Interaction databaseSupplement × SupplementReviewed May 2026

Alcohol and Vitamin B1, a conflict.

Chronic alcohol intake depletes thiamine (B1) and impairs its absorption and activation, raising the risk of Wernicke encephalopathy and Korsakoff syndrome.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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What the row says.

Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.

At a glance

Substances
Alcohol and Vitamin B1
Pair type
Conflict
Evidence (highest tier)
Strong
Source citations
2 sources
Stack Score effect
−10 to your Stack Score (per scored conflict row).
Scope
Supplement × Supplement
Last verified
May 30, 2026

Conflict · Strong evidence

Conflict

What is happening. Chronic alcohol intake depletes thiamine (B1) and impairs its absorption and activation, raising the risk of Wernicke encephalopathy and Korsakoff syndrome.

Mechanism. Alcohol reduces active transport of thiamine across the intestinal mucosa and inhibits hepatic conversion of thiamine to its active coenzyme thiamine pyrophosphate, while increasing urinary thiamine loss.

Recommendation. Do not treat alcohol use as safe. If alcohol is consumed regularly, arrange thiamine repletion under medical supervision, and seek medical advice for any neurological symptoms.

Sources (2)
  1. Thomson AD et al. The natural history and pathophysiology of Wernicke's Encephalopathy and Korsakoff's Psychosis. Alcohol Alcohol. 2006;41(2):151-8. PMID 16384871
  2. Martin PR et al. The role of thiamine deficiency in alcoholic brain disease. Alcohol Res Health. 2003;27(2):134-42. PMID 15303623

Stack Score

How this pair moves the number.

Effect on the composite score

If both Alcohol and Vitamin B1 are in the same stack, this pair applies −10 to your Stack Score (per scored conflict row).

The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.

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