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If you get a disease that you wouldn’t have gotten had you not consumed alcohol, then the alcohol consumption is the root cause of your disease. The study found 61 diseases for which this is the case for different people

As I said, the root cause of many people’s heart stopping has been a bullet passing through it - those people’s hearts wouldn’t have otherwise developed massive holes and would have gone on ticking had it not been for the bullet - but that doesn’t mean that bullets piercing hearts is the exclusive reason that hearts stop.

I’m not sure if the point you’re trying to make is that not everyone who consumes alcohol gets these diseases or that alcohol consumption isn’t the only cause of these diseases. Both of those statements are correct but neither are contrary to the study’s conclusion.

By that logic, is it silly to say that the root issue of someone’s heart stopping was the bullet that passed through it, because a knife through the heart was the root issue that caused someone else’s heart to stop?

There’s different ways to get dementia. Alcohol consumption is the root cause of one of them, as well as 61 other diseases. If you get dementia and they run tests, they might find that the root cause of your dementia is alcohol consumption. They might find it’s a different toxic substance you were exposed to, or they might find it was genetic. That’s the root cause of your dementia. The study and article obviously aren’t saying that alcohol is the root cause of everyone’s dementia, or the 61 other diseases it causes.

It is saying that someone who wouldn’t have otherwise dealt with dementia or 61 other diseases could get them purely due to alcohol consumption, making it the root cause of their disease.