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Drinking alcohol can lead to other substance use, addiction experts warn

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Drinking alcohol can lead to other substance use, addiction experts warn

A vast majority of American adults say they have consumed alcohol at some point — yet experts warn that alcoholic beverages could be a “gateway drug” to more harmful substances.

More than 84% of adults in the U.S. report having drunk alcohol in their lifetime, according to the 2023 National Survey on Drug Use and Health (NSDUH).

That same survey found that among underage Americans (12 to 17 years of age), more than 21% had consumed alcohol.

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What is a ‘gateway drug’?

Dr. Kenneth Spielvogel, senior medical officer at Carrara Treatment in California, defined a “gateway drug” as a substance that exposes someone to other drugs.

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More than 84% of adults in the U.S. report having drunk alcohol in their lifetime, according to the 2023 National Survey on Drug Use and Health. (iStock)

Marijuana is often pegged as a “classic gateway drug,” he told Fox News Digital, as it can lead to cocaine, heroin and other “harder drugs” that present a greater threat to loss of life via impaired driving and other volatile behaviors.

“Alcohol maintains a firm grip on a large portion of the adult population.”

“Any substance that impairs judgment is potentially a gateway drug, in my opinion — however, alcohol is the king of this,” Spielvogel said. “It maintains a firm grip on a large portion of the adult population.”

“I personally have seen the ravages of this — hungover victims turn to meth, cocaine and other drugs for the ‘pick me up’ they feel they need.”

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Why alcohol can be a ‘gateway’

For many young people, alcohol is the first substance they try, according to Chris Tuell, a clinical psychotherapist and a chemical and behavioral addiction specialist at the Lindner Center in Mason, Ohio. This makes them more likely to experiment with other drugs later.

“Most people can use alcohol and it does not become problematic — but for some, it is destroying their lives,” he said in an interview with Fox News Digital.

Marijuana is often pegged as a “classic gateway drug,” but one expert said that “alcohol is the king” when it comes to impairing judgment. (iStock)

Consumption of alcohol impairs judgment and decision-making, which can lead to riskier behaviors, including trying other substances, Tuell noted.

“Studies indicate that alcohol alters brain chemistry in ways that increase susceptibility to drug addiction,” the expert cautioned.  

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Jeremy Klemanski, addiction specialist and CEO of Gateway Foundation in Chicago, echoes his belief that alcohol is a gateway drug.

“We often hear reports from patients that they only use or started using while drinking, or that they were first exposed to alcohol and then tried other drugs for greater physical symptoms and feelings,” he told Fox News Digital.

Research from the National Institute of Drug Abuse suggests that early exposure to alcohol can “prime the brain” for heightened responses to other drugs. (iStock)

“It is also important to note that once a person has used one mind-altering substance, their general thinking skills are impaired on some level,” he went on. “Other things they might not normally do become easier to justify or accept as an idea to act on.”

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There is also a neurological element that comes into play, according to Dr. David Campbell, clinical director and program director at Recover Together Bend in Oregon.

“Alcohol affects neurotransmitter systems that are involved in the reward pathways that are similarly targeted by other drugs,” he told Fox News Digital.

Research from the National Institute of Drug Abuse suggests that early exposure to alcohol can “prime the brain” for heightened responses to other drugs, perhaps increasing the risks of the “gateway effect,” Campbell added. 

Other factors at play

Experts emphasized that correlation does not equal causation.  

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“Just because people who use harder drugs often drink alcohol first does not necessarily mean alcohol caused their drug use,” Tuell noted.  

“There are few drugs where the sudden stoppage of their use can be deadly — alcohol is one of these,” an addiction specialist warned. (iStock)

Campbell agreed, noting that many “contextual factors and psychosocial stressors” should be considered within the broader context of someone’s life.

“Social environment, stressors, ease and proximity to access, social influences, mental health conditions, childhood trauma, genetics and other biological factors may all play a role,” he told Fox News Digital.

When and how to stop

Spielvogel shared some warning signs that someone may be dependent on alcohol and more susceptible to trying other harmful substances.

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“One sign is if they have ever tried to cut down on their drinking and failed,” he said. “Also, they may be annoyed when asked about their alcohol consumption.”

People with alcohol dependency may also feel guilty when they drink, or they might consume alcoholic beverages in the morning, he added.

“It is very important that if someone has a use disorder, they seek professional help for their detox and recovery.”

Stopping “cold turkey” may not be the healthiest route, Spielvogel cautioned.

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“There are few drugs where the sudden stoppage of their use can be deadly — alcohol is one of these,” he said. 

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“I cannot stress this enough; it is very important that if someone has a use disorder, they seek professional help for their detox and recovery, whether it’s a private treatment facility or going to a medical professional.”

“Do not do this on your own.”

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Katie Couric couldn’t remember the year or the president during frightening brain episode

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Katie Couric couldn’t remember the year or the president during frightening brain episode

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Journalist Katie Couric is sharing a scary medical episode that she experienced on June 27.

In a post on Substack titled “The Day I’ll Never Remember,” she detailed a sudden episode that left her unable to recall the current month, year and president.

“I thought it was 2024. And I believed Joe Biden was president,” she wrote.

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The event occurred while Couric was attending the Aspen Ideas Festival in Colorado, during which she participated in two public panels — one on AI and one on journalism — both of which she cannot remember at all.

“I have no idea what we talked about, or of what occurred when the panels ended,” she said.

Journalist Katie Couric is sharing a scary medical episode that she experienced on June 27. (Getty Images)

John Molner — Couric’s husband, who was in attendance at the festival and the two panels — also shared his account.

After the event, someone told Molner that Katie wasn’t feeling well. When he reached her, an EMT and a doctor were tending to her. “I could tell something was off,” he wrote. “It could have been altitude sickness, but Katie was definitely not all there.”

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At the hospital, when Couric struggled to recall the year, the president and her grandchildren’s names, doctors began checking for a stroke.

An MRI revealed no signs of stroke, which was a relief, but “Katie’s ‘fog’ became a lot more apparent,” Molner wrote.

John Molner, Couric’s husband, who was in attendance at the festival and the two panels, also shared his account. (Getty Images)

“She repeatedly asked me the same questions: ‘What was I doing before we got to the hospital?’ ‘Why am I at the hospital?’”

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Couric was ultimately diagnosed with transient global amnesia, a sudden, temporary episode of memory loss that prevents a person from forming new memories and may also erase some recent memories, according to Mayo Clinic.

“The cause seems to be as mysterious as the brain itself.”

It is not caused by a stroke, seizure or head injury, and it usually resolves completely within 24 hours.

“[It’s] just a very weird neural episode that’s pretty uncommon and, at least in most cases, is a ‘one and done’ experience,” Molner said.

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Couric said she finally began feeling “like herself” again around 9 p.m. and went to sleep at 2 a.m.

As TGA leaves a “permanent gap in memory” for the duration of the episode and for hours beforehand, Couric said that from around noon on that day until at least 7 p.m. will remain a “big, black hole.”

As TGA leaves a “permanent gap in memory” for the duration of the episode and for hours beforehand, Couric said that from around noon on that day until at least 7 p.m. will remain a “big, black hole.” (Getty Images)

Data shows that approximately three to eight people per 100,000 will have an episode of transient global amnesia, with people 50 years of age and older at higher risk.

The specific cause of TGA is not known, but some experts believe it stems from a “temporary dysfunction in the brain’s hippocampus — the area responsible for creating new memories,” Couric shared.

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“Doctors believe this is driven by brief interruptions in blood or oxygen flow, or microscopic spasm in the blood vessels.”

Episodes could potentially be triggered by intense physical exertion, emotional distress, extreme temperature changes or migraines, experts say.

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Approximately 15% of patients will have a recurrence 10 years later.

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“Why did this happen to me? Was the altitude an issue? Was I dehydrated? Tired? Stressed? The literature doesn’t seem to indicate that these are contributing factors, but the cause seems to be as mysterious as the brain itself,” Couric wrote.

Anyone who experiences sudden memory loss, confusion, difficulty speaking, weakness, numbness, vision changes, severe headache or other stroke-like symptoms should seek immediate medical attention or call 911, doctors advise. (iStock)

“All I know is that those hours will be forever lost. Someone described it as my brain failing to hit the ‘record button.’”

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“While this was a freaky occurrence, it could have been much more serious. So ultimately, I’m relieved — even though several hours of a Saturday in June will always be missing for me.”

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Anyone who experiences sudden memory loss, confusion, difficulty speaking, weakness, numbness, vision changes, severe headache or other stroke-like symptoms should seek immediate medical attention or call 911, doctors advise.

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One walking habit could signal a healthier brain after 80, scientists say

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One walking habit could signal a healthier brain after 80, scientists say

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Older adults identified as “super movers” are about half as likely to develop cognitive impairment than their peers.

That’s according to a recent study led by Stony Brook Medicine in New York, which evaluated the cognitive function of 4,000 adults 80 and over who participated in multiple aging and longevity studies over several years.

Among this group, 6% to 10% were classified as super movers, which means they walk at a much faster pace than others of the same age and gender — at speeds comparable to people three decades younger.

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The super movers were found to have about half the risk of cognitive decline compared to seniors with typical gait speed.

The findings were published in the journal Neurology on June 16.

Older adults identified as “super movers” are about half as likely to develop cognitive impairment than their peers. (iStock)

“The study reinforces that mobility and brain health are closely connected,” lead study author Dr. Joe Verghese, MD, neurologist at Stony Brook Medicine, told Fox News Digital. “This suggests that preserving mobility may be an important marker of healthy brain aging and resilience.”

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The most intriguing finding, according to Verghese, was that super movers maintained cognitive function despite having similar dementia-related brain changes as their peers.

In postmortem brain analysis, there was no difference in dementia-related pathologies between the super movers and the slower walkers, the study stated.

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“This suggests they may possess resilience mechanisms that help preserve brain function even in the presence of age-related changes,” he said. “Understanding these resilience factors could lead to new strategies for promoting healthy brain aging.”

As the study was observational, there were some limitations, and it does not prove that walking faster prevents dementia, the researchers noted.

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Super movers were found to have about half the risk of cognitive decline compared to seniors with typical gait speed. (iStock)

“Other factors, such as cardiovascular health, physical fitness or genetics, may also contribute to both faster walking and better cognitive outcomes,” Verghese said.

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This study adds to growing evidence that what’s good for the heart and muscles also benefits the brain, he noted, adding that “staying physically active remains one of the most effective, evidence-based ways to support healthy aging.”

“Walking speed is best viewed as a marker of overall health, not a treatment.”

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“The broader message is that physical activity is important at any age,” Verghese said. “Walking is an easy step-up point because you don’t need any special equipment. You can do it inside or outdoors, and you can do it on a regular basis. You can walk with a dog, you can walk with a friend.”

Any activity is beneficial if it’s done regularly and with the right intensity, he added.

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Rather than just trying to walk faster, the neurologist recommends that seniors focus on maintaining mobility through regular physical activity, strength training, balance exercises and good cardiovascular health.

“Walking speed is best viewed as a marker of overall health, not a treatment,” Verghese noted.

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Major public health guidelines from the CDC and U.S. Physical Activity Guidelines recommend at least 150 minutes of moderate-intensity aerobic activity each week, such as brisk walking.

Major public health guidelines from the CDC and U.S. Physical Activity Guidelines recommend at least 150 minutes of moderate-intensity aerobic activity each week, such as brisk walking. (iStock)

This can be achieved by walking 30 minutes a day, five days a week, or about 20 to 25 minutes most days. Another option is to engage in shorter sessions that add up over the day.

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“You have to do it within your health limitations and medical conditions,” Verghese advised. “So if there are any medical concerns, I would get your physician to clear you before starting exercise.” The good thing about walking, he added, is that you can start at a slow pace and then gradually build up to a brisker pace.

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“And then adding on strength and balance training, whatever age you are, I think is also important.”

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I Tried the Viral Gelatin Weight-Loss Recipe—Here’s My Honest Take

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I Tried the Viral Gelatin Weight-Loss Recipe—Here’s My Honest Take


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I Tried the Viral Gelatin Weight-Loss Recipe: Does It Really Work?




















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