Gmel et al. [1] deserve recognition for raising a key issue that tends to be forgotten. The fact that alcohol is a drug, the effects of which are mainly deletereous to human health, does not preclude us from analysing how different drinking patterns may produce different types of harm.
Clinicians have known for many years that daily heavy drinkers tend to present with a series of chronic physical diseases, while heavy episodic drinkers are more prone
to present with higher levels of behavioural disturbances which often lead to traumas and injuries.
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