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Comment by genousti | Hacker News Reader

Ok i have a question. Since I got covid I get extremely tired after drinking one bottle of wine and almost sick if i drink more than that with no drive at all for the full day and I feel somethi g is pushing near the liver. I thought it was muscular as it is not painful at all. I feel overall i became really weak to alcohol because of covid. I could drink one bottle of wine and run in the morning before. Should I worry?

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I can’t give you medical advice, but if you’re being literal, a whole bottle of wine is a lot - 100ml+ of pure alcohol. Depending on your weight it’s basically halfway to an alcoholic coma.

If you’ve been drinking at that rate you should definitely pay your doctor a visit.

Depends enormously on a persons tolerance. Lemmy (from Motörhead) used to drink a bottle of Jack a day with no noticeable effects. This is probably not recommended though.

I think though if you get severe side effects from drinking a bottle of wine (beyond a hangover) then you should probably not do that, speak to a doctor and continue to not do that until a doctor tells you otherwise.

that sounds pretty puritan, I can tell you aren't European, Aussie/NZ, or Canadian

I'm European and weigh around 70 kg but a bottle of wine is definitely not a light drink. To me, it's somewhere between medium and heavy drinking, depending on how fast I drink it and the ABV.

You're generalising wildly. I'm from NZ, and drinking an entire bottle of wine sounds pretty crazy to me.

depends a lot on the context too. Over an evening with meals I don't think a bottle of wine is that much. Downing the bottle is another thing

You shouldn't throw all of Europe into one pot. Drinking culture is radically different in different countries, and even in different regions in the same country.

Sounds like a Saturday night!

1 bottle of wine is 6 small glasses - roughly equivalent to 3 UK pints of premium strength lager. What we in the UK might consider 'a start' (for a big night out)

A handy guide from our National Health Service: https://www.nhs.uk/live-well/alcohol-advice/calculating-alco...

You're allowed 1 and a half 'Saturday nights' a week!

Not to minimize but in some cultures a bottle of wine might be viewed as an aperitif frankly. My brother in law used to drink 3 or 4 full bottles before he got stuck into his serious drinking. I'm glad to say he eventually kicked alcohol altogether. But the point stands: it isn't necessarily too much for some people to physically handle. It really depends on the human in question.

Your brother in law was already serious drinking when he was dri king 3-4 bottles of wine at a time.

A bottle of wine and maybe a couple beers keeps me pleasantly drunk for the night. It's not exactly moderate drinking, but I think you'd be surprised how many people can comfortably drink that amount over the course of a night. Not going to pretend it's good for you, but my liver levels and everything else are in great shape in spite of nights like that.

To the original point, if I suddenly started having any kind of pressure or discomfort in the liver region after having even one drink, I'd be in the doctor's office ASAP. It might just be gas or it might be something much worse. It isn't worth waiting around to find out

Everybody has different alcohol limits sheesh

Don't be silly. A bottle of malbec or Cabernet sauvignon is only a good start. Half litre of Black Label after a good dinner, that's another thing.

Why in tarnation are you asking the comments on Hackernews for medical advice?

Doesn't everybody get potentially life changing medical advice from Hacker news?

I found my favorite probiotic via offhand HN comment buried deep in a subthread.

Link?

Why in tarnation...

If we learned anything in the last two years, we learned some number of people will seek and follow medical advice from anyone except medical professionals.

Had COVID ten days ago, noticed the same symptoms. Feel fine in general, but two glasses of wine made me feel like I'm dying. Seems like others have noticed the problem, but fortunately it's not causing widespread (adult) liver failure. https://www.kevinmd.com/2021/03/could-a-glass-of-wine-diagno...

When you have a list of symptoms you want to ask the internet about it’s probably something you should ask your doctor about instead. If that turns out to be useless then ask the internet.

That seems like a question for your doctor, not random internet people.

A bottle of wine should be enough to make anybody lethargic!

Since the liver is the body's primary blood filtration system, pretty much anything that disturbs the normal bodily processes puts a strain on the liver. My mother had a near-zero tolerance for alcohol for almost a decade, while struggling with post-viral CFS in the 90s.

I wouldn't immediately worry about your alcohol tolerance following sickness, but do see a physician if it takes more than a few months (say, 4-6) to return to your previous "default" state.

(and yes, IANAD, IANYD, TINMA and all the usual disclaimers about seeking Internet advice)

Possibly thiamine deficiency. Thiamine is required to metabolize glucose and heavy drinkers have this deficiency. Covid seems to have a similar effect. Get your daily 100-200mg B1 HCL for a while and see if it improves. If you suspect liver, try betaine.

Your best bet would be to talk to an actual doctor. They should be able to run tests that can gauge your liver function levels.

have hepatitis - pre covid drinking could be not great - post covid I can't drink a drop - feel the worst I've ever felt for days on end

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