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Re: MTX and Alcohol

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Jeni I come from a large family of social drinkers - myself included - and, like

my rheumy says, if I was 90 years old it would be another story. But I am 57,

have a terrific job that I love, great kids and am about to become a grammy in

October. I will gladly trade my drinks for the opportunity to pick up and hold

that child, take him for walks and such. Nowadays they make decent non-alcoholic

beers, the wines are lousy. It wasn't really that hard to switch and when you

are drinking something that looks like beer - people will leave you alone. No

need to explain. Might work for him too. Good for him that he values his life.

adriane

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  • 2 weeks later...
Guest guest

OK Kids , Soapbox please Dan...I promise this will be short...

If you are on the same dosage of a drug as someone else and they have been

told they can have a drink of alcohol, this does not mean you can!!! Please

please please, remember we are all so different and our drugs, bodies ,

everything so unique that what is good for one does not mean good for

all!!!! Do Not Drink Alcohol with your meds unless your physician, not

down the streets or Sally up the blocks YOUr YOUR YOUR, says YOU can.

Sorry, I worry....someone help me down here before I fall again, only two

falls this month!!! lol one on a public street and one at a party...not

bad...lol

With Love ,

Goddess/Mother Hen

MA

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You Go Girl!!!

Lynn Renae Dudenhoefer

lynndude@...

-On any path that you may stroll,

-keep your angel in your soul!

-- Re: MTX and ALcohol

OK Kids , Soapbox please Dan...I promise this will be short...

If you are on the same dosage of a drug as someone else and they have been

told they can have a drink of alcohol, this does not mean you can!!! Please

please please, remember we are all so different and our drugs, bodies ,

everything so unique that what is good for one does not mean good for

all!!!! Do Not Drink Alcohol with your meds unless your physician, not

down the streets or Sally up the blocks YOUr YOUR YOUR, says YOU can.

Sorry, I worry....someone help me down here before I fall again, only two

falls this month!!! lol one on a public street and one at a party...not

bad...lol

With Love ,

Goddess/Mother Hen

MA

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Oh NO don't encourage her Lynn. Me back is suffering from toteing

round that damn soap box.

(hope ya are feeling better Lynn, MTX takes a while to work, wishing

ya best of luck)

Dan

BS

> You Go Girl!!!

>

> Lynn Renae Dudenhoefer

> lynndude@g...

> -On any path that you may stroll,

> -keep your angel in your soul!

>

> -- Re: MTX and ALcohol

>

> OK Kids , Soapbox please Dan...I promise this will be short...

>

>

>

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Guest guest

Thanks Dan,

just have one big headache now that started right after I started the MTX.

This could be a real problem as I have to get Cat scans whenever I have

headaches. Probably had about $5,000 in tests on Monday to confirm that my

shunt is working and that I did not need brain surgery. Hope my doctor has

a good idea on what we do now!

I get on soapboxes a lot too so watch out!!

Lynn Renae Dudenhoefer

lynndude@...

-On any path that you may stroll,

-keep your angel in your soul!

-- Re: MTX and ALcohol

>

> OK Kids , Soapbox please Dan...I promise this will be short...

>

>

>

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  • 4 weeks later...
Guest guest

I was told no way, but i'm on remicade and mtx.... although the doc told me

that after a night out with the girls and many margaritas later =))

[ ] MTX and alcohol

> I saw a few messages and questions here a few weeks ago around taking

> alcohol while on MTX.

>

> I asked my doctor today and he mentioned that since my blood tests

> came back OK, one or 2 drinks a week are acceptable (I am on 15mg

> weekly).

>

> He mentioned to avoid taking alcohol on the day you take the MTX, as

> well as the day before and the day after.

>

> Frederic

>

>

>

>

> Please visit our Psoriatic Arthritis Group's informational web page at:

> http://www.wpunj.edu/pa/ -- created and edited by list member

aka(raharris@...).

>

> Also,in August 2001,list member Jack aka Cornishpro@... began

to conduct extensive research which he publishes as the " Psoriatic Arthritis

Research Newsletter " , monthly in our email and digest format. Many thanks to

Jack. Back issues of the newsletter are stored on our PA webpage as well as

the archives of the list.

>

> Don't forget that the list archives comprise a tremendous amount of

information (Over three years of messages and answers).Feel free to browse

them at your convenience.

>

> LET'S HEAR FROM SOME OF YOU LURKERS out there! If you have a comment or

question, chances are there is a person who has been around a while who can

help you out with AT LEAST an educated guess for an answer! If not,we can

steer you in the right direction with a good website to go to,

>

> Blessings and Peace,

>

> Atwood-Stack, Founder

> Alan , Web & List Editor

> Jack , Newsletter Editor

> Pat Bias, List Editor

> Ron Dotson, List Editor

> Orin, List Editor

> , List Editor

> and any others who help in any way (thank you!)

>

>

>

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Guest guest

I'm on 15 mg weekly of MTX and take Naproxen for pain. Both my GP (an internal

med dr.) and my rheumy stressed no alcohol at all if I want to avoid potential

liver problems. Incidents of liver problems while taking MTX, even longterm, are

relatively rare, unless you also drink alcohol.

It ain't easy - I used to love my glass of merlot at night and now drink

non-alcoholic beer. But you get used to it and frankly, it isn't worth risking

longterm problems over.

adriane

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Guest guest

> I saw a few messages and questions here a few weeks ago around

taking

> alcohol while on MTX.

>

> I asked my doctor today and he mentioned that since my blood tests

> came back OK, one or 2 drinks a week are acceptable (I am on 15mg

> weekly).

Hi Frederic,

I'm on 10mg of MTX per week and my Rheumy told me in no uncertain

terms " NO Alcohol " . In the beginning I asked if small amounts are

possible. " NO " . He also said, that I could drink if I wanted to, but

It's my liver. Could I get another one? I should add that He also

said that from my regular blood tests he would NOT be able to tell if

I had been drinking. All that said, I have abstained since

starting MTX. I did " cheat " once, and had a drink. After thinking

about though, I realized that I wanted to get drunk. That certainly

would not happen with one drink, so why have even one? I was never an

alcoholic, but there were times that I had too much. I have several

friends in AA and I recognize that drinking to get drunk is, at

least,a warning sign. Interestingly, some of our european &

austrailian list readers have reported that some of their doctors, do

not advise against alcohol.

I would advise no drinking, after all, How easy will it be for you to

get a new liver?

Stay Well,

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My husband's family is having a really hard time dealing with the fact that he

cannot (will not) drink anymore. He is on Arava and MTX. They don't

understand. One sister in particular keeps telling him to get a second opinion,

and that she would never take anything that wouldn't allow her to drink. Let me

see - drinking - walking. Tough choice isn't it.

Re: Re: [ ] MTX and alcohol

I'm on 15 mg weekly of MTX and take Naproxen for pain. Both my GP (an internal

med dr.) and my rheumy stressed no alcohol at all if I want to avoid potential

liver problems. Incidents of liver problems while taking MTX, even longterm, are

relatively rare, unless you also drink alcohol.

It ain't easy - I used to love my glass of merlot at night and now drink

non-alcoholic beer. But you get used to it and frankly, it isn't worth risking

longterm problems over.

adriane

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In a message dated 6/11/2003 6:34:54 PM Eastern Daylight Time,

JENISMER@... writes:

> . He is on Arava and MTX. They don't understand. One sister in

> particular keeps telling him to get a second opinion, and that she would never

take

> anything that wouldn't allow her to drink. Let me see - drinking - walking.

> Tough choice isn't it.

>

LOL. That's a no brainer for me. I would give up a drink anytime, any day

to not have pain while walking.

Janet

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" Jeni I come from a large family of social drinkers - myself included - and,

like my rheumy says, if I was 90 years old it would be another story. "

He has tried na beer, but has a bad attitude about it. He always says that if

he can't get a buzz, what's the point. He has always been a social drinker

also. When he was in the military he drank a lot more. (I mean a lot more)

But, he has resigned himself to the fact that this is his life now, and it's

okay.

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Guest guest

I should clarify - when he was only on MTX, his rheumy said 1-3 drinks a month

was fine, but now with all his other meds, he said no more. The combination of

drugs in itself is tough for the liver, then add alcohol and it could cause more

problems. He really does miss it though. He does sneak a half glass of wine on

occasion. (Riesling is my favorite :-)

I drink a glass of Reisling all the time.

I have been on MTX for over 1.5 years.

BUT....... We are all different.

Thanks,

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  • 1 year later...

Hi Peggy,

The subject of MTX & alcohol has been widely discussed in previous

posts.

Some docs say ZERO alcohol, others allow some beer or wine.

What my rheumatologist told me was NO alcohol. I've been on MTX for

about 2.5 years. Yes, I have cheated on a few occaisions with a

glass of wine. I told my rheumy. His response was that an

occaisional cheat most likely would cause no harm, but regular

use/abuse would certainly take it's toll. He also told me that the

regular blood tests I have done might not show evidence of liver

problems. The regular tests are a first line of monitoring. A liver

biopsy is the next level. Luckily my rheumy & I speak quite candidly.

He said that if he suspected I was using more alcohol than an

infrequent glass of wine, He would reccomend a biopsy. He also made

me aware that because the total amount of MTX I have now ingested is

over 1 gram, a biopsy is indeed indicated, but we both agreed that my

low dosage 10mg and almost zero alcohol consumption, makes me a low

risk for liver damage. So, we decided to wait a year and revisit the

question of a biopsy.

Your husband should not be drinking as much as he is, possibly not at

all. But If he chooses to drink, he should at least let his Rheumy

know how much or little he is drinking. There could be other factors

that could affect his health.

Obviously, there are choices we all need to make. I choose to not

drink 99% of the time. I often feel like the odd man out at social

outings. But, I don't want to take unnecessary chances with my

health. I've already been dealt a hard blow with PA, I don't need to

be dealing with adding my name to a liver transplant list.

It's wonderful that you care so much for husband, but it really needs

to be his choice. Regardless of his choice, he should be honest with

his rheumy.

Stay Well,

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Dear Peggy, You really have your hands full. I understand how your husband

feels right now. He is scared and he feels out of control from the pain and

the disease. It’s really hard to take if you have never been sick before.

He is hoping by drinking to numb his pain or at least block out the emotions

he is feeling from being ill.

Unfortunately, I have first hand experience with this. I was lucky the

disease skipped me personally, but my sister is a bad alcoholic. I’ve dealt

with her problems for over 30 years and watched her go from a wonderful

active beautiful person, to a mean lying alcoholic. I still love her, but I

hate her behavior. If your husband’s behavior has only been going on for

about 6 months, then hopefully he will realize soon how he is not only

hurting himself, but you as well. Have you discussed this with him yet? It

is really hard to get them to admit there is a problem. There are a couple

of things you can do. You can confront him with other family members and

tell him you are all upset and care about what he is doing to himself.

(These aren’t easy to do, but they do work for a lot of people.) Or for

your own piece of mind, you could go to Alanon, which is for family members

of alcoholics.

I realize that even the word alcoholic is hard to accept and a lot of times

it’s hard for family members to even accept it. You have to realize that he

is really endangering his health. Mixing alcohol with the medication he is

taking is not only dangerous it could kill him. Please believe me that I’m

not an “anti-drinking” person. I had my days in college like almost

everyone else, and until I got sick and went on my medication, I still had

an occasional drink with my husband at dinner or a party. If you read any

of the medical warnings on the drugs he is taking, almost all of them warn

against use with alcohol. If you feel like you have tried to get through to

him and it hasn’t helped, then try to go to Alanon yourself and they maybe

able to help you deal with the problem and provide you with some answers on

how to help him. I know it’s frustrating to think you have to be the one to

go to a “meeting” when there is nothing wrong with you, but just living with

a alcoholic regardless of what the reason for drinking, is hard and very

stressful on anyone. Don ‘t give up if the first meeting you go to, doesn’

t help. Sometimes it takes awhile to find a group you feel comfortable with

or one that seems to have similar problems like yours. You realize real

quickly at one of these meetings that you aren’t alone and many many people

suffer indirectly from alcohol.

My guess on his first blood test, he was just lucky. I’m sure if his doctor

knew he was mixing his medication with alcohol he would have a fit and

insist he stop. I can guarantee you that if he keeps it up; it has to

affect him physically in the long run. It’s probably because he never had

this problem before that he is doing so well right now. The sooner you can

get him to stop the easier it will be. I know that sounds too simple, but

the longer they drink the harder it is to stop. (At least that’s been my

experience.)

Peggy, I’m not trying to scare you, but I’ve gone through this and it can be

hell on you. If you could get him to a good psychologist that might help as

well, if he has problems with the term “alcoholic”. I wish I could tell you

it would all just go away or you can ignore it and pray it will. It doesn’t

work that way; at least it never has for me. I think I’ve tried every kind

of excuse or different way of looking at my situation and it boils down to

nothing has helped. Until they want to help themselves you are only able to

deal with it the best you can. Alanon can at least give you some advice on

how to not make it worse.

You can write me directly any time at fran@...

<mailto:fran@...> . I’ll just say one more thing and then I’ll get

off my soapbox..lol. Your husband is really lucky to have you on his side.

That will help him more than anything else and it sounds like he is really a

nice guy. I hope he can get some help and realize he can’t hide from this

disease. Believe me we all try to do that in one way or another when we

first find out we have PA. It is scary and life can seem uncertain. Maybe

getting him to join this group would help and he will see that people worse

off than him can cope with PA and are leading “happy” lives. Good luck and

I hope this helps in some little way. Take care and let me know if I can do

anything else. Love, Fran

[ ] MTX and Alcohol

Hi,

I've been a lurker for a few weeks now. I was lurking on the RA

group for about 6 months, when my husband's diagnosis was recently

changed to PA. His rheumy assured us the treatments were the same,

just subtle nuances in the symptoms lead him to the change. He's on

25 mg weekly of MTX, and bi-weekly Humira, folic acid, along with

intermittent Indomethacin; as well, aciphex and alluporinal(for

gout). The history is I'm sure like many of you - twisted, until the

final diagnosis. He had a flare 3 years ago that was diagnosed as an

allergic reaction to medication. We now know it was this all along.

Last fall was a blur to us. Here's this very healthy, very vibrant

and active 57 yr old guy, suddenly incapacitated. He was out of work

for 3 1/2 months, at times on 80mg pred, all of us scared to death

about what was going on...

Any way, I digress from what the main topic is. Once this all set

in, he was good about diet and alcohol. Total abstinence. Then, as

months progessed, he added back in a few drinks here and there. Now,

it's to an excess. Five to eight drinks per night is the norm. I try

to reason with him, but honestly, it's hard. I don't have to tell

you how insidious this disease is. I was holding my breath till his

last rheumy appt - and as awful as this sounds, hoping his bloodwork

was off. Maybe that would make him cut back. Good news or bad news,

his rheumy tells him his bloodwork has never looked better. I wanted

to hug him and hit him (his rheumy)at the same time. I was so happy

that we finally had some good news, but I'm concerned because I know

(and my husband does too) that MTX and alcohol don't mix. I don't

blame him - this disease sucks.

Have any of you experienced this? Do you drink alcohol? In what

quantities? Can the alcohol still be doing damage even if the tests

show everything's okay?

Thank you for being there to listen.

PD = concerned, but not judgemental wife.

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Hi Peggy,

Alcoholism is a disease. It is a disease that kills. I know you know that your

husband is an alcoholic. It is not judging an alcoholic to say that sooner or

later his disease will destroy him. Before it destroys him, it will destroy

your entire family. Addictions must not be judged, but they MUST be treated or

they will do irreparable harm. One blood test proves nothing. Take just one

cup of liquor and pour it onto your dining room table. It will eat the wood.

Imagine how it is eating your husband's stomach, liver and kidneys.

Please don't turn a blind eye while he kills himself with booze. Al Anon and

many other service agencies can help you figure out what to do. This is not

about PA and how many drinks one can mix with MTX. It is about your husband

being an alcoholic. He can beat this disease, but he needs your help. Not

judging him is an important step but there are many other steps that you must

now take to help him.

My thoughts and prayers are with you as you face this very difficult disease.

Kathy F.

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Hi Peggy,

As others have written, you'll have to work with your husband (and any

outside help you need) to try to tackle the alcoholism. As that is likely a

long-term project, I would suggest that until your husband is able to stop

drinking, you should talk with him and his doctor about stopping the

methotrexate. I don't know his history or why he's taking both MTX and

Humira, but it may be that Humira is doing the heavy lifting in stopping PA

and that the MTX won't be missed too much. Indomethacin can be harsh on the

liver too.

Good luck in a tough situation.

-

[ ] MTX and Alcohol

Hi,

I've been a lurker for a few weeks now. I was lurking on the RA

group for about 6 months, when my husband's diagnosis was recently

changed to PA. His rheumy assured us the treatments were the same,

just subtle nuances in the symptoms lead him to the change. He's on

25 mg weekly of MTX, and bi-weekly Humira, folic acid, along with

intermittent Indomethacin; as well, aciphex and alluporinal(for

gout). The history is I'm sure like many of you - twisted, until the

final diagnosis. He had a flare 3 years ago that was diagnosed as an

allergic reaction to medication. We now know it was this all along.

Last fall was a blur to us. Here's this very healthy, very vibrant

and active 57 yr old guy, suddenly incapacitated. He was out of work

for 3 1/2 months, at times on 80mg pred, all of us scared to death

about what was going on...

Any way, I digress from what the main topic is. Once this all set

in, he was good about diet and alcohol. Total abstinence. Then, as

months progessed, he added back in a few drinks here and there. Now,

it's to an excess. Five to eight drinks per night is the norm. I try

to reason with him, but honestly, it's hard. I don't have to tell

you how insidious this disease is. I was holding my breath till his

last rheumy appt - and as awful as this sounds, hoping his bloodwork

was off. Maybe that would make him cut back. Good news or bad news,

his rheumy tells him his bloodwork has never looked better. I wanted

to hug him and hit him (his rheumy)at the same time. I was so happy

that we finally had some good news, but I'm concerned because I know

(and my husband does too) that MTX and alcohol don't mix. I don't

blame him - this disease sucks.

Have any of you experienced this? Do you drink alcohol? In what

quantities? Can the alcohol still be doing damage even if the tests

show everything's okay?

Thank you for being there to listen.

PD = concerned, but not judgemental wife.

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Hi Peggy,

A belated welcome. Good to see you coming out of lurk mode. I read your mail

yesterday and saved it as I felt I was going to have to think about this

before answering. I have just read the latest posts and now see that the others

have already given you good replies so I don't really have anything that I can

add to those. I don't know about anyone else but I can fully understand how

your husband could get to the stage that he is currently at. We realise

though that going down that route is going to rebound on us eventually.

We all have our own ideas about whether or not we can take alcohol and if we

do take it, how much, but I reckon we all agree that what your husband is

taking is far too much.

I go out with my friends every three to five weeks and take something on

these occasions but keep it sensible. (I know some will think taking anything is

not sensible but as I said we all have different ways of looking at it)

Hope you can talk to him and get him to go and get some help. He is gambling

with his health at the moment. So far he seems to be winning but he could

lose in the end.

Keep in touch if you can. We are all behind you (and him) on this.

Take care,

.

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In a message dated 8/20/2004 2:03:11 PM Eastern Standard Time,

Pugnfriend@... writes:

Please don't turn a blind eye while he kills himself with booze. Al Anon

and many other service agencies can help you figure out what to do. This is

not about PA and how many drinks one can mix with MTX. It is about your

husband being an alcoholic.

I am happily married now 20 years for the second time. My first marriage

was to an alcoholic. I was young and naive and didn't realize the big problem

until we had a child. He was always drunk and verbally abusive and would

not go for help. Eventually I left when my daughter was 8 months old. He

never bothered with her and when she was 10, I got a call that he passed away

at

age 40. The drinking defininately must have killed him. Try and get help

and if not only for him then get it for yourself. Anytime you want to talk,

I am here.

Janet

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A specialist put me on MTX a few years ago. The same night I took my

first dose I went out and danced and drank all night. For the next

few weeks, while still taking the MTX, just having one drink made me

feel hung-over, because my liver just couldn't process the alcohol.

After the first blood test, they took me off the stuff.

At that time, I simply felt that stopping drinking was asking too

much. I was a very unhappy person (not much better now, to be honest)

and my hopes of a normal social life had been pretty much ruined by

my psoriasis. Drinking was one of the very few pleasures I had, and

these few pleasures were more important to me than a healthy person

could ever understand.

A few years later my drinking had gotten worse. I was not as bad as

some, and - fortunately or unfortunately - I had a friend who really

was a full-on alcoholic, who served as a helpful example. I found

myself drinking in the morning and realised, from my friend's

example, that I was at the edge of a slippery slope. I immediately

took myself in hand and cut back.

I only really cut down a couple of years ago, because it was

worsening an already-turbulent relationship I was in, and because,

getting as little sleep as I do, any substantial amount of alcohol

would almost make me pass out. I ended up teetotalling for a while,

with the occasional social drink for the sake of politeness. Somehow

I had found the maturity to live without regular drunkeness.

I would probably now be classified as a " casual drinker " . Sometimes I

have 1-2 drinks per week; sometimes I go through a period of regular

drinking, occasionally overdoing it (although these days " overdoing

it " means 4-5 drinks, not 8-9). During my teetotal phase I found that

it had no effect on my PA, so I don't have to worry about that,

although I understand for some people it's a crucial factor.

There are a few tricks that can help control drinking: avoid salty

snacks - they'll make you thirstier; start the occasion with a non-

alcoholic drink - it prevents you from rapid drinking due to thirst

or hunger; alternate hard and soft drinks. At home I dilute my white

wine 50:50 with water, so I don't have to be too stingy with my sips.

Sorry to have gone on so long, but I hope my story has given you some

insight. For most people, heavy drinking coincides with a stressful

life situation, and gradually evens out after things improve. Your

husband is understandably stressed, and drinking gives him comfort.

It does have negative effects, of course. He's VERY lucky not to have

liver damage, if he's taking MTX. Also, a large alcohol intake

reduces the body's ability to retain and use nutrients, which can

lower health over the long term.

I think you'll have to accept that your husband won't change his

drinking until he wants to, and that may take time. In the meantime,

perhaps all you can do is ask your husband to cut down. Eight drinks

a night is too much, but (according to the Australian Alcohol

Guidelines) up to four drinks per night is a low risk for an adult

male - except where medication and alcohol-affected diseases are

involved. He may well find that 4 or 5 drinks will do as well as 8 or

9, and he'll feel better for it the next morning.

I suspect that some others on this list might also have tales of

alcohol abuse brought on by the negative life effects of PA. (It

might be more of a shock for someone who's enjoyed good health for

most of their life.) Eventually, though, we have to adjust to our

situation and start addressing the problem at hand, which means meds

and a responsible diet.

Neil

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  • 4 years later...
Guest guest

Why would they be off-limits, Betsy?

Not an MD

On Wed, May 27, 2009 at 2:08 PM, Farchette

<eafarchette@...> wrote:

>

>

> Does anyone know if the non-alcohol beers are included as a no no when

> taking MTX???? I would LOVE to be able to have a cold " beer " on the beach!

>

> Betsy

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