Election offices in King, Skagit, Spokane and Pierce counties received envelopes containing powders. Local law enforcement officials said the substances in King and Spokane counties field-tested positive for fentanyl. In at least one other case, the substance was baking soda. After a year and a half, my medication ran out and I couldn’t get it…

When it comes to ethanol urine tests, there’s going to be a small lag as the body filters the alcohol from the blood into the bladder. Urine alcohol levels generally peak 45 to 60 minutes after alcohol ingestion. Whether or not someone has consumed alcohol recently can be determined with a variety of lab tests such as…

In 1990, Marlatt was introduced to the philosophy of harm reduction during a trip to the Netherlands (Marlatt, 1998). He adopted the language and framework of harm reduction in his own research, and in 1998 published a seminal book on harm reduction strategies for a range of substances and behaviors (Marlatt, 1998). Marlatt’s work inspired…

Your liver will choose to metabolize the alcohol over maintaining your blood glucose, which can lead to hypoglycemia. The liver often makes this choice when you drink without eating food—so consider snacking while you sip. Some alcoholic drinks are worse than others when you have type 2 diabetes. Certain types of alcohol are especially high…

Daily consumption of low to moderate amounts of alcohol has beneficial effects on cardiovascular health among both ischemic and non-ischemic patients[1-3]. In contrast, chronic and excessive alcohol consumption could lead to progressive cardiac dysfunction and heart failure (HF)[3]. Regional wall motion abnormalities are not uncommon, but they are usually less prominent than those observed in…