2

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Whats worse for your liver fructose or alcohol?

Answered on September 12, 2014
Created January 01, 2013 at 12:01 AM

Hey guys. I'm asking this because today is the 31st and i'm probably gonna have a little red wine. I know that alcohol is processed by the liver, much the same as fructose(fruit, fruit juices). Which substance is worse and places more stress on the liver?Alcohol or fructose?

Ee6932fe54ad68039a8d5f7a8caa0468

(2668)

on January 01, 2013
at 05:28 PM

thank you for this bit of rational thinking. sometimes it gets a wee bit crazy around here.

489497642ad41d4b45db4d07dbe54353

(978)

on January 01, 2013
at 01:08 AM

I think in a per unit way this is most likely true, but for many people alcohol is somewhat self limiting and fructose is not. So maybe there is more damage done by fructose then alcohol for many.

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4 Answers

6
B3173217a49b5b0116078775a17eb21d

(11488)

on January 01, 2013
at 12:47 AM

Come on kids. Do a little Paleo deduction. Which of these two things occurs in any quantity in your ancestral diet: Fructose or Alcohol?

If that doesn't convince you, Google "Alcoholic Liver Disease".

Unless you believe the bible, no-one ever died from eating too much fruit*

*actually they probaly did, but I liked the gag.

Ee6932fe54ad68039a8d5f7a8caa0468

(2668)

on January 01, 2013
at 05:28 PM

thank you for this bit of rational thinking. sometimes it gets a wee bit crazy around here.

5
A2c38be4c54c91a15071f82f14cac0b3

(12682)

on January 01, 2013
at 12:35 AM

Speaking mostly from animal (i.e. rodent) studies, it takes significantly less calories from alcohol to bring about fat accumulation, hepatitis, cirrhosis, and fibrosis of the liver. So I'm gonna say alcohol is definitely worse for your liver.

489497642ad41d4b45db4d07dbe54353

(978)

on January 01, 2013
at 01:08 AM

I think in a per unit way this is most likely true, but for many people alcohol is somewhat self limiting and fructose is not. So maybe there is more damage done by fructose then alcohol for many.

1
96440612cf0fcf366bf5ad8f776fca84

(19413)

on January 01, 2013
at 03:49 PM

It's dependent on the dose. High quantities of either is detrimental. The smaller the better. Not sure which is worse for us, but the pathways in our livers for processing fructose or alcohol are very similar, if not the same.

But, between the two, alcohol is way more fun, so if I had a choice between a cola and a shot of tequila, I'd go for the tequila every time.

That said, I drink less than a drink a week (though some weeks, I drink a lot more than others, mostly socially, which means that most weeks, I don't drink at all.) This way, it's not chronic exposure. I also find that the longer I've stayed on paleo, the less I actually crave alcohol, and the quicker the recovery the next day. I never had an addictive personality, but I did drink a hell of a lot more than I do now. I also don't get nasty hangovers anymore either when drinking spirits as I did pre paleo - just a bit tired and slow next morning.

If I had to guess, the lack of industrial fructose intake allows my liver to be a lot more efficient at dealing with the rare night of drinking.

Me, I'd really rather avoid Non-alcoholic Fatty Liver Disease and get an occasional buzz off a bit of alcohol. So if we're talking agave, I shun agave nectar (which is higher in fructose than some high fructose syrups), and I embrace tequila. :)

1
68294383ced9a0eafc16133aa80d1905

(5795)

on January 01, 2013
at 12:53 AM

Optimal health? Neither.

I'd argue that in-terms of become obese, Fructose is going to be more detrimental.

Alcohol has a significant Thermic Effect and also has a metabolic mechanism that provides feedback to the brain to stop consumption. This is why you get a buzz from alcohol.

I'm not saying those who abuse alcohol consistently don't have some issues, but Fructose is more of a silent killer.

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