brief summary of alcohol intake as a health issue in men

1. Alcohol Cultivation  Fermentation  Distillation  Low price

3. Benefits: LOW LEVELS 1-2 drinks CVD (atherosclerosis) “J” shaped curve HDL ( less cardiac death, coronaries, angina) Peripheral artery disease advantages Diabetes-advantages Ischemic- advantages

4. What is a J shaped mortality curve? Note high drinkers Note abstainers

5. How? More HDL by 5-10% Less clotting on cholesterol plaques Some clot dissolving Improved insulin sensitivity insulin levels BPH ED

10. Problem Drinking: WHO ( world health organization) says > 2 drinks / day (every day average) or > 4 in 1 day

11. Alcohol Dependence: tolerance Physical or emotional withdrawal amounts over longer time periods Desire to control use or inability to control Involvement with alcohol recreational activities Drinking despite problems

12. Define Alcoholism: See page 204 in Simon, MD