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.
From the interaction database
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)
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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