How Alcohol Really Affects Your Brain
Alcohol impairs cognition acutely by enhancing GABA inhibition and suppressing glutamate signaling, and chronically by reducing brain volume, promoting neuroinflammation, and disrupting sleep architecture. Recent large-scale studies — including Mendelian randomization analyses and UK Biobank neuroimaging data — have dismantled the ‘moderate drinking is healthy’ narrative. This article covers the full neuroscience, debunks persistent myths, and provides evidence-based practical guidance.