Should You Take Folic Acid if You Drink with Monica Reinagel, MS, LD/N


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This week on the podcast, I'm welcoming Monica Reinagel back onto the show to discuss a recent recommendation I saw for women who are drinking "higher levels" of alcohol (more than seven standard drinks per week) that said that taking 400 mcg of folic acid was recommended to help off-set increased risk of breast cancer.

We're breaking down the facts about folic acid and discussing whether or not this recommendation is based on good science and if folic acid can really help us mitigate increased risk of breast cancer from alcohol.

Monica sheds light on where this recommendation comes from and why adding this supplement needs to be considered cautiously.

You can find more of Monica's work on and at

She is also the host of the Change Academy podcast with Brock Armstrong.

You can download a copy of "The Characteristics of an Alcohol Minimalist" here. Buy Breaking the Bottle Legacy: How to Change Your Drinking Habits and Create A Peaceful Relationship with Alcohol on Amazon or most online retailers.

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Low risk drinking guidelines from the NIAAA:

Healthy men under 65:

No more than 4 drinks in one day and no more than 14 drinks per week.

Healthy women (all ages) and healthy men 65 and older: No more than 3 drinks in one day and no more than 7 drinks per week.

One drink is defined as 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of 80-proof liquor. So remember that a mixed drink or full glass of wine are probably more than one drink.

Abstinence from alcohol Abstinence from alcohol is the best choice for people who take medication(s) that interact with alcohol, have health conditions that could be exacerbated by alcohol (e.g. liver disease), are pregnant or may become pregnant or have had a problem with alcohol or another substance in the past.

Benefits of “low-risk” drinking Following these guidelines reduces the risk of health problems such as cancer, liver disease, reduced immunity, ulcers, sleep problems, complications of existing conditions, and more. It also reduces the risk of depression, social problems, and difficulties at school or work.

If you' are unsure about whether or not you have alcohol use disorder, please visit the NIAAA for more information.