The Diary Of A CEO with Steven Bartlett

Most Replayed Moment: Is There A Safe Amount Of Alcohol? What Happens To The Body When You Drink!

February 6, 2026

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  • The historical perception that moderate alcohol consumption offers health benefits is largely debunked, stemming from flawed study methodologies that incorrectly compared moderate drinkers to non-drinkers who were often unhealthy for other reasons. 
  • For certain cancers, such as breast and esophageal cancer, there is no safe amount of alcohol consumption, as risk begins to increase even below established low-risk drinking limits. 
  • Alcohol (ethanol) is treated by the body as a poison, metabolized primarily in the liver into toxic byproducts that cause cellular damage, inflammation, and contribute to cancer risk across multiple organs, including the brain, which can suffer accelerated deterioration similar to advanced dementia. 

Segments

AI Business Integration Sponsor
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(00:00:00)
  • Key Takeaway: NetSuite by Oracle embeds AI throughout organizations using a unified cloud financial system.
  • Summary: Business owners are focused on implementing AI, but guessing without proper knowledge is risky. NetSuite offers an AI cloud financial system integrating accounting, inventory, and HR. Its AI connector allows users to connect their chosen AI with business data to automate tasks and gain actionable insights.
Alcohol’s Historical Journey
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(00:01:11)
  • Key Takeaway: Alcohol consumption has evolved from spiritual/social use to being wrongly associated with health benefits.
  • Summary: Archaeological evidence suggests beer-making existed among hunter-gatherers 13,000 years ago, initially for spiritual or social reasons. The idea that alcohol improves health, like drinking red wine, arose from misinterpretations of observational data. This concept was based on comparing moderate drinkers to non-drinkers who often abstained due to existing poor health.
Safe Alcohol Consumption Levels
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(00:03:33)
  • Key Takeaway: There is no healthy level of alcohol consumption, though low-risk drinking can be part of a lifestyle.
  • Summary: Drinking alcohol should not be mistaken for a health-promoting activity like exercise; it is comparable to activities like eating bacon or sun exposure, which carry associated risks. The concept of a ‘J-shaped curve’ suggesting moderate drinkers have lower risks is flawed due to the reference group bias. Low-risk guidelines should be understood as risk mitigation, not health promotion.
Defining UK Low-Risk Units
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(00:04:28)
  • Key Takeaway: A standard glass of wine often contains about three UK alcohol units, potentially exceeding the weekly low-risk limit.
  • Summary: A UK unit of alcohol is defined as eight grams of alcohol, and the low-risk limit is below 14 units per week. A typical glass of wine likely contains around three units, meaning daily consumption of this size puts an individual right at the weekly limit. Consuming this amount daily results in 21 units weekly, placing one in the moderate risk category.
Alcohol and Cancer Risk
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(00:05:47)
  • Key Takeaway: Moderate alcohol consumption is associated with increased risk for nearly every cancer type, especially breast and esophageal cancer.
  • Summary: Drinking at moderate risk levels is associated with pretty much every form of cancer, showing a dose-response relationship where more drinking increases risk. For breast cancer, even drinking below low-risk limits (fewer than seven UK units/week) shows about a 5% increase in lifetime risk. Alcohol increases cancer risk by causing inflammation and generating reactive oxygen species that change DNA.
Alcohol’s Impact on Body Systems
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(00:09:48)
  • Key Takeaway: Alcohol’s systemic damage includes brain deterioration, esophageal irritation, and heart rhythm abnormalities.
  • Summary: Heavy drinking (two glasses of wine daily) places an individual in the heavy category, correlating with roughly a 40% increase in cancer risk. Alcohol crosses the blood-brain barrier, and heavy use accelerates brain shrinkage, potentially leading to alcohol-related dementia, often worsened by nutritional deficiencies. High alcohol levels cause inflammation and toxic byproducts that damage cells throughout the body, including the heart, leading to conditions like atrial fibrillation (‘holiday heart’).
Liver Damage Progression
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(00:14:25)
  • Key Takeaway: The liver’s ability to regenerate is lost once significant scar tissue (cirrhosis) develops from chronic damage.
  • Summary: The liver metabolizes 90% of toxins, including alcohol, which it views as poison, converting it into acetate. Initial damage manifests as fat deposition, followed by inflammation, and eventually fibrosis (scar tissue). Binge drinking episodes are likely more harmful than consistent moderate drinking because they cause a larger buildup of toxic byproducts that the liver must clear.
Non-Alcohol Liver Stressors
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(00:19:10)
  • Key Takeaway: Obesity and certain medications, like acetaminophen (Tylenol), place significant stress on the liver.
  • Summary: Diet and body weight impact liver health due to its role in glucose metabolism. Acetaminophen can cause serious liver damage above certain thresholds, especially when combined with heavy alcohol use. Early signs of liver stress, like fatty liver, are often reversible if the driving factor is removed before scarring occurs.
Sponsor Readout (NetSuite/Vanta)
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(00:24:38)
  • Key Takeaway: NetSuite and Vanta offer technology solutions for business efficiency and security compliance.
  • Summary: NetSuite helps businesses embed AI throughout their organization using their cloud financial system. Vanta assists startups in achieving security compliance, such as SOC 2, using automation to unblock deals. Both sponsors offer resources available via links provided in the episode description.