Health
6 tips to reduce alcohol use and cancer risk after surgeon general's warning

U.S. Surgeon General Dr. Vivek Murthy warned in a recent advisory about alcohol use increasing cancer risk.
The advisory notes that alcohol can increase the risk of throat, liver, esophageal, mouth, larynx (voice box), colon and rectal cancers, making it the “third leading preventable cause of cancer” in the U.S.
This guidance follows the rise of the “sober curious” trend, with younger generations scaling back on how much they drink or choosing not to partake at all.
ALCOHOL LINKED TO CANCER RISK IN US SURGEON GENERAL’S NEW ADVISORY
For those who are interested in curbing their alcohol use, here are six tips on how to do so safely.
The surgeon general’s advisory noted that alcohol-related cancer deaths even occurred in some moderate drinkers. (iStock)
1. Analyze your alcohol dependence
Alcohol is “one of the most serious substances” when it comes to detoxification, sometimes requiring medical hospitalization to manage withdrawal symptoms, according to Dr. Chris Tuell, clinical director at the Lindner Center of HOPE in Mason, Ohio.
“If you are one of the 40% of Americans who is trying to stop alcohol use, sometimes it may be necessary to seek counseling services.”
Tuell, who is also an associate professor at the University of Cincinnati College of Medicine in the Department of Psychiatry and Behavioral Neuroscience, recommended speaking to a primary care physician before discontinuing years of extreme alcohol use.
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Dr. Adi Jaffe, PhD, CEO of addiction recovery platform IGNTD in Los Angeles, noted that in some cases, it may be “medically inadvisable to just quit” if alcohol dependence is severe.

People who drink heavily, or consume five to seven drinks a day, should consult their doctor before quitting, one addiction specialist recommended. (iStock)
“You must consult with a medical professional before stopping,” said Jaffe, author of the book “Unhooked.” “This is especially true if you get tremors, shaking or sweatiness when you don’t drink, even for a day or two.”
“Those are markers of somebody who’s more likely to have a grand mal seizure if they just stop cold turkey.”
2. Set clear goals and track patterns
For people who haven’t had a “necessarily problematic” relationship with alcohol and are just looking to cut back, Tuell recommended setting clear goals to get there.
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“With any behaviors that you plan to change, what are clear, realistic and specific goals on how much or how often you plan to drink?” he asked.
“Perhaps you have the goal of only drinking on weekends, or perhaps you limit the amount of alcohol to two drinks per occasion.”

Writing down your drinking behaviors can help identify triggers, experts say. (iStock)
Tuell suggested tracking your drinking by keeping a journal of when, where and how much you drink.
“This helps to identify patterns or triggers that may be associated with your mood, such as work stress or family stress and anxieties,” he said.
Planning alcohol-free days and then gradually increasing the number of those days each week can be effective, the expert added.
3. Avoid triggers and find alternatives
After tracking when, where and how much you drink, it may become clear what triggers you to drink.
Tuell encouraged identifying these situations, emotions and behaviors and finding alternative ways to handle them.
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“These triggers will frequently lead to behaviors that give us relief and/or a reward, and many times it is not a healthy way of coping,” he said.
“Choose non-alcoholic beverages in social settings … like sparkling water, mocktails or herbal teas, to satisfy the habit of having a drink … or avoid places where heavy drinking occurs.”

Social pressure to drink can pose a major temptation, according to experts. (iStock)
Jaffe commented that focusing on less drinking won’t be as effective as drinking something else, like a non-alcoholic drink, or doing a different activity instead.
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Tuell agreed that finding a healthier alternative to bad behaviors is a good way to stop them.
This could include stress-relieving practices like exercising, reading, journaling or spending more time with supportive friends.

Adding movement as a replacement for drinking can help curb bad habits. (iStock)
Movement, mindfulness exercises and meditation can also be helpful practices throughout the day, according to Jaffe.
“You can do those practices while you’re brushing your teeth or while you’re making your coffee,” he said. “Meditation practices as short as five or 10 minutes can have an incredible impact on your stress response in life.”
4. Change your environment
Removing temptations from your environment is a good way to prevent reaching for them, according to experts.
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Tuell suggested removing alcohol from your home or limiting activities that make it more accessible, such as hanging out at bars.
“Smell is the strongest of the five senses connected to memory,” he added.
Jaffe agreed that environment “plays a massive role” in how people interact with alcohol.
“If you’re looking to reduce your drinking … having other people who are participating in the journey with you will go a long way toward helping you meet your goals of reduction.”
5. Practice saying ‘no’ and surround yourself with support
The social pressures of drinking can be a trigger, but learning to say “no” is powerful. Tuell recommended being prepared with a “polite but firm” response in situations where you might feel pressured to drink.
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This can be as simple as, “No, thanks, I’m taking a break from drinking” or “I’m good, thanks.”
Tuell advises surrounding yourself with supportive individuals, like trusted friends or family members with whom you can share your goals.

Experts recommend surrounding yourself with supportive individuals with whom you can share your goals. (iStock)
He also suggested joining a support group, “like Alcoholics Anonymous, SMART Recovery, Celebrate Recovery or Women for Sobriety.”
“If you are one of the 40% of Americans who is trying to stop alcohol use, sometimes it may be necessary to seek counseling services.”
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Tuell also mentioned that methods like cognitive behavioral therapy can be effective.
6. Be kind to yourself
Reflecting on the reasons you’re looking to reduce alcohol intake — whether it’s to improve your health, save money, strengthen relationships or another motivating factor — can help keep you on the right path, according to Tuell.
“Setbacks are normal. So be kind to yourself and focus on progress, not perfection.”
He also encouraged celebrating milestones by enjoying something non-alcohol-related, such as a massage, a round of golf, a shopping trip or another fun outing.
“To make changes, it takes time,” Tuell said. “Setbacks are normal. So be kind to yourself and focus on progress, not perfection.”

“If you keep moving forward one step at a time, you will get to a point where you’re drinking substantially less.” (iStock)
While about 40% of people quit their New Year’s resolutions before the end of January, according to Jaffe, the specialist said it’s important to not be discouraged by slip-ups.
“Learn from it and just keep going,” he advised.
“If you keep moving forward one step at a time, you will get to a point where you’re drinking substantially less.”

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Health
Most sleep-deprived cities in US revealed in report: Where does yours rank?

Where you live could affect how you sleep at night.
New research from Innerbody revealed that some areas of the country are more sleep-deprived than others.
The study used data from the Centers for Disease Control and Prevention (CDC) and other benchmarks from the 100 most populous cities in the U.S., ranking each on sleep duration and quality.
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For each city, the researchers analyzed the prevalence of five metrics — physical activity, obesity, alcohol consumption, mental distress, and noise and light pollution — all of which can impact sleep quality.
Researchers analyzed how physical activity, obesity, alcohol consumption, mental distress, and noise and light pollution impact sleep across the country. (iStock)
Below are the top 10 most sleep-deprived cities, according to the study results.
- Norfolk, Virginia
- New Orleans, Louisiana
- Detroit, Michigan
- Toledo, Ohio
- Cincinnati, Ohio
- Indianapolis, Indiana
- Philadelphia, Pennsylvania
- Laredo, Texas
- Cleveland, Ohio
- Memphis, Tennessee
The researchers noted that many of these cities are in the eastern half of the U.S., and Ohio appears multiple times.
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While these cities ranked as the most overall sleep-deprived, Honolulu, Hawaii, placed No. 1 for worst sleep duration, with 42.3% of adults getting fewer than seven hours of shuteye per night.
That’s followed by Norfolk, Virginia; New Orleans, Louisiana; Detroit, Michigan; and Huntsville, Alabama.

Norfolk, Virginia, is the No. 1 most sleep-deprived city, research shows. (iStock)
Memphis, Tennessee, ranked No. 1 for the city with the worst sleep quality, followed by New Orleans, Louisiana; Norfolk, Virginia; Cincinnati, Ohio; and Corpus Christi, Texas.
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The study also identified the country’s least sleep-deprived cities, listed below.
- Minneapolis, Minnesota
- Seattle, Washington
- San Jose, California
- Madison, Wisconsin
- Boise, Idaho
- St. Paul, Minnesota
- Denver, Colorado
- Lincoln, Nebraska
- Oakland, California
- San Francisco, California
The researchers commented that cooler temperatures in some of these locations could boost sleep quality.

Newark, New Jersey, suffers the most in sleep quality due to light and sound pollution, the study found. (iStock)
Sleep expert Wendy Troxel, PhD – a RAND Corporation senior behavioral specialist and licensed clinical psychologist in Utah – confirmed in an interview with Fox News Digital that, per her own research, location can have an impact on sleep.
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“It’s often said that your zip code can influence your health as much as your genetic code,” she said. “Together, these results highlight that this saying holds true for sleep health as well.”
“It’s often said that your zip code can influence your health as much as your genetic code.”
Troxel’s latest research, published in the journal Sleep Health, showed that improving sleep health requires “moving beyond individual-focused approaches and considering broader strategies” in relation to neighborhoods, she said.
This includes investing in neighborhood improvements to enhance sleep quality and overall population health.
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“Considering the strong connection between sleep health issues and preventable chronic diseases like cardiovascular disease, diabetes and stroke, our findings suggest that interventions aimed at improving neighborhood conditions could yield significant benefits,” she added.
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