism, alcohol dehydrogenase (ADH), aldehyde dehydrogenase (ALDH), acetaldehyde, acetate, cytochrome P450 2E1 (CYP2E1), catalase, reactive oxygen species (ROS), blood alcohol concentration (BAC), liver, stomach, brain, fetal alcohol effects, genetics and heredity, ethnic group, hypoxia The effects of alcohol (i.e., ethanol) on various tissues depend on its concentration in the blood (blood alcohol concentration ) over time.
- BAC is determined by how quickly alcohol is absorbed, distributed, metabolized, and excreted.
- After alcohol is swallowed, it is absorbed primarily from the small intestine into the veins that collect blood from the stomach and bowels and from the portal vein, which leads to the liver.
- From there it is carried to the liver, where it is exposed to enzymes and metabolized.
The rate of the rise of BAC is influenced by how quickly alcohol is emptied from the stomach and the extent of metabolism during this first pass through the stomach and liver (i.e., first-pass metabolism ). BAC is influenced by environmental factors (such as the rate of alcohol drinking, the presence of food in the stomach, and the type of alcoholic beverage) and genetic factors (variations in the principal alcohol-metabolizing enzymes alcohol dehydrogenase and aldehyde dehydrogenase ).
- The alcohol elimination rate varies widely (i.e., three-fold) among individuals and is influenced by factors such as chronic alcohol consumption, diet, age, smoking, and time of day ( Bennion and Li 1976 ; Kopun and Propping 1977 ).
- The consequent deleterious effects caused by equivalent amounts of alcohol also vary among individuals.
Even after moderate alcohol consumption, BAC can be considerable (0.046 to 0.092 gram-percent ; in the 10- to 20-millimolar 1 range). Alcoholreadily diffuses across membranes and distributes through all cells and tissues, and at these concentrations, it can acutelyaffect cell function by interacting with certain proteins and cell membranes.
As explained in this article, alcohol metabolism also results in the generation of acetaldehyde, a highly reactive and toxic byproduct that may contribute to tissue damage, the formation ofdamaging molecules known as reactive oxygen species (ROS), and a change in the reduction–oxidation (or redox) state of liver cells.
Chronic alcohol consumption and alcohol metabolism are strongly linked to several pathological consequences and tissue damage. Understanding the balance of alcohol’s removal and the accumulation of potentially damaging metabolic byproducts, as well as how alcohol metabolism affects other metabolic pathways, is essentialfor appreciating both the short-term and long-term effects of the body’s response to alcohol intake.
What happens when you drink alcohol everyday?
Long-Term Health Risks – Over time, excessive alcohol use can lead to the development of chronic diseases and other serious problems including:
- High blood pressure, heart disease, stroke, liver disease, and digestive problems.6,16
- of the breast, mouth, throat, esophagus, voice box, liver, colon, and rectum.6,17
- Weakening of the immune system, increasing the chances of getting sick.6,16
- Learning and memory problems, including dementia and poor school performance.6,18
- Mental health problems, including depression and anxiety.6,19
- Social problems, including family problems, job-related problems, and unemployment.6,20,21
- Alcohol use disorders, or alcohol dependence.5
By not drinking too much, you can reduce the risk of these short- and long-term health risks.
- Centers for Disease Control and Prevention., Accessed April 19, 2022.
- Esser MB, Leung G, Sherk A, Bohm MB, Liu Y, Lu H, Naimi TS., JAMA Netw Open 2022;5:e2239485.
- Sacks JJ, Gonzales KR, Bouchery EE, Tomedi LE, Brewer RD., Am J Prev Med 2015; 49(5):e73–e79.
- U.S. Department of Agriculture and U.S. Department of Health and Human Services.9th Edition, Washington, DC; 2020.
- Esser MB, Hedden SL, Kanny D, Brewer RD, Gfroerer JC, Naimi TS., Prev Chronic Dis 2014;11:140329.
- World Health Organization., Geneva, Switzerland: World Health Organization; 2018.
- Alpert HR, Slater ME, Yoon YH, Chen CM, Winstanley N, Esser MB., Am J Prev Med 2022;63:286–300.
- Greenfield LA., Report prepared for the Assistant Attorney General’s National Symposium on Alcohol Abuse and Crime. Washington, DC: U.S. Department of Justice, 1998.
- Mohler-Kuo M, Dowdall GW, Koss M, Wechsler H., Journal of Studies on Alcohol 2004;65(1):37–45.
- Abbey A., J Stud Alcohol Suppl 2002;14:118–128.
- Kanny D, Brewer RD, Mesnick JB, Paulozzi LJ, Naimi TS, Lu H., MMWR 2015;63:1238-1242.
- Naimi TS, Lipscomb LE, Brewer RD, Colley BG., Pediatrics 2003;11(5):1136–1141.
- Wechsler H, Davenport A, Dowdall G, Moeykens B, Castillo S., JAMA 1994;272(21):1672–1677.
- Kesmodel U, Wisborg K, Olsen SF, Henriksen TB, Sechler NJ., Alcohol & Alcoholism 2002;37(1):87–92.
- American Academy of Pediatrics, Committee on Substance Abuse and Committee on Children with Disabilities.2000., Pediatrics 2000;106:358–361.
- Rehm J, Baliunas D, Borges GL, Graham K, Irving H, Kehoe T, et al., Addiction.2010;105(5):817-43.
- International Agency for Research on Cancer. Personal Habits and Indoor Combustions: A Review of Human Carcinogens, Volume 100E 2012. Available from:,
- Miller JW, Naimi TS, Brewer RD, Jones SE., Pediatrics.2007;119(1):76-85.
- Castaneda R, Sussman N, Westreich L, Levy R, O’Malley M., J Clin Psychiatry 1996;57(5):207–212.
- Booth BM, Feng W., J Behavioral Health Services and Research 2002;29(2):157–166.
- Leonard KE, Rothbard JC., J Stud Alcohol Suppl 1999;13:139–146.