A Long Overdue Idea Whose Time Has Come: Vitamin-Enriched Alcohol

With the pathophysiology of the dreaded COVID-19 (including Long COVID) now looking increasingly linked to nutritional deficiencies, including but not limited to thiamine (Vitamin B1), all while America is drowning in the bottom of a bottle, it underscores a fortiori the urgency of adding vitamins to alcoholic beverages.  Various foods are fortified with thiamine and other nutrients, but not alcohol despite it being one of the lowest-hanging fruit ways to prevent such a deficiency resulting in beriberi, "wet brain" (Wernicke-Korsakoff Syndrome), and likely a good chunk of what is being labeled as COVID-19 today.

(Of note, thiamine is, along with intravenous Vitamin C and a corticosteroid, in fact a key component of the time-tested MATH+ protocol for hospitalized patients from the Front Line COVID-19 Critical Care Alliance.  That combination was most likely inspired by a much older, pre-COVID protocol known as HAT therapy, often used for sepsis and septic shock.)

Americans seem to think that thiamine deficiency was eradicated long ago, but the truth is that it still exists to this very day, and not trivially either.  The average American in fact eats and drinks lots of thiamine blockers/depletors or anti-nutrients, such as sugar, refined carbohydrates, coffee, tea, some OTC and prescription drugs, and, of course, alcohol.  Especially now during the pandemic under varying degrees of panic, quarantine, isolation, and lockdown, with all the stress, anxiety, boredom, and gnawing loneliness they create.  Lack of sunlight exposure from staying indoors also adds Vitamin D deficiency to this mix.  And this ubiquitous "anxiety/isolation/vitamin deprivation syndrome", as vitamin guru Bill Sardi would call it, only worsens actual viral infections and can even in the absence of the virus cause "pseudo-infections" with rather similar symptoms as COVID, that can fool even the very best of physicians.

This is not the first time that beriberi, "the great masquerader", was confused with a viral infection, and certainly is not the first time it (and other nutritional deficiencies) increased susceptibility to and exacerbated an actual one either.  But if we really wanted to, we could ensure that it will be the last.

And the saddest thing about this situation is that (unlike a wild virus which is largely out of our control, despite illusions to the contrary) such vitamin deficiency is easily 100% preventable, yet it is still occurring due to politics and lack of empathy.

Thus, one of the lowest-hanging fruit measures to improve public health is to fortify alcoholic beverages with thiamine (Vitamin B1) and perhaps other vitamins known to be depleted by alcohol such as niacin (B3) and folate (B9).  This can be done very easily through targeted tax incentives for alcohol manufacturers to add such vitamins to their products.  Anti-alcohol advocates of course may not be the biggest fans of such an idea, since they lobbied against it back in the late 1970s when the idea was first floated.  (They tend to reflexively dislike and oppose anything that makes alcohol look even remotely good or healthy.)  But since they were strange bedfellows with the alcohol industry on this issue, it follows that using tax incentives to sweeten the deal for the industry, combined with some good old-fashioned ridicule for the opposition, would effectively triangulate the dry lobby's silly and paternalistic opposition to such a promising (and rather libertarian) public health measure.

Fortifying coffee, tea, and soft drinks with such B vitamins should also be next, and also joining Canada and the Nordic countries by fortifying various staple foods like flour and bread with Vitamin D as well. 

So what are we waiting for?  Let's dust off and put this 40+ year old idea to good use, yesterday!

ADDENDUM: TB or not TB? That is the question, since a good chunk of what is being labeled as COVID may actually be tuberculosis, and that was in fact suspected back in March if not earlier.  A highly contagious, airborne, nasty, and deadly bacterial lung infection, TB can quite easily be confused with an influenza or coronavirus infection, and millions of Americans are thought to have latent (dormant) TB right now (and before the pandemic), just waiting to be reactivated by nutritional deficiencies and the stress/isolation of lockdown.  Interestingly, the BCG vaccine against TB also seems to work well against COVID as well.  And the good news is that Vitamin D, along with Vitamin C, thiamine, and niacin, can apparently block that disease as well.