How to Have Fun Without Alcohol for Breast Cancer Risk Reduction

How I Celebrate and Have Fun Without Alcohol as a Breast Cancer Previvor

It’s not about restriction, but intention — and choosing vitality, energy, mental clarity, and showing up fully for the people I love.
How I Celebrate and Have Fun Without Alcohol as a Breast Cancer Previvor
Manuel Breva Colmeiro/Getty Images

Let’s talk about the elephant in the room: alcohol and cancer risk.

Most people know that smoking is a major risk factor for cancer — it’s linked to at least 20 types of cancer.

 But what many people, especially those in the cancer community, often don’t realize is that alcohol is also a group 1 carcinogen.

That means it’s in the same category as tobacco and asbestos. And the more you drink, the higher your risk is for developing seven types of cancer, including breast cancer, as well as over 200 diseases. Now that is an eye-opening fact!

After finding out about my BRCA1 mutation 10 years ago, I made a conscious effort to do everything in my control to reduce my risk of cancer. One of the biggest, most science-backed lifestyle shifts I made is intentionally not drinking alcohol.

Even less than one drink per day increases breast cancer risk in pre- and postmenopausal women.
— Simran Malhotra, MD

This wasn’t an easy journey. Alcohol is so engrained in our social lives, and saying no to that glass of wine can make you feel disconnected from the people you are spending time with.

But that's where cultivating an identity around “I don’t need to drink alcohol to have fun or connect with people” is super important. It won’t happen overnight, but you will eventually get there. And along the way, you will inspire others to join you on this sober-curious journey. It has been one of the more motivating parts of knowing I am not just reducing my own risk of cancer but also taking my friends and family with me.

The Evidence Linking Alcohol Consumption to Cancer

A large population-based study estimated that over 740,000 new cancer cases worldwide, including breast, liver, colorectal and esophageal cancers, were directly linked to alcohol consumption in 2020.

 That is 1 in every 25 cancer diagnoses. Once I read the research, it was very hard to unsee, especially when it comes to breast cancer risk. A meta-analysis published in 2024 found that even less than one drink per day increases breast cancer risk in pre- and postmenopausal women, suggesting that there really is no safe number of drinks.

So I made a choice to follow tips from the American Institute for Cancer Research and cultivate a sober-curious lifestyle over the past several years. I learned that I have way more fun without alcohol, I wake up energized instead of hungover, and I’m showing up as the kind of role model I want my kids to look up to.

Along the way, I’ve discovered something unexpected: delicious, enjoyable alcohol-free drinks that everyone wants to enjoy with me!

My Favorite Alcohol-Free Drinks

There are so many healthy alcohol-free alternatives to choose from. Fruit-infused mocktails, kombucha, alcohol-free beers, and sparkling teas are some of my favorites for everything from brunch to dinner parties to poolside days with friends. The best part is that these alternatives are hydrating, are rich in antioxidants, and have good-for-you compounds that help your gut, mental health, and metabolic health.

Here are some of my favorites:

  • Spindrift Half and Half This refreshing blend combines real brewed tea with lemon and bubbly without the added sugars.
  • Nixie Sparkling Water This is my latest obsession! The lime-ginger flavor feels like a party in your mouth.
  • Athletic Brewing This local company makes alcohol-free beers that taste like craft beer. I always have some in my fridge for hot summer days if my husband and I feel like having a cold beer.
  • Rise Kombucha Kombucha is a great gut-loving fun drink. Be sure to read the ingredients label as some of them can be packed with added sugars.

If you’d rather try something homemade, here is my simple framework for making a delicious and refreshing mocktail:

  • Choose a fruit (strawberries, raspberries, lime, orange).
  • Choose an herb (basil, mint).
  • Choose still or sparkling water (plain or flavored).
  • Get some ice.
  • Add maple syrup or honey if you want to add some sweetness (optional).
  • Muddle the fruit and herbs in a glass to bring out the juiciness and flavor. Add the water, sweetener (if using), and ice. Garnish with fresh herbs.

Living a lifestyle without drinking alcohol isn’t about restriction; it’s about intention. And cutting back on alcohol doesn’t mean you are missing out or being left out. If you truly do feel left out, it might be time to ask whether you are surrounding yourself with the right people.

I know that each time I choose an alcohol-free drink, I am choosing energy, mental clarity, quality sleep, lower inflammation, and vitality, and to show up fully as myself for the people I love.

So if you are on the same path as me, remember this: It’s not about what is in your glass that matters. It's about showing up as the best version of you. And trust me, your future self will thank you for it.

Important: The views and opinions expressed in this article are those of the author and not Everyday Health.

EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. Freedman ND et al. Tobacco Products: Massive and Still Growing Causes of Cancer Worldwide. World Cancer Report: Cancer Research for Cancer Prevention. 2020.
  2. Alcohol Use. World Health Organization. August 21, 2024.
  3. Rumgay H et al. Global burden of cancer in 2020 attributable to alcohol consumption: a population-based study. The Lancet Oncology. August 2021.
  4. Sohi I et al. Alcoholic beverage consumption and female breast cancer risk: A systematic review and meta‐analysis of prospective cohort studies. Alcohol, Clinical & Experimental Research. November 24, 2024.
lisa-d-curcio-bio

Lisa D. Curcio, MD, FACS

Medical Reviewer
Lisa Curcio, MD, is a board-certified general surgeon and a fellowship-trained surgical oncologist. She is currently the medical director of breast surgery at Northern Dutchess Hospital in Rhinebeck, New York. Dr. Curcio attended George Washington University Medical School in Washington, D.C., where she also completed a residency in general surgery. She was invited to fellowship training in cancer surgery at City of Hope National Medical Center in Duarte, California. She was the recipient of the competitive U.S. Air Force Health Professions Scholarship Program. During her military commitment, Dr. Curcio served in the military as chief surgical oncologist at Keesler Medical Center in Biloxi, Mississippi. 

From 2003 to 2004, she served as program director for Susan G. Komen in Orange County and remains involved with Komen outreach efforts. She was on the board of Kids Konnected, a nonprofit that helps children of cancer patients deal with the emotional fallout of a cancer diagnosis. Currently, she is on the board at Miles of Hope Breast Cancer Foundation, an organization dedicated to providing support services for people affected by breast cancer in New York's Hudson Valley. Dr. Curcio also has a strong background in breast cancer research, having contributed to dozens of peer-reviewed articles. She is currently a member of the Alpha Investigational Review Board.

Her practice includes benign and malignant breast diagnoses. Dr. Curcio was diagnosed with breast cancer at the age of 37. Although her fellowship training was in surgical oncology, this experience motivated her to provide compassionate, high level breast care and to focus on breast surgery.

Dr. Curcio is passionate about treating the patient and individualizing the care plan to their specific needs. Dr. Curcio strongly believes that cancer care must include lifestyle changes to focus on healthier habits to reduce future events. Her practice also focuses on breast cancer risk reduction, education, and access to genetic testing for patients with a family history of breast cancer.
Simran-Malhotra-bio

Simran Malhotra, MD

Author
Simran Malhotra, MD, DipABLM, CHWC, is a triple board-certified physician in internal medicine, hospice and palliative care, and lifestyle medicine, as well as a certified health and wellness coach. She is currently practicing part time as an inpatient palliative care physician at Medstar Health after serving as the palliative care medical director at Franklin Square Medical Center in Baltimore for a little over four years.

Dr. Malhotra completed her internal medicine residency at Medstar Franklin Square Medical Center, where she also served as chief resident in 2015. She completed her fellowship in hospice and palliative medicine at Johns Hopkins Hospital in 2016. She was named Top Doc in Palliative Medicine in 2019 and 2020 by Baltimore Magazine.

On a personal note, she is a BRCA1 previvor with a strong family history of breast and female reproductive cancers, and underwent a risk-reducing bilateral mastectomy and total hysterectomy in 2020 at 32 years old. After learning about her own genetic risk of cancer, and grounded in her professional experiences in palliative care, she founded Wellness By LifestyleMD, a platform where she works with and educates women at high risk for cancer with or without genetic mutations on the powerful impact that positive lifestyle changes can have on their quality of life and even longevity.

In addition to being a diplomate of the American College of Lifestyle Medicine, she completed the T. Colin Campbell plant-based nutrition certification in 2019, the CHEF culinary coaching certification in 2020, and the WellCoaches health and wellness coaching certification in 2022. She is a member of the ACLM women’s health member interest group and serves as the co-chair of the breast cancer subcommittee.

Malhotra has been featured on several blogs and podcasts, where she has shared her unique perspectives and experiences from palliative care as well as from being a genetic mutation carrier who is passionate about using lifestyle as medicine.