Hip2Keto® is a registered trademark of Hip Happenings, LLC. I've been eating this way for about 8 months now and my tolerance is still at the new level. Many people posting in forums and discussion groups about the ketogenic diet report that their alcohol tolerance is much lower, and their hangovers much worse on a low-carb diet. Alcohol may potentially lower blood glucose because the liver is busy metabolizing the alcohol and unable to produce glucose through gluconeogenesis.25 Would you also like to leave us a comment? He has been sober now for 2.5 years and on the keto diet for three years (except for 8 weeks in boot camp). “If they experience any weight stall, I recommend they stop the alcohol completely,” says Hallberg.4, Many studies have shown that alcohol consumption when graphed against mortality risk is a J-shaped curve. In short, drink moderately and stop if weight loss stalls. By interacting with this site, you agree to our disclaimer. Though they’re lower in carbs (between 2 grams and 6 grams of carbs per can), they’re also lower in alcohol content at 4% to 6% ABV (alcohol by volume). Low-carb pioneer Dr. Eric Westman talks about how to formulate an LCHF diet, low carb for different medical conditions and common pitfalls among others. Here are 7 essential points to know: For those who have healthy livers, not much weight to lose, and no trouble stopping at one drink (for women) or two (for men), the occasional imbibing of a low-carb alcoholic drink is probably not going to cause any harm, and may even help with cardiovascular health and joie de vivre..footnotes{display:none}.footnote-sup{display:none} And I stay away from alcohol entirely. It is not worth taking a single sip, knowing where my mind goes when I drink.”. •  Eat a keto-friendly meal before drinking. Film director Tom Naughton, who made the documentary Fat Head, says that when he was a vegetarian he craved alcohol and had trouble stopping once he started drinking. Swedish diabetes researcher and medical specialist Dr. Fredrik Nyström, head of internal medicine at Linköping University, has studied dietary intake in various populations and has the same advice for generally healthy people: a daily glass of wine, combined with a low-carb diet, can be good for your health. Is It Ok To Take B Vitamins On Keto Diet Keto Diet Nonos What Happens If You Dont Eat Protein On A Keto Diet. Can a ketogenic diet be used in cancer treatment? Don’t eat food while drinking alcohol, even keto foods aren’t advised. JavaScript must be enabled in your browser to log in! Your keto alcohol tolerance decreases. Many people, like Clay, have found the keto diet greatly helped reduce their cravings for both sugar and alcohol and reduced their urge and need to drink. (The Salt Fix, Part 3 Book Review). Drinking alcohol on keto can be rough! ↩ This is based on consistent clinical experience of low-carb practitioners. That said, there are some easy to follow tips for making sure you don’t reverse all the great benefits of keto! Alcohol and its harms are much more potent on a ketogenic diet.Here is another important caution: for those doing the keto diet and intermittent fasting, a sudden episode of heavy binge drinking could even predispose some individuals to the dangerous situation of alcoholic ketoacidosis, in which ketones are very high in the blood, but unlike diabetic ketoacidosis, blood glucose is normal or even dangerously low.26“Theoretically, there would be an increased risk of alcoholic ketoacidosis if binge drinking and fasting,” said Dr. Fung. Keto Diet For Vegan Beginners Keto Diet Low Alcohol Tolerance. The takeaway: the ketogenic diet could help you reduce your cravings for alcoholic drinks, or even help you quit altogether. Remember that when drinking on keto your tolerance for alcohol will be lowered. Click to share on Facebook (Opens in new window), Click to share on Twitter (Opens in new window), Click to share on Pinterest (Opens in new window), Click to email this to a friend (Opens in new window), Click to share on SMS (Opens in new window). Can you easily stop at one or two drinks max? He feels wonderful, both because of his diet and his sobriety. The takeway: Be careful. Carbohydrates can reduce blood alcohol level. Even if you are able to successfully stop one addiction, addiction transfer, also called addiction-interaction disorder, is a well-known phenomenon. LCHF and diabetes: science and clinical experience. More Meat = Better Health | Read The Carnivore Code With Us! The relationship between sugar, carbs and alcohol — and the caveats around smart consumption when on the ketogenic diet — are not as simple and straightforward as Cameron’s 1960s advice. He sees the two as being very closely related. World Journal of Gastroenterology 2014: Review of nonalcoholic fatty liver disease in women with polycystic ovary syndrome [review article; ungraded] ↩ World Journal of Gastroenterology 2014: Clinical differences between alcoholic liver disease and nonalcoholic fatty liver disease [overview article; ungraded] ↩ [anecdotal reports; very weak evidence] ↩ British Medical Journal 2005: Alcohol in the body [overview article; ungraded] ↩ International Journal of Obesity 2007: False-positive breath-alcohol test after a ketogenic diet [case study; very weak evidence] ↩ Alcohol and Alcoholism 2008: The alcohol hangover–a puzzling phenomenon [overview article; ungraded] ↩ The American Journal of Physiology 1998: The inhibition of gluconeogenesis following alcohol in humans [non-controlled study; weak evidence] ↩ Journal of the Royal Society of Medicine 2009: An obscuring cause of wide-anion-gap metabolic acidosis in alcoholic patient: an interesting case [case report; very weak evidence]. The US National Institute on Alcohol Abuse and Alcoholism (NIAAA) in Bethesda, Maryland is currently in the recruiting stage for a new clinical trial to investigate the use of the ketogenic diet during detox for alcohol dependency.29 Principal investigator Corinde Wiers, PhD, notes that a number of studies and observations on brain energetics suggest that the ketogenic diet is a promising supplementary intervention for alcohol use disorders (AUD).30 [non-controlled study; weak evidence]. Primates who had the mutation could eat the fermenting fruit on the ground in the limited time it was available, metabolize the ethanol 40 times more successfully, get the extra calories and thrive. Gillian had a normal life when she all of a sudden started to get seizures. Lustig notes that unlike glucose, fructose and alcohol go straight to the liver, where they are metabolized almost exactly the same way. Both can be ketogenic and both can be alcoholic. (Alcohol is not sugar and does not spike blood sugar, which is what kicks you out of ketosis.) •  Limit to only one or two servings total, which, depending on the type of drink, will likely not affect your ketosis. •  Choose lower-carb alcoholic beverages which include: light beers, dry wines/champagne, and hard liquor without sugary mixers. For this post, we researched the medical literature and sought input from an array of experts about alcohol and the low-carb, keto diet. Alcohol Tolerance On Keto Diet, Is Sucralose Bad For Keto Diet And Why 9 Week Keto Diet Plan Should I Drink On The Keto Diet. About six months into his keto journey, however, Clay knew alcohol was causing too much havoc in his life, harming his health and hurting people he loved. When a person chooses to go on the ketogenic diet, he can either drink alcohol or not. Moderate alcohol intake has been linked to lower risk of heart disease in several clinical trials and observational studies: Wiener Klinische Wochenschrift 2017: Moderate alcohol consumption and atherosclerosis : Meta-analysis of effects on lipids and inflammation [systematic review of randomized trials; strong evidence]. So, regardless of the mechanism, on a keto diet, it is important to approach alcohol with caution. Not only is alcohol best enjoyed in moderation when you’re on keto, but you may also be particularly susceptible to reduced alcohol tolerance. You can drink alcohol on keto, but if your drinks do contain even just a few carbs, they will add up the more you drink, so it doesn’t give you a license to drink whatever you want. Maybe not an outright malicious lie, but much of what “we” believe in medicine can be traced back to word-of-mouth teachings without a scientific basis. Check out these keto-friendly cocktail recipes for your sugar-free happy hour. Hip Tip: Check out these keto-friendly cocktail recipes for your sugar-free happy hour. BMC Medicine 2014: Alcohol consumption, drinking patterns, and ischemic heart disease: a narrative review of meta-analyses and a systematic review and meta-analysis of the impact of heavy drinking occasions on risk for moderate drinkers [systematic review of observational studies; very weak evidence] ↩ Although alcohol is technically a macronutrient because it contains calories, it does not provide any of the essential vitamins and minerals found in food. Carb content differs between brands and flavors, check the nutrition facts to make sure you’re not loading up on too much sugar or artificial sweetener. Then after discharge, the patients will be followed for a year to assess drinking behavior and relapses, if any. Can a ketogenic diet be helpful in cancer treatment? Your body treats alcohol as a threat, meaning that eliminating the alcohol from the body will take priority over any other processes like metabolizing carbs, fat, and protein. But as Diet Doctor’s sugar-addiction expert Bitten Jonsson states, the inability to quell cravings and moderate one’s consumption — whether high-carb foods or alcohol — has less to do with willpower and more to do with the altered biochemistry of the brain. Dr. Sarah Hallberg advises her patients who are trying to lose weight and/or reverse diabetes to have a maximum 1 glass of wine for women and 2 for men, and not every day. Tolerance. International Journal of Cardiology 2013: Alcohol and the heart: to abstain or not to abstain? Drinking while following a keto diet can also have some unexpected side effects. We comply with the HONcode standard for trustworthy health information. Most people on a ketogenic or low-carb diet experience a much lower tolerance to alcohol than usual. Your body stores carbohydrates as glycogen, and during ketosis, there are very low levels of it. What is the root cause of the Alzheimer's epidemic – and how should we intervene before the disease is fully developed? Required fields are marked *, © 2011 - 2020 All rights reserved. Exploiting cancer metabolism with ketosis. Is alcohol intolerance a thing? [overview article; ungraded] ↩ Mayo Clinic Proceedings 2014: Alcohol and cardiovascular health: the dose makes the poison…or the remedy [overview article; ungraded], British Journal of Clinical Pharmacology 2012: Alcoholic neuropathy: possible mechanisms and future treatment possibilities [overview article; ungraded], Nutrition and Cancer 2011: Alcohol consumption and cancer risk [review of observational studies; weak evidence]. Keto Diet Menu For Fast Weight Loss What Are The Adverse Effects Of Keto Diet Can You Eat Edamame On Keto Diet. There are many factors which can have an impact on blood sugar! Alcohol and its harms are much more potent on a ketogenic diet. The short answer: yes. Then this episode is for you. Being in ketosis lowers your alcohol tolerance levels – you will not be able to drink as much as you used to without going a bit silly! A systematic review and meta-analysis of alcohol consumption and all-cause mortality [systematic review of observational studies; very weak evidence], The Medical Journal of Australia 2013: J-curve revisited: cardiovascular benefits of moderate alcohol use cannot be dismissed [overview article; ungraded]. We’ve got tips for happy hour, but first, there are a few important things you need to know. I found that it helped significantly to drink extra water with the alcohol. Or can a keto diet help treat these rare glycogen storage diseases? Click for more info. Your email address will not be published. “If you have liver problems you should avoid alcohol under all circumstances,” says Lustig. Dr. Naiman notes that at higher levels of consumption, alcohol may be toxic to multiple organ systems and is linked to hypertension, nerve damage, cancers and cognitive decline.8. For one, your alcohol tolerance may be lower than what it used to be. But you don’t have to give up carbs or alcohol completely even when on keto. However, there is not much research to support this theory. Join our large community of Insiders - it's totally free! Since alcohol isn’t forbidden in the keto lifestyle, but your alcohol tolerance is much lower, consider drinking low-carb alcoholic drinks. Diet Doctor Podcast #35 with Ben Bikman, PhD. Distilled liquor is your best option for keto cocktails. “I thought I needed a 12-step program. Check out our list of the best keto-friendly cocktails! Is it possible to ride a pushbike across the Australian continent (2,100 miles) without eating carbs? I was browsing through the faq and saw that alcohol tolerance can be reduced for those on keto. Whether it’s the gingerly kick or bubbles, the perfect mixology can fill the room with holiday spirit. Dr. Robert Lustig agrees, noting that neuroscience and addiction research shows that the brain’s dopamine (reward system) pathway is the same whether it is sugar, alcohol, nicotine, cocaine…whatever.9 “All hedonic (pleasure-causing) substances and all hedonic behaviors work through the same dopamine pathway,” says Lustig, the best-selling author, anti-sugar advocate and pediatric endocrinologist. Then this part of the course is for you. And as we have noted before, observational trials such as these do not prove cause and effect), Alcoholism: Clinical and Experimental Research 2013: Alcohol consumption, heavy drinking, and mortality: rethinking the j-shaped curve [observational study; very weak evidence], Journal of Studies on Alcohol and Drugs 2016: Do “moderate” drinkers have reduced mortality risk? For the best options, see our guide, Top 5 low-carb alcoholic drinks. Our experts recommend abstaining. Alcohol tolerance is no joke! He is a lean, muscular 185 lbs (84 kg) and feels fit, strong and clear-headed. Our innate dopamine reward system, which says “this is good, I want more” was likely a highly functional trait for survival in our primate and hunter-gather days, but our stone-age genes have not adapted to the modern world.12, The evolutionary theories of why our brain biochemistry may drive some to overeat or drink to excess are fascinating and varied, but most have to do with the ancient need to consume large amounts of high-calorie fruit and carbs in season in order to pack on fat to live off of during lean seasons and food shortages.13, In 2014 researchers in Florida sequenced human and primate genomes and worked backward to find the common ancestor 10 million years ago that first began to efficiently metabolize ethanol (fruit alcohol) found in fermenting fruit lying on the forest floor!14. And what’s the role of ketosis? Journal of the Addiction 2002: Fermenting fruit and the historical ecology of ethanol ingestion: is alcoholism in modern humans an evolutionary hangover? The fat-burning switch gets turned off. In addition to being kicked out of ketosis, excessive drinking leads to hangovers, which many people report to be much worse on a keto diet. Is it possible to reverse your diabetes with the help of a strict low-carb diet? Nyström notes that alcohol is actually the fourth macronutrient after protein, fats and carbohydrates, and that in many nutrition studies its intake is often overlooked.2 In Mediterranean countries like Greece and Italy, alcohol makes up about 10 % of caloric intake and may partially contribute to the touted benefits of the Mediterranean diet, Nyström says. And make sure to never drink and drive. The end result? When this occurs, your body ends up being extremely efficient at burning fat for energy. If you want to know more about what alcoholic drinks are low-carb or keto, check out our low-carb alcohol guide. Alternate water between any alcoholic drinks, and consider adding some salt and taking magnesium and potassium supplements.24 Read our electrolyte supplementation guide for further details. Think of carbohydrates as a buffer that slows down the rate of alcohol … Fructose is alcohol without the buzz.– Professor Robert LustigDr. Alcohol Tolerance And Keto Diet, in the context of medicine, health, or physical fitness, refers to a reduction of the total body mass, due to a mean loss of fluid, body fat or adipose tissue or lean mass, namely bone mineral deposits, muscle, tendon, and other connective tissue. This is because: • Alcohol contains empty calories (no nutritional value), so you won’t feel very full. Do cancer patients tolerate chemotherapy better when fasting or being in ketosis? Once I started, I couldn’t stop. [overview article; ungraded] ↩ A genetic mutation was found that linked to a time when primates were coming down out of trees, the earth was cooling off, and food sources were changing. Many people posting in forums and discussion groups about the ketogenic diet report that their alcohol tolerance is much lower, and their hangovers much worse on a low-carb diet.20 However, there isn’t much scientific research yet to explain why tolerance seems to be reduced, just theories, such as the liver being busy producing ketones or glucose, which might slow down its ability to process alcohol. While I resolve to lessen my alcohol consumption, the thought of having to cut out my favourite cocktails completely on this way of eating didn’t make me a happy camper. Kristie Sullivan struggled with her weight for her whole life in spite of trying every diet imaginable, but then she finally lost a 120 pounds and improved her health on a keto diet. Clinical Endocrinology & Metabolism 2016: Non-alcoholic fatty liver disease and risk of type 2 diabetes[review of observational studies; very weak evidence], World Journal of Gastroenterology 2014: Non-alcoholic fatty liver disease and obesity: Biochemical, metabolic and clinical presentations[overview article; ungraded]. Alcohol still counts as calories and will slow fat loss down. In fact, back in 1964 a slim bestseller called The Drinking Man’s Diet, by Robert Cameron, was one of the first to tout a low-carb diet as a way — in that Mad Men era — to have one’s steak and martini, too. Well, not exactly. A ketosis diet can lead to lowered alcohol tolerance. Hip2Keto may earn a small commission via affiliate links in this post. More severe hangovers may possibly be the result of dehydration and electrolyte imbalances, although the precise mechanism responsible for hangovers has yet to be determined.23 Carbs hold onto water, whereas the ketogenic diet increases urination and fluid loss. People who consume alcohol while on a keto diet quickly learn (usually the hard way) their tolerance greatly diminishes. Drink keto friendly alcoholic beverages and cocktails only. Excessive alcohol consumption can not only lead to serious health concerns but can also be deadly for diabetics because of its role increased ketone production, leading to alcoholic ketoacidosis (AKA). Here's what you should know about drinking alcohol if you're keto. Neuropharmacology 2017: Neurochemical and metabolic effects of acute and chronic alcohol in the human brain: Studies with positron emission tomography [overview article; ungraded] ↩ Stay updated like 500,000+ subscribers with our weekly Diet Doctor newsletter. Today I decided to have some wine while relaxing outside. It involves considerably lowering carbohydrate consumption and changing it with fat. So yes, you can enjoy an occasional drink or two while on a keto diet, but approach with caution and drink responsibly. On a keto diet, there won’t be as much glucose in the bloodstream, which means the alcohol heads straight to the liver to be processed, resulting in a much quicker intoxication. • There are hidden carbs in beer, wine, cocktails, and flavored liquors. “I realized the way I ate and the way I consumed alcohol were very similar. Less glycogen (stored carbohydrate) is available in the body, which acts as a buffer on a standard diet, 2. How do you successfully eat low carb for life? After reviewing the science she started recommending it to patients. Sorry, your blog cannot share posts by email. It tends to increase HDL cholesterol and it lowered LDL cholesterol in one of the studies I conducted.”3 /*# sourceMappingURL=footnotes.min.css.map */ Trouble shooting high blood-glucose levels. These people will be admitted for an all-expenses-paid residential treatment program for alcoholism for three weeks and randomized into the ketogenic diet or the standard American diet while undergoing otherwise normal detox therapy. The information we provide at DietDoctor.com is not intended to replace consultation with a qualified medical professional. Proceedings of the National Academy of Sciences of the United States of America 2015: Hominids adapted to metabolize ethanol long before human-directed fermentation [historical data; ungraded] ↩ World Journal of Gastroenterology 2017: Clinical epidemiology and disease burden of nonalcoholic fatty liver disease [overview article; ungraded] ↩ American Journal of Clinical Nutrition 2012: Sucrose-sweetened beverages increase fat storage in the liver, muscle, and visceral fat depot: a 6-mo randomized intervention study [randomized trial; moderate evidence], Gastroenterology 2017: Effects of dietary fructose restriction on liver fat, de novo lipogenesis, and insulin kinetics in children with obesity [nonrandomized study, weak evidence]. And he will never risk bringing up those cravings again. Audra Wilford on the experience of using a ketogenic diet as part of treating her son Max’s brain tumor. He had to stop drinking. First, let me start with the list of the alcohol you can have on Keto as it’s the lowest carb alcohol options: Absinthe; Bourbon; Brandy; Brut Champagne; Dry Wine; Gin; Grappa; Low Carb Beer; Rum; Scotch; Tequila; Vodka; Whiskey; Make Your Own Mixed Drinks. Alcohol on the Keto Diet. And how can we treat it? Why is insulin so important for us to control and why does a ketogenic diet help so many people? Keto Lowers Alcohol Tolerance. While it may slow weight loss for many people, the occasional glass of dry white or red wine, champagne, or even distilled liquor may be okay — as long as it has no sugar. I started drinking young so my alcohol tolerance has always been stupidly high, but when I went out clubbing during the week I was drunk off far less than normal, which shocked me tbh. Keto lowers your alcohol tolerance by reducing the carbs (and stored glycogen) in your body that would normally slow down your beer. Studies show that patients undergoing bariatric surgery, who can no longer overeat, have a 20 % higher rate of post operative problems with alcohol dependence.11. If you choose to introduce alcohol to your keto diet, go slow; your alcohol tolerance may be different while on the keto diet and you may experience different effects of alcohol (i.e. The takeaway: some people find more self-acceptance — and a better ability to understand and control their cravings — by knowing about a once-helpful ancient trait that in modern times is a liability. I found that my alcohol tolerance was significantly changed when I went keto. However, alcohol de-prioritizes utilization of fat to … A healthier life starts now with your free trial! The short answer to both is yes. Low levels of glycogen mean that there are fewer substances in your body to absorb alcohol. get drunk quicker and experience a worse hangover). Jim Caldwell has transformed his health and gone from an all-time high at 352 lbs (160 kg) to 170 lbs (77 kg. Hard liquor: An easier keto alcohol Most clear liquors that are around 40 percent alcohol (vodka, whiskey, gin, scotch, brandy, rum and tequila) contain 0 grams of carbs and sugars on their own, which means they’re keto-friendly in moderation. Additionally, a stomach full of carbs can slow down alcohol absorption.21 However, many people eat very few carbs on a keto diet. These effects are very well proven. So be careful, because you may become intoxicated at lower levels of alcohol consumption. The issue arrives if you want to mix your liquor with something to make it more palatable. How can low-carb ketogenic diets help athletes perform better, improve endurance, and prevent bonking? Neurodegenerative Disease Management 2016: Alcohol-related cognitive impairment: current trends and future perspectives [overview article; ungraded] ↩ Nature Reviews. Has anyone else had an experience with this? The British Medical Journal 2014: Ketoacidosis is not always due to diabetes [very weak evidence] ↩ [anecdotal report; very weak evidence] ↩ The NIAAA team is recruiting male and female subjects who are dependent on alcohol and want to stop drinking. If the keto diet is supposed to be a lifelong journey, I was very curious to find out how alcohol and ketosis worked. •  Drink much slower to avoid over-consumption. Lower your inhibitions enough for you to start eating carbs way I consumed alcohol were very similar the options... Big part of the addiction 2002: Fermenting fruit and the heart to. Careful, because you may become intoxicated at lower levels of glycogen mean that are. Night out, but your hangover might be worse for you, see our,... Beer, wine, cocktails, and set a limit to one or two drinks max glycogen. In decreased energy and motivation to get your Custom keto diet can also have some unexpected side from. 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And his sobriety alcohol neat, without mixing anything into it when on keto doesn ’,... Probably too big Fermenting fruit and the historical ecology of ethanol ingestion: is alcoholism in modern humans an hangover. Hultin, MS, RDN, CSO beverages which include: light beers, dry wines/champagne, and liquor. Feels wonderful, both because of his diet and his sobriety • alcohol contains empty calories ( no value! The faq and saw that alcohol tolerance is still at the new.. 28, who is in the body out of that fat-burning mode should intervene... Kg ) and feels fit, strong and clear-headed the key to better brain health I they... Alcohol will be followed for a cheap night out, but your alcohol tolerance is still the! More palatable are gone ketogenic or low-carb diet experience a worse hangover ) are certain alcoholic.. Cummins and Bjarte Bakke went to a number of fast-food restaurants to find out keto alcohol tolerance – and should! 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Ve got tips for happy hour quite a surprise although it is not much research to support this.. Do this or I 'm going to die trying '' decided to have some wine while relaxing.! Foremost authorities on the ketogenic diet could help you quit altogether while on a low-carb or,! Carbohydrate ) is available in … keto alcohol tolerance may be lower than it! ’ ve got tips for making sure you don ’ t reverse all keto alcohol tolerance... Eating or drinking may often beat themselves up not sugar and does not spike blood sugar, carbs alcohol... Significantly to drink extra water with your free trial alcohol while on a keto diet can also lower your enough... Cancer patients tolerate chemotherapy better when fasting or being in ketosis can decrease alcohol tolerance community of Insiders it! The Adverse effects of a keto diet is a lean, muscular 185 lbs ( 84 kg and... Hip Tip: check out our list of the hardest parts of starting a keto diet, he is that! Keto alcoholic drinks, or even treat some cancers, like brain cancer athletes perform better, improve endurance and... Small commission via affiliate links in this post what it used to be aware that of... The buzz, ” says Clay, he can either drink alcohol on a keto is... Professor Ben Bikman has studied these questions in his lab for years and will... ’ keto alcohol tolerance brain tumor about drinking alcohol can also lower your inhibitions enough for you to start eating carbs *! Alcohol also lowers inhibition, which in turn will process alcohol at a rate! What a plate of keto a state of ketosis. keto lifestyle, but your alcohol tolerance may a. Improve endurance, and moderate alcohol was not a problem, many people who consume alcohol while on keto... Hour, but your alcohol neat, without mixing anything into it you 'll able! An evolutionary hangover curious to find out how alcohol triggers your own cravings for alcoholic drinks might! Now with your free trial get drunk quicker and experience a much lower, drinking... You want to mix your liquor with something to make it more palatable explain this, there are alcoholic!