by Marion Nestle

Currently browsing posts about: Alcohol

Feb 13 2026

Weekend reading: The alcohol-free trend: it’s hot!

I subscribe to Beverage Dailyan industry publication, to learn about current trends I might otherwise miss.

I hadn’t been paying much attention to the alchohol-free trend, other than to notice the astonishing rise in the number of flavored water options in supermarkets.

With the new dietary guidelines arguing for less alcohol, this is a trend worth watching.

Here is a good place to begin:

Five emerging trends in the alcohol-free category: January puts the spotlight on alcohol-free drinks. What has this month taught us about the direction of the category in 2026 ?… Read more

The discussion of the five trends is aimed at beverage companies trying to sell products.

  • Sober-curious consumers are complicated, meaning they want to try lots of drinks.
  • They “zebra-stripe” (a new term to me), meaning they alternate between alcoholic and non-alcoholic drinks in the same occasion.
  • Beverage companies need to come up with innovate ways to attract customers.
  • Non-alcoholic drinks should be functional (meaning containing something that can do something special) to attract customers.
  • Companies need to find new ways to attract customers to their brands.

Judging from what I’m seeing at supermarkets, introducing a new beverage is not going to be easy.  There are already loads of options out there.

Here are a couple of additional items on the alcohol-free trend:

Jan 14 2026

The MAHA Dietary Guidelines V. The Alcohol Non-Recommendation

The Dietary Guidelines for America 2025-2030 simply say “Limit alcoholic beverages: Consume less alcohol for better
overall health.”  They go on to specify who should not drink alcohol.

People who should completely avoid alcohol include pregnant women, people who are recovering from alcohol use disorder or are unable to control the amount they drink, and people taking medications or with medical conditions that can interact with alcohol. For those with a family history of alcoholism, be mindful of alcohol consumption and associated addictive behaviors.

This guideline

  • Does not specify what is meat by “limit” or “less.”
  • Does not mention cancer as a risk of alcohol consumption.

These are big issues.  Excessive alcohol intake poses problems for society as well as for individuals: car accidents and gun violence, for example.

From a public health perspective, the lower the overall level of alcohol consumption in a population, the fewer the health and societal problems it causes.  The overall message always should be: drink as little alcohol as possible.

This message is complicated by evidence, highly contested, that low levels of alcohol might reduce risks for heart disease and overall mortality.  Even if correct, advice about alcohol would need to balance the purported benefits for heart disease against risks for cancer, particularly breast cancer.

The Biden-era 2025 Dietary Guidelines Advisory Committee did not discuss alcohol because the agencies were waiting for the results of commissioned reports on alcohol and health.  As it happened, three reports came out just after the DGAC submitted its report late in 2025.

Even so, the take-home lesson from all of these reports is that less alcohol is better.

At issue is how much less.

As I’ve explained previously, the dietary guidelines have long stated that 2 drinks a day for men and 1 for women (because women metabolize alcohol differently) is a safe amount.

The omission of these limits is difficult to interpret.  Do these guidelines consider those limits too low or too high?

At the press conference, Mehmet Oz said:

Alcohol is a social lubricant that brings people together. In the best-case scenario, I don’t think you should drink alcohol, but it does allow people an excuse to bond and socialize, and there’s probably nothing healthier than having a good time with friends in a safe way..You look at the Blue Zones, for example, around the world, where people live the longest. Alcohol is sometimes part of their diet…Again, small amounts. There is alcohol on these dietary guidelines, but the implication is don’t have it for breakfast.

Yes, but what is a “small amount?”  And what about cancer risk?  Shouldn’t people be warned?

As Roni Rabin put it:

Though there is robust debate within the medical community as to the relationship between moderate drinking and various forms of cardiovascular disease, there is more scientific certainty about the link between alcohol and at least seven types of cancer. Warnings about alcohol increasing the risk of breast cancer were included in the dietary guidelines 25 years ago. Former Surgeon General Dr. Vivek Murthy last year called for putting cancer warning labels on alcoholic beverages, similar to those for cigarettes.

The alcohol industry works unceasingly to convince everyone that alcohol poses no health risks.  Unfortunately, it does.

Yes, consume less, but how much less?  The guidelines leave this up to you to decide.

I see these dietary guidelines as a big win for the alcohol industry.

No wonder it supports them so enthusiastically: Distilled Spirits, Beer & Wine Associations Support New Health and Human Services 2025-2030 ‘Dietary Guidelines for Americans’

Moderation?  Whatever you think it means.

Sep 16 2025

Alcohol industry lobbying scores wins against Dietary Guidelines

The alcohol industry must be exceptionally powerful (that’s why it is regulated by the Treasury Department, which cares about revenues, rather than an agency of Health and Human Services.  Its lobbying is highly effective, especially when it comes to Dietary Guidelines.

That is also most likely why the Senate Agriculture appropriations bill contains this clause [my emphasis]:

SEC . 759. The National Academies of Sciences, Engineering and Medicine (NASEM) were tasked with providing findings and recommendations on alcohol consumption for the purposes of inclusion in the 2025 Dietary Guidelines for Americans as required by section 772 of division A of the Consolidated Appropriations Act, 2023 (Public Law 117–328): Provided, That the Secretary of Health and Human Services and the Secretary of Agriculture shall only consider the findings and recommendations of the NASEM report in the development of the 2025 Dietary Guidelines for Americans and further, both Secretaries shall ensure that the alcohol consumption recommendations in the 2025 Dietary Guidelines for Americans shall be based on the preponderance of scientific and medical knowledge consistent with section 5341 of title 7 of United States Code.

To understand what this is about, consider the NASEM and two other reports on alcohol that came out recently.

As I discussed here previously,

I.  The National Academies of Sciences, Engineering, and Medicine’s Review of Evidence on Alcohol and Health says moderate drinking

  • Reduces all-cause mortality (moderate certainty)
  • Reduces the risk of cardiovascular disease (moderate certainty)
  • Increases the risk of breast and colorectal cancer (but can’t decide about others)

My summary: OK, moderate drinking increases breast and colorectal cancer, but reduces risks for heart disease and overall mortality—a net benefit (unless you happen to get one of those cancers).

II.  The Surgeon General, Vivek Murthy, says in his Advisory on Alcohol and Cancer Risk

  • Consuming alcohol increases the risk of developing at least 7 types of cancer.
  • The causal relationship between alcohol consumption and cancer is firmly established.

My summary: Oops.  Alcohol absolutely increases the risk of at least 7 cancer types.

III.  The report from the Interagency Coordinating Committee on the Prevention of Underage Drinking (ICCPUD).  

  • Males and females who consumed 1 drink per day had an increased risk of liver cirrhosis, esophageal cancer, oral cancer, and injuries, but a lower risk for ischemic stroke…females had a higher risk for liver cancer and a lower risk for diabetes mellitus when they drank 1 drink per day…even infrequent high per-occasion drinking may eliminate the lower levels of risk for ischemic stroke.
  • Alcohol use is associated with increased mortality for seven types of cancer (colorectal, female breast, liver, oral cavity, pharynx, larynx, esophagus [squamous cell type]). Increased risk for these cancers begins with any alcohol use and increases with higher levels of use. Women experience a much greater risk of an alcohol-attributable cancer per drink consumed.

My summary: Oops again.  Everyone, especially women, who drink any alcohol at all is at higher risk of 7 cancer types.

As reported in Vox and Stat, HHS is withdrawing this report and sending it to report heaven, as if it never existed.

Reuters says the forthcoming Dietary Guidelines will not mention alcohol.

For the background on all of this, see my previous reports:

Aug 7 2025

Dubious product of the week: alcohol-based noodles?

I could hardly believe it when I saw this item: Taiwan state distillery taps food market with alcohol-based instant noodles.   Taiwan’s state distillery has diversified into the food industry with alcohol-based instant noodles, blending beverage expertise with ready-to-eat innovation… Read more

The Taiwan Tobacco and Liquor Corporation (TTL)’s

most well-known products are Taiwan Beer which is considered an icon in Taiwanese culture and also the most popular beer locally; as well as traditional Chinese Hua Tiao wine.

The latter has been used in TTL’s instant noodle innovation to create its viral TTL Hua Tiao Chicken Noodles, which incorporate not only significant Hua Tiao wine content but also Chinese herbs and meat chunks.

“These are not your average instant noodles – Hua Tiao wine elevates the noodles to another level, as it is traditionally known for its antioxidant content as well as benefits for digestion and blood circulation….”We already have the alcohol in production, and we are indeed well-known for our liquors, so it made a lot of sense to us.”

I’ll bet.

I suppose young people will have to be carded to be allowed to eat it.  Whatever.  You can’t make this stuff up!

 


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Jul 9 2025

Alcohol in the 2025-2030 Dietary Guidelines: The Rumors

I have no inside information about what the new Dietary Guidelines will say beyond what I’ve read and what RFK Jr has said: They will be coming out soon and will be short and to the point.

But according to Twitter (X), the source of much leaked information, the new administration “plans to introduce partial bans on alcohol advertising, to bring it ‘closer in line with advertising of unhealthy food.'”

And we now have a Reuters’ Exclusive: US to drop guidance to limit alcohol to one or two drinks per day, sources say

Its summary:

  • Americans have long been told to drink two or fewer drinks per day
  • New guidelines due as soon as this month
  • Expected to include brief statement on limiting drinking
  • Alcohol industry faces growing scrutiny of health risks

Reuters’ anonymous sources say “The new guidelines are set to move away from suggesting consumers limit alcohol consumption to a specific number of daily servings, according to the three sources, who asked not to be named to speak freely.”

Reuters also reports:

Major industry players, including Diageo (DGE.L) and Anheuser-Busch InBev (ABI.BR) have lobbied lawmakers throughout the review process. Senate records show the companies spent millions on lobbying efforts related to the guidelines and a range of other issues such as tax and trade in 2024 and 2025. Both companies declined to comment.

What is at stake here?

As I explained in January (Alcohol in the Dietary Guidelines: What the Fuss is About), everyone agrees that too much alcohol is bad for you.  The question is whether any alcohol is bad.

The dietary guidelines have advised since 1990 that women have no more than one drink a day and men no more than two, suggesting that such levels are safe.  But are they?

I discuss the recent reports arguing one way or the other on January 7 (The big fight over alcohol recommendations: not over yet) and January 22 (The Alcohol Saga continues).

Neither RFK Jr nor President Trump drink alochol.

And we have evidence that the Majority of Americans Unaware of Cancer Risks Linked to Alcohol Consumption.

Recent research conducted by The University of Texas MD Anderson Cancer Center unveiled that only approximately 40% of American adults recognize alcohol as a cancer risk factor. This stark gap in knowledge persists despite alcohol’s status as a leading preventable cause of cancer, highlighting the urgent need for enhanced public health communication and policy reforms.

Dietary guidelines are a key component of federal nutrition policy.

I can’t wait to see what they say about alcohol consumption (and everything else), in the light of the MAHA (Make America Healthy Again) agenda.

Apr 23 2025

Annals of food marketing: What’s new in food product development.

I’ve been collecting items on new and emerging food products.  Enjoy!

And then,

It’s a brave new food world out there.  I wonder how cell-cultured dinosaur meat tastes…

Jan 22 2025

The Alcohol Saga continues

So much is happening on the alcohol frontier these days that it is getting hard to keep up.  Let’s start with the multiplicity of reports on alcohol and health arriving one after another.  I’ve written about the NASEM and Surgeon General’s reports recently.  I’ve also written recently about their implications for the forthcoming Dietary Guidelines.

I.  The ICCPUD report.  Now we have yet a third report from the Interagency Coordinating Committee on the Prevention of Underage Drinking (ICCPUD).  This one says:

  • Males and females who consumed 1 drink per day had an increased risk of liver cirrhosis, esophageal cancer, oral cancer, and injuries, but a lower risk for ischemic stroke…females had a higher risk for liver cancer and a lower risk for diabetes mellitus when they drank 1 drink per day…even infrequent high per-occasion drinking may eliminate the lower levels of risk for ischemic stroke.
  • Alcohol use is associated with increased mortality for seven types of cancer (colorectal, female breast, liver, oral cavity, pharynx, larynx, esophagus [squamous cell type]). Increased risk for these cancers begins with any alcohol use and increases with higher levels of use. Women experience a much greater risk of an alcohol-attributable cancer per drink consumed.

II.  The Alcohol industry’s reaction to the ICCPUD report. The reaction to this from a group of National Agriculture, Beverage and Hospitality Associations is pretty tough.  In an email and press release titled “New U.S. Alcohol Report Tainted by Bias, Conflicts,” its representative said:

The controversial report, which is based on observational studies rather than any randomized controlled trials, is blatantly biased, with many panel members failing to disclose conflicts of interest, including affiliations with and funding from anti-alcohol and international temperance organizations…it’s essential to consider the findings of the recent Congressionally-mandated report from the National Academies of Science, Engineering and Health (NASEM), which found moderate drinking may be healthier than teetotaling (Axios).

Its recommendation

We urge the Secretaries of Agriculture and Health & Human Services to uphold the integrity of the DGAs to promote informed and responsible decision-making around alcohol. The agencies should disregard the ICCPUD report in their final assessments for the 2025-2030 Dietary Guidelines.

III.  Call for public comment on the NASEM and ICCPUD reports

From the HHS Office of Disease Prevention and Health Promotion (I am an alum)

HHS and USDA will invite the public to provide input on two separate but complementary reports [ICCPUDand NASEM] on the relationship between alcohol and health starting January 15. These reports and the public comments received will be considered by the U.S. Department of Health and Human Services (HHS) and the U.S. Department of Agriculture (USDA) as the two departments collaborate to develop the next edition of the Dietary Guidelines for Americans. The comment period will close on February 14, 2025. Additional details on this public comment opportunity are available on DietaryGudelines.gov.

IV.  Treasury Department proposes new and more informative labeling of alcohol drinks, also with a call for public comment  

TTB Proposes Mandatory Disclosures of Major Food Allergens and Alcohol Facts in the Labeling of Wines, Distilled Spirits, and Malt Beverages.

Allergens: In Notice No. 238, we propose to require a label disclosure of all major food allergens used in the production of alcohol beverages…labels must declare milk, eggs, fish, Crustacean shellfish, tree nuts, wheat, peanuts, soybeans, and sesame, as well as ingredients that contain protein derived from these foods, if used in the production of the alcohol beverage.

Alcohol Facts: In Notice No. 237, we propose to require Alcohol Facts label disclosures for alcohol beverages subject to TTB’s regulatory authority under the Federal Alcohol Administration Act. This disclosure would include the serving size of the product; the number of servings per container; alcohol content as a percentage of alcohol by volume; the number of fluid ounces of pure ethyl alcohol per serving; the number of calories per serving; and the number, in grams per serving, of carbohydrates, fat, and protein.

Wow!  This has been a long time coming.

To comment:

Electronic comments submitted via Regulations.gov are due by 11:59 p.m. ET on April 17, 2025, and comments submitted by postal mail must be postmarked by that date.

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Jan 14 2025

Alcohol in the Dietary Guidelines: What the Fuss is About

The 2025-2030 Dietary Guidelines Advisory Committee did not make a recommendation about alcohol.  The agencies, HHS and USDA, will do that later based on two expert reviews.

I wrote about the first, from the National Academies, last week: Review of Evidence on Alcohol and Health.

I also wrote about the Surgeon General’s Advisory on Alcohol and Cancer Risk

Still to come is the report from the Interagency Coordinating Committee on the Prevention of Underage Drinking (ICCPUD).

At issue is the amount of alcohol that is safe to drink, if any.

Just for fun, I did a summary of what the Dietary Guidelines say about alcohol from 1980 to 2020.  Note that the Moderation advice has not changed since 1990 (but then see the note on 2020).

                                      Alcohol recommendations: Dietary Guidelines for Americans

YEAR ALCOHOL ADVICE BENEFITS MODERATION
1980 “If you drink alcohol, do so in moderation.” “One or two drinks daily appear to cause no harm in adults.”
1985 “If you drink alcoholic beverages, do so in moderation.” “One or two standard-size drinks daily appear to cause no harm in normal, healthy, nonpregnant adults.”
1990 Ditto “Some studies have suggested that moderate drinking is linked to lower risk for heart attacks.” No more than 1 drink/day for women, and 2 for men.
1995 Ditto “Alcoholic beverages have been used to enhance the enjoyment of meals by many societies throughout human history…Current evidence suggests that moderate drinking is associated with a lower risk for coronary heart disease in some individuals.” Ditto
2000 Ditto “Even one drink per day can slightly raise the risk of breast cancer…Drinking in moderation may lower risk for coronary heart disease, mainly among men over age 45 and women over age 55.” Ditto
2005 “Those who choose to drink alcoholic beverages should do so sensibly and in moderation.” “Alcohol may have beneficial effects when consumed in moderation.  The lowest all-cause mortality  [and heart disease mortality] occurs at an intake of one or two drinks per day…compared with women who do not drink, women who consume one drink per day appear to have a slightly higher risk of breast cancer.” Ditto
2010 “If alcohol is consumed, it should be consumed in moderation…and only by adults of legal drinking age.” “Strong evidence from observational studies has shown that moderate alcohol consumption is associated with a lower risk of cardiovascular disease….[and] reduced risk of all-cause mortality among middle-aged and older adults and may help to keep cognitive function intact with age…[but also] increased risk of bfreast cancer, violence, drowning, and injuries from falls and motor vehicle crashes.” Ditto
2015 Ditto [heart disease and breast cancer not mentioned Ditto
2020* “Limit foods and beverages higher in added sugars, saturated fat, and sodium, and limit alcoholic beverages” “Emerging evidence suggests that even drinking within the recommended limits may increase the overall risk of death from various causes, such as from several types of cancer and some forms of cardiovascular disease. Alcohol has been found to increase risk for cancer, and for some types of cancer, the risk increases even at low levels of alcohol consumption (less than 1 drink in a day). Caution, therefore, is recommended.” Ditto

*From the 2020 Dietary Guidelines Advisory Committee report: “evidence points to a general rule that drinking less is better for health than drinking more. Therefore, the focus should remain on reducing consumption among those who drink, particularly among those who drink in ways that increase the risk of harms. The Committee concluded that no evidence exists to relax current Dietary Guidelines for Americans recommendations, and there is evidence to tighten them for men such that recommended limits for both men and women who drink would be 1 drink per day on days when alcohol is consumed.

Despite the language in the 2020 guideline, the agencies did not change the overall recommendation about moderate drinking.

Will the Surgeon General’s Advisory and the upcoming third report cause the agencies to suggest no more than one drink a day for men?  Or suggest that no level of alcohol intake is safe?

I’m looking forward to finding out.

Resource: the process for alcohol in the Dietary Guidelines