Choose Your Booze: A Guide to Healthy Drinking

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It's the question every Primal adherent faces: how does alcohol fit into a low carb lifestyle? Maybe you're out with friends, bravely resisting the assorted chips and fried concoctions in the center of the table. You don't mind waiting patiently for the steak and salad you conscientiously selected, but must you be relegated to the likes of club soda and tap water? What would happen exactly if you ordered, well, a u201Cdrink-drinku201D? A nice glass of red wine perhaps? Hmmm…maybe that's too much to ask at a place where onion blooms are a specialty…. A mixed drink? You begin reminiscing about those great sidecars your best friendused to make. Maybe a shot? That's simple enough, isn't it? How about those memories? Well, maybe we'll fast forward through those recollections. Beer? Beer belly. What about a light beer? They're low in carbs, right? Whatever the case, you presume there's no Guinness in your future tonight. Or? Sigh. Now you really need something. What's a Primal type to do when it comes to a simple social drink?

Indeed, there are some legitimate scientific reasons to enjoy alcohol in moderation. Alcohol as a blood thinner enhances vascular health, and the phenolic content (potent antioxidants) can pack a healthy punch. Research has compared alcohol abstention with moderate and u201Cheavyu201D drinking. Moderate alcohol consumption appears (PDF) to lower the incidence of coronary heart disease, type 2 diabetes, total and ischaemic stroke, as well as result in an overall reduction in mortality. And it seems older folks have the most to gain. Not only do they appear to benefit the most from a vascular health standpoint, research has linked moderate drinking in those over 65 with superior cognitive and memory function. It has also been linked to higher bone density in postmenopausal women. (There are still cautions, however, for those with a history or high risk of breast cancer or haemorrhagic stroke.)

Although we can likely obtain the same vascular benefits from fish oil and a low carb, high antioxidant diet (and through supplementation), there's nothing wrong (and perhaps something to be gained) with the occasional drink, provided you're someone who tolerates alcohol well. Not everyone does, and there's nothing wrong with that. With that said…

When it comes to alcohol itself, there's no reason a low-carber can't indulge. Alcohol isn't metabolized as a carbohydrate product, and it doesn't send your blood sugar shooting upward. (It might actually lower it.) The body sends alcohol to the liver where it becomes first in line as an active energy source rather than stored glycogen. As long as you aren't looking to lose weight, a modest drink here or there shouldn't make much of a difference. If you're looking to lose weight, however, we'd suggest avoiding alcohol all together. Alcohol doesn't offer anything you can't gain from a healthy Primal Blueprint diet, and you won't have extra calories standing in the way of fat burning.

At the heart of the alcohol question, however, is a principle we often invoke: wise selectivity. In other words, not all drinks are created equal. Number junkies can check out the USDA's breakdown of alcoholic beverages and brands (PDF) or scan a quick snapshot poster (PDF) put together by the Consumer Federation of American some years ago. It highlights several of the highest selling varieties and gives both calories and carb counts.

For our part, however, we thought we'd serve up our own PB-inspired alcohol hierarchy to assist you in the art of Primal indulgence.

Top Shelf

Red Wine

We're not talking specially colored labels or price tags here of course. We mean the biggest health benefit with the fewest carbs and additives. The pinnacle, not surprisingly, is red wine. Research has supported time and again the impressive polyphenol power of red wine.

Another bonus with red? Resveratrol — that super antioxidant, able to combat cancer and reduce signs of aging, among other feats.

Any red (other than port) offers high antioxidant power with somewhere around 3-5 grams of carbs, however differences exist even in this top tier of Primal imbibing. Research has demonstrated that organic red wine boasts higher antioxidant and resveratrol content as well as lower OTA mycotoxin contamination (a common red wine contaminant defined by the European Scientific Committee for Food as u201Chaving carcinogenic, nephrotoxic, teratogenic, immunotoxic, and probably neurotoxic effects.”).

The same research showed that basic table wine had less antioxidant power than Controlled Denomination of Origin brands. In terms of USDA ORAC value research (PDF), Cabernet trumped red table varieties (5034 versus 3873 units per 100 grams), but red in general trumped white. Go for richer, higher quality reds, and seek out organic if you can.

Respectable Middling Choices

Wood Aged Spirits (particularly Whiskey, Brandy, Scotch and Cognac)

An underappreciated class, we'd say. Unflavored distilled spirits in general are a low-carbers dream. What could be better than zero carbs? Well, how about zero carbs with a kick of antioxidants? Research has found impressive antioxidant activity in Bourbon whiskey, Armagnac brandy and cognac.

In fact, whiskey contains more ellagic acid, a free radical fighter, than red wine. Wood aging, researchers believe, confer the benefits of high phenol and furan concentration.

The research has been less clear about the health benefits of other wood aged spirits, including dark rum and 100% agave tequila. Although agave itself has been linked with cancer-fighting properties, it's disputed whether these properties are fully present or potent in the tequila form. Furthermore, one small study found that a daily serving of tequila during a 30-day period decreased insulin sensitivity.

Berry Daiquiri (Primal Style)

Surprise! What do you get when you add alcohol to berries? Try a thirty percent hike in antioxidant activity!Researchers stumbled upon the finding while trying to find alternative means of preserving fruit. Note: they happened to use strawberries and blackberries. For a true Primal version, skip the sugar and syrup, and go easy on the lemon/lime juice. Add crushed ice to the pureed berries and liquor, and you've got yourself a respectably healthy dessert drink. (For an even bigger boost, make brandied berries.)

White Wines

Sure, red wines generally contain about five to ten times more phenols than white wines. And as for resveratrol? Nada. If you're a diehard white wine lover, don't sweat the occasional glass. You'll still enjoy a healthful dose of antioxidants for around 3-5 grams of carbs.

Light Beers

Beer, like wine, offers polyphenol power. According to research, beer seems to hold its own with white wine in terms of antioxidant activity. As for carb content, light beers vary generally between 3-6 grams (although a few like Michelob are more than 11) and contain around 90-100 calories.

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