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Why hot toddies may do more harm than good when you’re sick

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There’s truth to the idea that parts of a hot toddy can ease cold symptoms. “Hot fluids, honey and a little bit of lemon can be very therapeutic,” says Bracamonte.

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For generations, the hot toddy, made with whisky, honey, lemon and hot water—has been a go-to remedy for colds.

Its warmth and soothing flavors certainly sound more appealing than plain old broth. But does it actually help? Experts weigh in.

What doctors really think about hot toddies

While hot toddies come up often in conversations with patients, medical professionals aren’t quick to recommend them.

Dr Jesse Bracamonte, a family physician at the Mayo Clinic in Phoenix, warns: “I would never recommend having alcohol with any illness.”

Some ingredients do help, just not the whisky

There’s truth to the idea that parts of a hot toddy can ease cold symptoms. “Hot fluids, honey and a little bit of lemon can be very therapeutic,” says Bracamonte.

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But the alcohol? That’s where the benefits end, and the risks begin.

Alcohol and cold medicine don’t mix

Mixing alcohol with over-the-counter cold meds, especially those that cause drowsiness like Benadryl, can lead to excessive sedation.

This increases the risk of falls, overdose and dangerous drug interactions, especially in people over 65.

Alcohol weakens your immune system

When you’re sick, your immune system needs to be at full strength. But alcohol can compromise its function and slow your recovery.

“Alcohol may also weaken the immune system and slow down healing,” warns Bracamonte.

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Dehydration: the silent cold symptom

Colds already dry you out. Adding alcohol only makes it worse. “The last thing you want to do when you have a cold is get dehydrated,” says Joan Blake, a registered dietitian at Boston University.

Think of it like pouring water into a bucket with a hole.

Drinking on an empty stomach can cause dizziness

When you’re sick, your appetite often disappears. Drinking alcohol without food can cause a drop in blood sugar, leading to dizziness or even fainting.

This is especially risky for people with diabetes or prediabetes.

A hot toddy without alcohol? Now you’re talking

Remove the whisky, and a hot toddy becomes a helpful drink. Lemon offers vitamin C, which supports immune health.

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Though you’d need more than one lemon’s worth to see major effects, every little bit helps.

Honey: nature’s cough suppressant

Research shows honey can ease coughing and throat irritation. “A little bit of honey for a cough goes a long way,” says Bracamonte.

Plus, the small sugar boost gives your body a bit of energy when you’re not eating much.

Don’t underestimate the power of hot water

Hydration is one of the best things you can do when you’re sick. Hot water soothes your throat, loosens mucus and keeps your body functioning.

It’s simple, cheap, and arguably more helpful than any fancy remedy.

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Want a better drink? Try this

For a cold-fighting twist, swap out the whisky for warm apple cider and add ginger for its anti-inflammatory effects.

Blake suggests this version offers the comfort of a hot toddy without the downsides of alcohol.

Fuel your body with food, even if you’re not hungry

Even if your appetite’s low, it’s important to eat something. Gatorade or similar drinks can help replenish sugar and electrolytes.

Chicken noodle soup, rich in fluids and nutrients, is another time-tested option.

Rest, hydrate, repeat, and know when to call the doctor

The best medicine for a cold is still the basics: plenty of fluids, good food, and lots of rest. Most colds clear up within a week.

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If symptoms linger or you’re struggling to breathe, it’s time to see a doctor.

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