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“I was hopeful that we would see declines in alcohol use, but I’m a practicing liver specialist, and the reality is, we had definitely seen a rise in patients with liver failure, which is really an extreme, I think, clinical condition from excessive alcohol use,” Lee said. “So we had definitely seen a surge with the pandemic. And if you look at my clinic and in the hospital, at least from my experience, it hasn’t gone down.”

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“While the findings are troubling, they are not surprising,” said Dr. Jagpreet Chhatwal, director of the Institute for Technology Assessment at Massachusetts General Hospital, who was not involved in the study. “Alcohol consumption has been steadily increasing over the past several years.”

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It doesn’t take much alcohol to increase health dangers, Lee says: “If you’re drinking more than one drink per day as a woman, you can be at risk for having liver disease.”

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“They had really disruptive pandemic-related effects to their careers, losing jobs or losing their routine. Some of them have young children, too,” he said. “We know that alcohol is used as a coping mechanism for stress. What starts as a habit can become addictive or a substance disorder.”

Chhatwal agreed, adding that life stressors like financial insecurity, work pressure or other mental health struggles may contribute to the rise in alcohol consumption.

“Increasing stress and burnout in society exacerbate this tendency,” he said. “The normalization of drinking culture also contributes to increased and excessive consumption. Unfortunately, most people recognize the damage caused by alcohol only in the later stages of liver disease, when treatment options are limited.”

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“We’ve shown in studies that liver transplants for alcohol have increased fivefold in the last 20 years. We’ve also shown that alcohol deaths due to liver disease are surging,” he said. “Now, it’s about intervention. What interventions could actually work to save lives and what policies can we enact to stem the surge?”

Chhatwal recommends heavier taxation and limiting sale hours within retailers to decrease alcohol accessibility.

Lee and Chhatwal also suggest that more and better messaging on the risks of overconsumption could help counter these effects.

“People need to know what is harmful alcohol use and what it does to your body,” Leesaid. “Medical professionals really need to speak to their patients about alcohol use openly and nonjudgmentally. Alcohol has been implicated in more than 200 diseases, whether it’s heart disease, cancer, pancreatic disease – it really can affect your body, and both patients and doctors really need to be aware of this.”

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