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The 8 Healthiest Alcoholic Drinks, According To Dietitians

Jessica Timmons
Author: Expert reviewer:
October 20, 2023
Jessica Timmons
By Jessica Timmons
mbg Contributor
Jessica Timmons is a freelance writer whose work has appeared in Healthline, Pregnancy & Newborn, Modern Parents Messy Kids, and more.
Jaime Schehr, N.D., R.D.
Expert review by
Jaime Schehr, N.D., R.D.
Naturopathic Physician and Registered Dietitian
Jaime Schehr, N.D., R.D., is a nationally recognized expert in integrative medicine and nutrition, based in New York City. She holds dual licenses as a naturopathic physician and a registered dietitian, from University of Bridgeport and University of Nebraska respectively.
October 20, 2023
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Let's just put it out there—calling any alcohol "healthy" is a stretch. But that doesn't mean there's absolutely no place for the occasional drink in a healthy lifestyle. The key is understanding that while alcohol itself isn't technically healthy, there are healthier choices to be made when you're indulging.

And to point you in the right direction, we polled a few dietitians for their take on the healthiest alcohol to drink.

8 healthiest alcohols to drink

If you're going to drink alcohol on occasion, these have been found to have some benefits for blood sugar balance, gut health, and more, according to research and RDs.

1.

Vodka

Least amount of sugar

By themselves, "clear liquors like vodka and gin have the fewest calories and the least amount of sugar," says Amy Shapiro, R.D. That means they're easier for our bodies to metabolize and may result in less intense hangovers for some people.

Mixers, syrups, sodas, and other additions, however, quickly pile on the sugar and calories, so be mindful of what's in that cocktail.

Looking for a recipe?

Check out the ACV Bee's Knees—a vodka cocktail with lemon juice, honey, apple cider vinegar, and fresh thyme.
2.

Gin

Low sugar alternative

If you're looking for a low-calorie and low-carb option, gin is a healthier choice compared to drinks like red wine or beer. And while juniper berries do contain antioxidants, it's unknown whether those actually make it into the gin during the fermentation process.

3.

Mezcal

Purest spirit

This agave-based spirit has a distinct, smoky flavor, so it's nice to sip and savor. Straight up, mezcal is very low in sugar and calories thanks to its traditional production process. By law, it must contain 100% agave, which means no added sugar.

The fermentation process for mezcal uses the agave heart and includes prebiotic fibers that may have some health benefits3 like supporting the microbiome, though research in humans is still needed. Single-ingredient mezcals may also be metabolized faster, meaning fewer hangover symptoms.

  • Calories per shot: about 100 calories
  • Sugar per shot: 0 grams
4.

Tequila

Best for blood sugar

Tequila is also agave-based, and it shares the low-sugar, low-calorie benefits of other clear liquors. According to studies on mice, tequila may also be better for blood sugar balance3 than other alcoholic beverages thanks to a naturally occurring sugar in the agave plant that serves as a dietary fiber.

Some evidence4 also finds that tequila may not be as severe a depressant as other types of alcohol.

5.

Red wine

Highest antioxidants

You just knew red wine would make the list, didn't you? "We always hear that red wine is the healthiest alcoholic beverage you could have," says Tracey Frimpong, R.D. "It's somewhat true because red wines contain polyphenols and antioxidants6, which can help to improve heart and brain health. The key word is red wine because it contains more of these antioxidants than white wine."

However, research on the benefits of the antioxidants in red wine are mixed, and it's unclear how much red wine one7 would need to drink8 to see any health impact of these antioxidants. (It may be past the point when the cons start to outweigh the pros.)

6.

Champagne

Best for pacing yourself

You may reserve that celebratory glass of bubbly for special occasions, but it's a relatively good choice. "Champagne is a healthier option because the grapes used contain polyphenols10," says Shapiro, which help manage blood pressure, promote circulation, and even improve systemic inflammation.

This is also a good pick for automatic portion control. A typical serving size of Champagne is 4 ounces. Plus, the bubbles mean people tend to sip more slowly and feel fuller faster, so you're less likely to go back for another flute.

  • Calories per 4-ounce serving: around 85 calories
  • Sugar per serving: less than 2 grams
7.

Hard kombucha

Probiotic benefits

Kombucha is a fermented drink made from tea, sugar, and an active bacterial yeast culture. Because it's fermented, it naturally has very low levels of alcohol. But hard kombucha is fermented for longer to create a higher ABV (alcohol by volume). It makes for a fresh, buzzy, subtly boozy drink that's notably rich in probiotics.

"A benefit seen to drinking kombucha is its capability to aid in digestion and boost your immunity by introducing healthy bacteria to the gut microbiome, similar to other fermented foods such as yogurt or kimchi," says Frimpong.

Keep in mind that ABV, calories, and sugar will vary by brand, so you may want to check the label first.

Pro tip:

"Hard kombuchas are best enjoyed in small amounts so as not to spike blood sugar too much," notes dietitian Jessica Cording, M.S., R.D., CDN, INHC. "For people who drink kombucha for the probiotic benefits, I tend to recommend having a small amount after a meal (like, a shot glass worth), as opposed to downing a 16-ounce bottle in one go."
  • Calories per 4-ounce serving: 80-150 calories
  • Sugar per serving: roughly 1-4 grams
8.

Craft beer

Highest botanical diversity

Craft beer may have more going for it than complex flavor profiles and clever marketing. This artisanal twist on mass-produced beer emphasizes quality and flavor, which means greater botanical diversity and a potential for more antioxidants11, vitamins, and minerals.

One drawback: Craft beers tend to have higher ABV. Generally, that means more calories too.

Risks of drinking too much alcohol

Cording points out that the benefits of alcohol—its use as a social connector, polyphenol content, and its blood-thinning properties—need to be weighed against the very real risks of consuming it.

The World Health Organization and USDA both define moderate drinking13 as one drink per day for women and two drinks per day for men. This is what's considered "healthy." But "we do know from research that much smaller amounts of alcohol can contribute to disease risk," says Cording.

Here are a few ways regularly consuming alcohol can negatively impact your health:

  • Increased cancer risk: Consuming any amount of alcohol is associated with an increased risk of some cancers14 (including those of the liver, colon and rectum, breast, and mouth) and cardiovascular disease15.
  • Sleep disruptions: As a nightcap, alcohol is often used to unwind before bed. But while it can help us nod off faster, it ultimately creates major sleep disruptions16 that are doing us no favors.
  • Decreased hormone function: Alcohol consumption also affects hormone function17—which affects all sorts of bodily functions18—as well as mood.
  • More cravings: "And because alcohol lowers inhibitions, drinking can make it harder to make clearheaded decisions around healthy food choices," adds Cording. The poor sleep you get after a night of drinking can also make you more likely to crave unhealthy food 19once you wake up.

Tips for healthier alcohol consumption

If you are going to drink alcohol, follow these tips to mitigate its health effects:

  • Drink less: "If you decide to imbibe, I would recommend cutting your drinking down to just one or two days a week or even better, limit it to special occasions," says Skye Garman, certified macro coach and personal trainer.
  • Pair alcohol with a meal: Pairing alcohol with food inhibits absorption, which helps stave off intoxication and reduces the likelihood of a hangover.
  • Alternate with water: "Alcohol is a diuretic and causes us to become dehydrated. I like to recommend alternating your drinks from one cocktail to one glass of water," says Shapiro.
  • Listen to your body: As Cording recommends, it's best to pay attention to how you personally respond to different types of alcohol, no matter the purported health benefits: "If something makes you feel like crap, don't drink it."

The takeaway

Alcohol really can't be categorized as healthy–after all, it is a toxin20, and drinking in excess can lead to disease and premature death. So if you're going to go ahead and indulge, be mindful of what you're really drinking. If you're all about the flavor and don't mind skipping the alcohol, check out our picks for the best nonalcoholic drinks and craft beers.

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