It is always fun to write a lengthy blog, a detailed thread, and have someone strawman two minor points in that broad discussion to argue that you're wronghttps://twitter.com/sib313/status/1032217398118637576 …
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Replying to @GidMK
You led with "moderate drinking isn't good for you". If your point was this study didn't show that, fine. But the headline implies that no studies show that, which is false.
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Replying to @sib313
Nope, you should totally read more of the thread and linked blog, a number of studies have shown this
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Replying to @GidMK
And you should read more David Spiegalhalter who has criticised the way headlines are generated from alcohol studies. Eg: https://understandinguncertainty.org/misleading-conclusions-alcohol-protection-study …
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Replying to @sib313
I mean, I argue similarly that headlines are mostly garbage. There's no good reason to believe that alcohol is protective, and every reason to believe that it is harmful regardless of the dose
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Replying to @GidMK
But that isn’t what the collective evidence says despite much effort to prove otherwise. Believe what you want but don’t deny the evidence.
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Replying to @sib313
Generally speaking, the more rigorous the control for confounding, the more attenuated the positive correlation btwn alcohol and outcomes becomes. The few controlled trials on the subject have seen the opposite result. Given that it is biologically unlikely...
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...that alcohol is providing a benefit, and there are known, direct causal pathways between alcohol and harm, it is reasonable to conclude that even moderate intakes of alcohol are harmful. This has also been shown in a number of epidemiological studies...
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Replying to @GidMK
Again this argument cuts both ways. I could mention the plausible biological pathways that contribute to cardiovascular benefits for small levels of alcohol consumption.
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Potentially plausible biological mechanisms, largely based on rodent and in vitro studies, are in no way as convincing as the enormous body of clinical evidence on the harms of alcohol
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