dixon or alcohol dependence has probably moderates gear, alcohol used as our but we also have introduced the construct recently myself and our overall costs, the director of the national institute on drug abuse and a colleague, tom mcclellan worked for many, many years in the addiction services research area, the concept of pre addiction. so we actually think that the mild i'll call use disorder is, is, is a signal that something that you're more likely to have a problem later on. so what are the signs? well, the 1st sign i always look for is the deterioration in social interaction or work performance. i mean, you know, for students, it might be, you know, being so hung over after a weekend that they don't, they aren't able to turn in the term paper on time or, or they're late for the exam. or they haven't studied for the exam for, for individuals or maybe it's assignments or work or getting to work on time. these

are early signs, but perhaps even earlier sign or deterioration relationships within family, within friends. you know, up the drunken discussions over the phone at night where he clearly the person seems to be, you know, emotionally, lay bile. that means you know, ranging from one emotion to the other. they're down there up and, and they soon found intoxicated. so those are some of the early signs and, and i think you know, it, it, so i would say, you know, impairment and occupational and social interactions are some of the early assign. now we have spoken about social implications, maybe missing a term, paper, mood swings, drug and conversations. what are some of the physical repercussions to alcohol over use over a long term period of time, or what some characterize as binge drinking as well and yeah,

another metric that i should have mentioned to sleep. so alcohol disrupt, sleep, you know, it does help you fall, sleep slightly, shortens the latency to go to sleep. you know, the time it takes that fall sleep. but unfortunately, um, you know, it wears off fairly quickly and so you may wake up in the middle and night to go to the bathroom number one. and then you suddenly find your brain as hop wired and you know, hyperactive. and then you take it back to sleep and then the next night, you know, so maybe you drink a little more or the next night so that you increase the likelihood of falling to sleep. but again, you then exacerbate the same problem that you had the night before and you wake up early and you get into this vicious cycle where actually alcohol can cause sleep problems and sleep problems because more drinking. so that's one physical sign. i mean, other gastro, intestinal discomfort and alcohol can irritate to got,

especially if you're drinking on an empty stomach and not with food. so that's a early physical sign. you could have elevated liver enzymes. when you go in for your physical. um, you know, there, there are a host of, of, of other changes in your body that, that could be affected. people with a vulnerability to a risk me is nation start showing more. a risk me is hardly written is i'm talking about. so you know, it's like alcohol affects everybody, oregon in the body, and it's not a good way when you, when you pass, for certainly when you're past the you know, the dietary guidelines, levels of drinking. if someone wants to confront a loved one about high alcohol use, what are some suggestions you have about starting this very delicate conversation? yes, absolutely. and a real challenge. and so you don't want to confront someone that inevitably

backfires you. we have a resource up maybe get to talk about at the end called rethinking drinking. you can sometimes point a loved one toward that were kind of mentioned that you've looked at this website and you know, it's a website that covers major things or then we have been discussing. but it also, you know, allows you to reevaluate your relationship with alcohol. one thing you can say to someone you know, is, you know, if you, if you just skipped drinking a couple of days, why don't you see how you feel? and what i tell people is if, if you feel better when you're not drinking, then your body's trying to tell you something. so listen to your body. another option is to talk to your primary care doctor, and then the person goes in for a physical know, make sure that the physician ask them or, or the nurse practitioner, whoever you know in the health care domain, ask them how much do you drink and, and a very simple version of this is how much do you drink and how much do your friends

drink and just those 2 questions. you can do the audit, see, which is something that used professionally at basically a similar it's just as how often do you have a drink containing alcohol? how many drinks do you have on a typical day? and have you ever had more than 6 drinks or more on, on a given occasion? and that audit see is part of the bigger screener. but, but it actually often predicts whether someone is developing alcohol use problem. now i'm not suggesting everybody, just the audit siege of their loved ones, but i'm just pointing out that, you know, there are questions you can ask that in, in, in moving toward a form of motivational interviewing. like, you know, if, if you didn't spend so much money on, on, on alcohol, you know, maybe you could get that new surfboard, or, you know, maybe you could even upgrade your automobile and i'll get people add up how much they actually spend on alcohol when they're starting to get into it,

it is actually can be substantial. so you know, those are the approaches that we recommend. obviously we have another resource called the and i triple a treatment navigator. and if you go on there, you can find out what is and alcohol used disorder and also the spectrum of alcohol used disorder and the spectrum of treatment. and so there are many counselors that are, are experts that can help individuals at the beginning of alcohol problem. there are, there are motivational interviewing groups, cognitive behavioral therapy groups. so there are outpatient facilities, where you can go in and join some of these treatments just in the evenings, not interfere with your day job, not even interfere with your family life. or maybe you have to enter their once every few days. so, you know, i think i think people have to realize that there are multiple ways that you can

inter interface with this problem. but confrontation and yelling and carrying on it is only going to backfire because that just puts people's backs up. it's not a, it's not a good approach for changing behavior. now, some people, they say they try to drink coffee, they actually try to drink water, eat a fatty greasy food. but what is the real thing that will help lower your alcohol intake levels, limit your absorption in limit your intoxication and food on your stomach will do that at once, the rising face and the blood alcohol curve. so if you drink on an empty stomach, i don't want this used in the wrong way, but you get a very fast rising. what alcohol level? all right. but if you, if you're having wine with dinner or beer with dinner or a cocktail with dinner, you'll find that that you get a much less steep, a verizon, but alcohol curve, you end up ultimately absorbing the same amount of alcohol. but it's, but the curve is blunted. if, if you have food on your stomach,

so that's true. caffeine doesn't help you at all. i mean, probably it's going to potentiate the dehydration does. it's also a diuretic, caffeine. you know, people use it to soper up and there's a problem with that as well. because if, if you get behind the wheel after you've drunk alcohol and then added caffeine, you know, maybe for a little while, you're a little more alert because of the caffeine. but if the caffeine starts to wear off and then you have the alcohol sensitive effects, you're just going to have a double whammy. so we don't recommend using alcohol. i mean our caffeine too is a so brain agent. the best thing to do is, is not drink so much. that's the bottom line. oh, great. we have been speaking with a doctor, a george crew, but the director of the national institute on alcohol abuse and alcoholism at the national institute of health. thank you so much for joining us today to discuss this very important that like a topic known as recommended individuals limit their alcohol intake to no more than

one drink per day for women, and no more than 2 drinks per day for men. and that people who choose to drink do so moderation and with caution. for those who struggle with alcohol, use our bench drinking dna recommend seeking professional help and support to address the issues and prevent future harm. i was good now he was and this has been your 360 view of the news affecting you. thank you for watching the of the the

of the garage of business services, the screen of the boss. can you either speak with key at the washington state. the process is to the dealer. my computer says to phone up, send 2 professional men to keep the list of all but huge. but they use the summations may be able to turn a blind eye to atrocities and other times the united states of america is different

. wherever people long to be free. they will find a friend in the united states, the, to be of the auto body about 80 volts in a very, very easy to sort of city and draw the look at what the in service of each skid 18 color revolutions is. one among several means to reach the goal of conquering foreign lands and bringing them on to the helm of us. the western economic interest people been cited. i didn't know if he did to everybody. the democrats see a new training portal. i think so. no, we must say little this of by way. i mean he can the final goal of these theme or of allusions to ensure that there are no independent players in the world anymore.

or take a fresh look around his life. kaleidoscopic isn't just a shifted reality distortion, by how us tired vision with no real opinions. fixtures designed to simplify will confuse really one say better wills. and is it just because it shows if you fractured images, presented to this? but can you see through their illusions, going underground can the this morning the key of regime carried out a terrorist action in the mosque, our region, i will note on civilian objects. rushes defense minister says ukraine is behind

a terrorist to drone attack hitting civilian areas in moscow which took place earlier tuesday. according to the city's mayor, no injuries or significant damage were reported. also ahead. the staging gives washington the cold shoulder as china's minister of national defense denies. depended on his requests, foreclosed or meeting the, the west supports of genocide. that's a stark statement from the russian foreign minister on the west. the role and the ukranian conflict of this tour of africa continues with a historic visit, the east african nation, alberto and the just about 4 pm here in russia in moscow rather. and you're watching our t international. my name's donald quarter. welcome to the program. our top story,

russian forces have hit ukrainian bases were a terrorist attacks against russia were being planned. that's according to the russian defense ministry. moscow added the key of plans, the attacks with western supervision. what is the, the armed forces of the russian federation carried out groups rights using high precision long range air based weapons and targeting the central decision making basis with their respects on the territory of russia or plans under the guidance of specialists of western special services. what does that mean? the statement comes after moscow was attacked by multiple ukrainian drones earlier on tuesday damaging a number of residential apartment buildings. that's according to russia's defense minister. a steve question, are you still going to start using those to this morning? the key of regime carried out a terrorist action in the mosque region. i will note on civilian objects involved 8 unmanned aerial vehicles of an aircraft type. they are all destroyed in moscow. 3

drones were suppressed by a electronic warfare. lost control in deviated from their intended targets. 5 more were shut down in the mosque region by the pan seer anti aircraft missile complex. during this month alone, 196 high mars rockets, 16 har missiles, and 29 store shadow long range cruise missiles were intercepted and destroyed. despite the significant losses of the ukrainian armed forces. western curators continued to demand that the key, every game switch 2 large scale offensive actions to one of the ukrainian presidents advisors said the t. i've had no direct involvement in the attack, but that it was happy to watch and predicts an increase in attacks. it appears that the drones were disabled by electronic weapons before going off course and hitting 2 apartment blocks and moscow emergency services are working at the effected sites

and partly evacuated, at least one of the buildings that was paid. the area has been cordoned off by police and according to law scales, mayor, no casualties have been reported. we spoke with a couple of locals at the site. premier smith um and usually the proof of school. so many people it is i'm expected, as they believe this most goes well protected. people like me, we understand that this might happen. we were ready, but it caused vondik. i am a journalist myself. i also people and they said that everything is normal and they .