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A high alcohol intake, whether long-standing excessive alcohol consumption or binge drinking, has been shown to nearly double the risk of acute respiratory distress syndrome, a complication of COVID-19 that makes breathing difficult. Alcohol’s effects on cell membranes and metabolism are possible explanations for the increased risk, but so is alcohol’s ability to interfere in the maturing of macrophages. Macrophages are white blood cells produced by the immune system that gobble up viruses and other foreign materials they encounter in the body. When macrophages are impaired—such as by excessive alcohol consumption—your body’s first line of defense against infection is affected. …

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