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How much drinking causes high MCV?

Published in Alcohol Biomarkers 2 mins read

High Mean Corpuscular Volume (MCV) can be indicative of excessive alcohol use, specifically around 60 grams of alcohol per day.

How Much Drinking Causes High MCV?

Mean Corpuscular Volume (MCV) is a measurement of the average size of red blood cells. When MCV is elevated, it often serves as a blood biomarker suggesting excessive alcohol consumption. Research indicates that a daily intake of approximately 60 grams of alcohol is associated with this elevation.

This level of alcohol consumption is considered excessive and can lead to a slight but noticeable increase in MCV. It's important to understand what 60 grams of alcohol translates to in terms of common alcoholic beverages:

Type of Beverage Approximate Volume for 1 Standard Drink (≈14g alcohol)* Equivalent for 60g Alcohol (Approx. 4-5 Standard Drinks)
Regular Beer (5% alcohol) 12 fl oz (355 ml) About 48-60 fl oz (4-5 cans/bottles)
Wine (12% alcohol) 5 fl oz (148 ml) About 20-25 fl oz (4-5 glasses)
Distilled Spirits (40% alcohol) 1.5 fl oz (44 ml) About 6-7.5 fl oz (4-5 shots)

*Standard drink sizes can vary slightly by region. The amounts listed above are based on common definitions of a standard drink containing about 14 grams of pure alcohol in the United States. For more information on what counts as a standard drink, refer to reliable health resources.

Persistence of Elevated MCV

One notable aspect of MCV as an alcohol biomarker is its persistence. Even after an individual ceases alcohol consumption, an elevated MCV can remain high for several months, typically about 2 to 4 months, despite abstinence. This characteristic makes MCV a useful indicator for assessing long-term heavy drinking patterns rather than just recent or acute intoxication.

Key Considerations

  • Indicator of Chronic Use: MCV elevation is generally associated with chronic, excessive alcohol use, not isolated instances of heavy drinking.
  • Subtle Elevation: While indicative, the elevation in MCV due to alcohol use can be slight. It is often considered alongside other clinical findings and biomarkers for a comprehensive assessment.
  • Not Exclusive: High MCV can also be caused by other medical conditions, such as vitamin B12 or folate deficiency, liver disease, or hypothyroidism. Therefore, it is one piece of information in a broader diagnostic picture.