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What the current evidence reasonably supports: Heavy drinking clearly increases mortality and disease burden Binge drinking increases injury, cardiovascular harm, and cancer risk Alcohol contributes causally to several cancers (IARC Group 1 carcinogen) Moderate consumption may carry lower cardiovascular risk, but causality remains actively debated and possibly overstated Context matters: social setting, diet, frequency, and overall lifestyle all influence outcomes One additional consideration worth noting: cardiovascular disease mortality has fallen dramatically over the past 40 years due to statins, blood pressure medications, and lifestyle improvements

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