The Dr. Hyman Show - Office Hours: What Happens to Your Body When You Stop Drinking for 30 Days

Episode Date: January 5, 2026

Most of us don’t realize how much alcohol affects our bodies until we take a break. In this first episode of Office Hours, I break down what really happens when you give up alcohol for 30 days. Alcohol impacts nearly every system—from your brain and hormones to your gut, liver, and immune system—but the good news is your body begins repairing itself far faster than most people expect. I discuss: • What alcohol really is—and why the “buzz” is actually your brain slowing down• How alcohol affects neurotransmitters like GABA, dopamine, and glutamate• Why even moderate drinking disrupts sleep, mood, hormones, and metabolism• How alcohol impacts the liver, gut microbiome, immune system, and cancer risk• Why hangovers feel like the flu—and what’s actually happening in your body• What happens when you stop drinking, week by week, from detox to deep repair• The surprising benefits to energy, focus, skin, sleep, and emotional resilience• Practical tools to manage cravings, social pressure, and sleep disruption• Why community support makes behavior change easier and more sustainable Your body has an incredible ability to heal and often, it just needs you to take your foot off the gas. Try it for 30 days. You may be amazed by how different you feel. If you want extra support, join us for the Hive January Challenge, where we’ll guide you through the process, track progress, and share experiences together. Visit functionhealth.com for 160+ lab tests at just $365 a year. Helpful Resources: Join the 10-Day Detox to Reset Your Health https://drhyman.com/pages/10-day-detox Join the Hyman Hive for Expert Support and Real Results https://drhyman.com/pages/hyman-hive Have a question you’d love answered on the podcast? Submit it here 👉 https://docs.google.com/forms/d/e/1FAIpQLSdNF2y4lFWEOMLlzVNlFDpJ4xl7oOpH9NlImMoHr5mHggL_Ww/viewform?usp=header (0:12) Introduction and the power of personal health agency (0:51) Joining the Hyman Hive community and dry January benefits (2:07) Understanding the broad effects of alcohol on health (7:27) Long-term health consequences of alcohol use (13:13) Alcohol's link to hangovers and cancer risk (15:31) The positive changes from abstaining alcohol (17:13) Emphasizing mindful alcohol consumption and community support (18:45) Conclusion and invitation for listener feedback

Welcome to office hours. This is our dedicated one-on-one space to go deeper, get clear, and explore what truly moves the needle for your health. I'm Dr. Mark Hyman, and each week we're going to pull back the curtain and share the insights, the research, the lessons that don't always make it into our conversations with guests. because at the end of the day, you are the CEO of your own health. And for many of you, your family's health, too. And you might not feel it all the time, but you have far more power in agency than you realize. I'm glad you're here. This episode is brought to you by Function Health, empowering you to live 100 healthy years

with over 160 lab tests at just $365 a year. Sign up today at Functionhealth.com slash mark and use code Mark 2026 to get $50 towards your membership. What of just 30 days could completely change how you feel, your sleep, your focus, your energy, even your skin? Well, that's what thousands of people discover during dry January. Now, today, I'm breaking down exactly what happens in your body when you give up alcohol for a month and why the benefits go far beyond your liver. We're going to take you through the process week by week and equip you with tools to help you get through the month alcohol-free. Yeah, it's not as hard as sounds. Don't worry.

Now, if you want an extra support, this is exactly what we're focusing on, the Hyman Hive this month, my exclusive membership community. We're taking on the 30-day Dry January Challenge together. Whether you're looking to cut back or take a full break from alcohol, we'll meet you where you are and help you build habits that truly last. Now, with the support of like-minded people and the community, you're going to make real sustainable change so you can feel firsthand all the benefits that we're talking about. Now, dry January has become a global movement, a reset after the holidays, but it's not just a trend.

It's a powerful way to see in real time. how alcohol affects nearly every system of your body and how quickly those systems can recover the perfect way to set the tone for a healthier happier 2026 all right so we also know why we drink right to feel good to feel a little happy to feel a little loose social lubricant blah blah blah but what exactly is the buzz we feel when we drink why does alcohol seem to make social situations so much easier and more relaxed well let's first define what alcohol is and why it actually gives you that bugs. The active ingredient in alcohol is something called ethanol.

That's the chemical name for alcohol, essentially. Now, if you want to get a little more nerdy, it's a chemical that's created during the fermentation process when yeast feeds on sugars and grains, fruit, or other plant-based materials. Like, yeast is in wine, and that's why you get the grapes fermenting to turn into wine. Ethanol is what gives alcohol, that's a relaxing bus.

But it's also the reason that can be toxic. And that is, it can kill you directly in large amounts. Paracelsus, one of the fathers of modern medicine, said the dose makes the poison, and that is very true with alcohol. A little bit, it's not going to kill you, but if you drink a lot, it will kill you. And I personally seen this in my medical career many, many times. Now, what is actually alcohol doing? Well, it's a central nervous system depressant.

Now, despite how it feels, it doesn't actually stimulate your brain. It slows it down. But in the early stages, the buzz phase, that slowdown happens first in the inhibitory centers of the brain, the control centers that keep you reserved or cautious or anxious, right? So the ego essentially, right? When you drink, your inhibition goes down a little bit. You feel more relaxed, more social, more confident. Maybe you feel a little euphoric.

That's the quote, buzz. The other thing that happens in your brain is it works on different neurotransmitter systems. It works on the GABA system, which is the relaxation system. It also blocks glutamate, which is the excitatory system. So GABA's calming and inhibitory, and glutamate is stimulating and excitatory. So there's different neurotransmitters that have different roles in your body. Wake up, go to sleep, wake up, go to sleep. For example, Valium is a GABA formula.

It basically stimulates the GABA receptors, so is progesterone, makes you relax and calm. Now, alcohol acts like GABA turning up this inhibition and it simultaneously blocks glutamate, which is the excitatory neurotransmitter, and it turns down the stimulation. Now, this double effect slows brain signaling and causes you to relax, but it also does bad stuff. Like it compares your judgment, it slows your reflexes, and it also can reduce anxiety, which is why people drink to self-medicate very often. Now, the buzz hits when the balance shifts, just enough to quiet the brain's noise without making you drowsy yet.

And that's okay, but you want to just sort of be in the right sweet spot. A little too much, you're going to get in trouble, and you just want to get a little bit so you can have that little sense of buzz and pleasure if you drink, but not too much. And alcohol, by the way, when we look at the literature, I hate to say, folks, it's just not good for us. It affects our sleep adversely. It increases many cancers, increases the risk of metabolic dysfunction, gut microbiome disturbances. mitochondrial toxin. I mean, just so many reasons. It's not good for you, but it feels good. So I get it. And occasionally I have a tequila. So I understand. How else does it work in the body? It affects the limbic system and the prefrontal cortex. The limbic system is your reptile brain. It's your ancient lizard

brain. It's the emotional center. It becomes more active, leading to emotional openness, laughter, which is good. But the prefrontal cortex is the adult in the room. It's responsible judgment for planning, restraint, it goes offline early in drinking, which explains why people feel freer or act impulsively when they drink. Now, that combination is why you might feel just more talkative or affection during this buzzface. That's, you know, good. It feels good, but it's not necessarily good for you. All right. So what are the negative effects of alcohol in the body? I get what we drink, right, to relax, to connect, to take the edge off. But what actually happens inside the body when we drink alcohol? Why does that one or two glass of wine or tequila hit us the way it does? And why do we pay for it

next day. Well, once your liver can't metabolize ethanol fast enough, then your blood alcohol concentration rises moving from buzz to drunk to even worse, sedated, which is blackout drunk. Now, the buzz fades and often is followed by rebounding glutamate and cortisol activity leading to anxiety and fatigue. That's called anxiety. Now, even moderate drinking can impact nearly every organ system in the body. And the reason is it builds this damage to metabolic stress, through inflammation, through impaired detoxification, through effect on hormones and the microbiome, your mitochondria, pretty much everything is affected by it.

Now, what's the deal with brain function, neurotransmitters, and alcohol? How does it all work? I kind of mentioned a little bit, but it's a central nervous system depressant. It slows brain communication. And as I said, it increases this calming neurotransmitter called GABA, and it decreases the stimulating neurotransmitter called glutamate,

which is why you feel more dull and not so alert. Now, dopamine does spike early on during the buzz phase, which is what makes this focus, pay attention. But it drops very quickly and it leaves you feeling tired of a little mood. And I notice this. Like when I drink, I feel good for like maybe 15 minutes. And then it's like, yeah, I don't really like it anymore. So I think if you pay attention how your body is responding, you'll see this also. It also, my R-ring tells me this every night if I have something.

It prevents you from falling into REM sleep. So you're not able to enter into that deep rest recovery period. where your immune system and your lymphatic system, that's the immune system of the brain, it basically cleans out all the toxic metabolites from the day. That's when it's most active at night, and when you're cleaning out all the metabolic waste from your brain so you don't end up with dementia and worse.

And that's why alcohol, by the way, is very powerfully linked to dementia, not just because of certain nutritional deficiencies, but for other reasons too. And so we want to have a healthy functioning brain at night, and when we drink, we just don't. When you chronically use alcohol, it rewires the reward pathway.

So what does that mean? it means you need more and more to feel, quote, normal. And so whereas, you know, if you're a teetotal or if you have one glass of wine, you're drunk, whereas if you're drinking a bottle of wine every night, it doesn't affect you. And I think you should pay attention to that because when you use more, even though you're not feeling it,

it's having even more harm on your body. And so long-term, what do we see with long-term use of alcohol, but we see memory loss, cognitive decline, anxiety, sleep disruption, as I mentioned, dementia. And basically the idea with alcohol is it, It sort of numbs you and then it depletes you. Your brain becomes dependent on alcohol just to feel okay. And you see this with alcoholics.

They can't feel normal unless they're drinking. What about your liver? Well, the liver's got to metabolize the alcohol before anything else. It's kind of like the worst liver toxin. That's why we have something called alcoholic fatty liver disease, which is caused by alcohol. And this is a poison for the liver. And there's an enzyme in your liver called alcohol dehydrogenase, which converts ethanol, which is alcohol, into a derivative.

of byproduct called acetylaldehyde. Now, this acetylaldehyde is a highly toxic compound that damages your DNA, it damages proteins, and it's really rough on your body. Then the acetylaldehyde is then broken down by an enzyme called aldehyde dehydrogenase.

I don't worry about that, into something called acetate. Now, if you drink too much too fast, this acetylaldehyde goes up, and it causes hangovers, nausea, flushing, all kinds of inflammation. And when you're chronically overloaded with this, you get fatty liver, and you get cirrhosis eventually, but even within a few weeks of drinking a lot, you start getting fatty liver. And then over the years, you'll get scarring, and that leads to fibrosis, cirrhosis, and

ultimate liver failure and death. What else happens when you drink alcohol if that wasn't enough, right? You get an impaired metabolism of fats and sugars and hormones. So your whole metabolic system is hijacked, and it hijacks your liver's capacity for detoxification, like even estrogen clearance. For example, if you are taking estrogen, you are going to get much higher, levels when you take alcohol. And even if you're not taking estrogen, when you drink alcohol, you increase your estrogen levels because your body can't detoxify it and you end up with more

breast cancer. In fact, one drink a day for seven days a week for a woman is linked to a 40% increased risk of breast cancer. That's a big deal. So just women out there, you pay attention because you can get really messed up with estrogen and alcohol. So when the check engine light comes on in your car, do you ignore it? course not. You take it to the mechanic and fix it before it's a bigger problem. Your body is no different. It's constantly sending signals. Inflammation. Blood sugar is rising. Hormones are shifting. But if you don't look under the hood, you won't know what needs attention. And that's where function comes in. It's your body's personal dashboard. It's designed by doctors, including me,

and it's trusted by leading physicians and hundreds of thousands of members. With the 100 most critical lab tests covering every major system from heart to liver to kidneys to metabolism of hormones, toxins, toxins, nutrients, and more. You can get real numbers, real data, so you can take action and make improvements and track them over time. And that's how you prevent disease instead of just treating it.

So check your system, start testing. Go to function.com slash mark, and if you're one of the first 1,000 people this week, use the code Mark 2026 for a $50 credit towards your $365 membership. It's time to stop guessing. Start testing with function. Also, when your labor is not working,

you're not going to be able to remove environmental toxins. You're not going to burn fat. And then you're going to do all kinds of bad things like gain weight. You're going to get blood sugar swings and cortisol swings and adrenaline up and down. And that means you become more insulin resistant. And that means you become more likely to gain fat, particularly belly fat or visceral fat. Now for women, as I mentioned, you know, when you drink alcohol and it messes up your estrogen metabolism, and that causes a high risk of breast cancer and uterine cancer. So really a problem. Now, for men, does the kind of opposite. It lowers testosterone, lower sperm quality and function,

and it leads to men growing, you know, beer bellies, and also gynecomastia, which is large breasts, just like women, because testosterone gets converted to estrogen, and that's why testosterone ends up lower. So that's what happens with alcohol. It's not a good deal. It also screws up thyroid signaling. That makes you feel tired, sluggish, and the slower metabolism.

Algal turns off your body's metabolic repair mode, and it throws your hormones out of balance, and you want to not drink for that reason too much. Occasionally drink, I probably just to be here, I probably drink maybe one or two drinks a month, literally. It's fun if I go out or I'm with friends or I want to just have something when I'm a nice dinner, I'll do it. But otherwise, I just stay away because I know how it affects me.

What else does it do? Well, if that ain't enough, there's more. It affects the gut. It affects your microbiome. What is it doing your gut? Your gut is a very delicate system, and there's only one cell between you and a sewer. Your entire lining of your intestinal tract is just one cell thick.

And when that lining gets damaged, you get leaky gut, which means the proteins from food and food reactions happen, like food sensitivities and bacterial toxins get into your system. And by the way, your immune system, 60% of your immune system is right underneath your gut lining. And that creates inflammation throughout your whole body. So it's another way that alcohol causes inflammation. It also messes up your bacteria.

So if you have a healthy microbiome, great. But if you drink a lot, you won't. And so people are alcoholics have really unhealthy microbiomes, and they increase the growth of bad bugs in your gut. And that can also cause gut symptoms like bloating, nutrient absorption, gen inflammation. And a lot of nutritional deficiencies happen with alcohol. Like it just depletes all your B vitamins. You get vitamin B1 or thiamid deficiency. You can cause B12 deficiency, folate deficiency.

So you see a lot of nutritional deficiencies in alcoholics. But even if you're not, it's still using up a lot of these nutrients to just get rid of it. So bottom line, this whole gut brain access disruption, it just also causes other issues like anxiety, mood changes. So alcohol basically turns the gut from this healing system into a inflammatory trigger. Really bad news. Any other systems affected by alcohol? Well, yeah, pretty much everyone.

Next one is the cardiovascular and immune system. What does alcohol do if consume regularly on a long-term basis? It raises your blood pressure and it raises your triglycerides and it increased risk of heart attacks. And ultimately, there's something called alcoholic cardiomyopathy. That's a big mouthful. But what it means is you get heart failure from drinking alcohol. It's a well-known condition.

I've seen it many times in practice. It also suppresses immune function. So even one night of heavy drinking reduces your immune selectivity for up to a whole day. So alcohol is an immune suppressor, basically disguised as a social lubricant. What about cancer? I mentioned that, but alcohol consumption is a third lean cause, third lien cause of preventable cancer in the United States after tobacco and obesity. Well, actually obesity is the first.

Only 45% of Americans are aware of the link between alcohol and cancer. So most people don't even know about it. And the risk of cancer goes up for a lot of reasons, right? DNA damage from the acetyl-alide production, increased free radicals in oxy of stress, changes in hormones like estrogen I mentioned, increasing the absorption of carcinogens like cigarettes. So when your body's processing alcohol,

it creates a toxin that damages your DNA. It makes it easier for cancer to get going. You don't want that. So that's another reason to not drink so much. Okay, what about hangovers? What is a hangover? The hangover is your body's emergency clean up after a chemical storm.

And what's going on here? Well, acetylal toxicity is the reason. Now, this is the byproduct of ethanol, as I mentioned before. The liver can't keep up metabolizing it, so it basically builds up, and the toxic byproducts build up, and that causes it. Also, dehydration. It's a dehydrating compound.

Alcohol blocks this hormone in your brain called ADHD or anti-dioretic hormone. Why is that a problem? Well, when you are not preventing yourself from peeing, you're going to pee more, and you're going to lose more water, and it's more electrolytes, and become more dehydrated. So alcohol basically makes you pee more and lose water and electrolytes. Also, you get blood sugar fluctuations. After this insulin surge, your glucose crashes and you can get shaky and fatigue.

You know, I'm more systemic inflammation. Alcohol irritates the gut and the liver, releases something called cytokines. Now, these are the body's chemicals that are used for infection. That's why, you know, basically when you have the hangover, you feel like you have the flu. You have that cytokine storm during COVID. When you have the flu, you feel achy. That's because of these immune messenger molecules we call cytokines. So sleep disruption is another.

big problem with alcohol. Alcohol blocks REM sleep, which is your dream sleep. And then it causes this rebound overactivity when you stop it. So when you get this rebound chemistry, as alcohol fades, the stress chemical spike, you get anxiety, restlessness, anxiety, and that is a huge problem. So bottom line, alcohol taxes every major system in your body, especially your liver, your brain, you've got your hormones. Now hangovers are the body's emergency cleanup after a neurochemical and metabolic storm. But the good news is after 24 to 72 hours of abstaining, your body starts to repair itself. So what happens when you stop drinking? Well, I want you to understand what happens week by week when you stop drinking.

So week one, and this is what we're going to do, a 30-day challenge together, week one is when your body starts to detoxify and you start to have a reset. Your sleep initially may be a little disrupted at first. Your blood sugar and your cortisol stress hormones start to recalibrate. Your liver starts processing this whole backlog of toxins. you stop being dehydrated. You have more energy, fewer headaches. So that's week one. Week two, your gut and your brain start to rebalance. Your serotonin and dopamine starts stabilize. The gut inflammation drops. Microbom starts healing. Linky gut starts healing,

hopefully if you're not drinking. You're craving for sugar and alcohol. Obviously, go down. You get more mental clarity, less brain fog. Week three, inflammation drops. You get liver fat going down and systemic inflammation going down a lot. Blood pressure tends to get more normal. Your skin looks clear. A lot of alcohol causes puffiness. You've seen those red, puffy faces. That's alcohol. It causes inflammation. You see it in people's faces. It causes rosacea, skin issues. You also get more stable mood, less anxiety swings. And then finally, week four, you get a lot of additional metabolic and immune benefits. More insulin sensitivity, so your body's able to lose weight, your stronger immune response, you're not getting sick as

much. You have better deep sleep, balanced hormones, especially cortisol and testosterone. And you see a big change in energy, confidence, and focus. So what are the takeaways? What are the benefits. Here's a quick recap of the key benefits we just covered in the body. Improve liberty detoxification and function, lower inflammation and blood pressure, better metabolism and digestion. With your brain, you get better mood, better focus, better sleep quality, less anxiety and depression. And long term, you're going to have a recalibated relation with alcohol, which is great. So you don't have to be stuck with it. You can make a choice. So the question is, how do you make more mindful choices? How do you set yourself up for success when cutting out

alcohol. Well, there's some real challenges, both physical and the mental. Well, social pressure, obviously, just have one drink. Come on, what's the big deal? I call those drug pushers. Cravings happen and willpower. So what's the best way to navigate those challenges? Well, social pressure, maybe just say, hey, I'm taking a reset this month. Just kind of normalize a choice. For cravings, you can modify that by eating protein, hydration, and certain adaptogens, and herbs, and even nutrients like thionine, which is a relaxing molecule from green tea or magnesium glycine, which also helps you detoxify. Sleep disruption can initially be a problem,

but it'll improve with things like magnesium, Epsom salt baths, or meditation. Mindset, focus on curiosity, not deprivation. So it's not all or nothing, right? Just kind of learn what's going on in your body. Listen to how you feel. Pay attention to the change in your life when you stop drinking.

Really important. Okay, so why does it make such a difference to do these kinds of challenges with a community rather than on your own? Well, if you want to see what happens when you give your body this 30-day break, just join the high of January challenge. We'll guide you, we'll track your process,

and your progress will share stories. Everything is better together. Community is medicines. And it's super easy to sign up. Just go to Dr.hyman.com and sign up for a hyman hype. So your body has an incredible ability to heal. And often it just needs you to take your foot off the gas and give yourself a break from the things that are making it not feel well.

Try it for 30 days. You're going to be amazed at how different you feel. Thanks for joining me for office hours. I love diving into these topics with you. Remember, you are the CEO of your own health, and every choice you make can move you closer to healing and vitality. I want to keep these episodes as relevant and useful as possible, so tell me, what do you want to explore next? What questions are you wrestling with? What breakthroughs are you chasing?

Share your ideas in the comments on social media or through the link in the show notes. I'm listening. Until next time, keep taking charge, keep asking questions, and keep showing up for your health. If you love this podcast, please share it with someone else you think would also enjoy it. You can find me on all social media channels at Dr. Mark Hyman. Please reach out. I'd love to hear your comments and questions. Don't forget to rate, review, and subscribe to the Dr. Hyman show wherever you get your podcasts.

And don't forget to check out my YouTube channel at Dr. Mark Hyman for video versions of this podcast and more. Thank you so much again for tuning in. We'll see you next time on the Dr. Hyman show. This podcast is separate from my clinical practice at the Ultra Wellness Center, my work at Cleveland Clinic, and Function Health, where I am chief medical officer. This podcast represents my opinions and my guest's opinions. Neither myself nor the podcast endorses the views or statements of my guests. This podcast is for educational purposes only and is not a substitute for professional

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