Wine and Health: Dr. Pascal Terjanian’s Guide to Enjoying Wine Responsibly

Dr. Pascal Terjanian knows his way around a wine cellar, especially when it comes to the bottles from France, and Italy.His cellar holds an impressive range of bottles, from the robust reds of Tuscany and Bordeaux to the legendary Barolo wines of Alba. Ask him about a good vintage, and you might get a charming story about a bottle he’s saved for the “right moment”—a moment that, in his book, can be just about any occasion. But as a health professional, he’s not just here for the bouquet and finish; he’s intrigued by the science. Can wine really be good for you? And if so, what’s the actual limit before things go south?

With a laid-back but science-focused approach, Dr. Terjanian explores the latest research on wine and health. So pour a glass, settle in, and let’s dive into the facts (and myths) about wine’s impact on our well-being.


1. The Science of Wine and Heart Health

The notion that wine—particularly red wine—supports heart health is widely recognized, and recent studies back up this claim, particularly in moderate amounts. Here’s what the science says:

  • Resveratrol and Cardiovascular Benefits: Red wine is famously high in resveratrol, an antioxidant found in grape skins. According to research published in Nature Reviews Cardiology, resveratrol may help improve endothelial function, which supports healthy blood flow and reduces inflammation. Dr. Terjanian points out that wines from regions with thicker-skinned grapes, like those from Italy, often contain higher levels of resveratrol, potentially providing more benefits.
  • Polyphenols and Blood Pressure: Polyphenols, a group of compounds abundant in red wine, have been shown to have cardiovascular benefits, including lowering blood pressure. A study in The American Journal of Clinical Nutrition reported that regular, moderate wine consumption could reduce both systolic and diastolic blood pressure levels, although the effect varies widely. According to Dr. Terjanian, red wines from Bordeaux—known for their robust polyphenol content—are prime candidates for these effects when enjoyed responsibly.

2. Anti-Aging Potential: The Role of Antioxidants

For anyone curious about wine’s potential anti-aging benefits, Dr. Terjanian dives into the science with a few key findings:

  • Telomeres and Longevity: Telomeres, the protective caps at the ends of DNA strands, shorten as we age. Antioxidants found in wine, including flavonoids and resveratrol, have been shown in studies like those published in The Lancet to potentially slow down telomere shortening, thereby supporting cellular health and longevity. Dr. Terjanian points out that, while you’re unlikely to find the “fountain of youth” in a wine glass, moderate wine consumption may contribute to aging more gracefully at the cellular level.
  • Sirtuins and Caloric Restriction Mimicry: Resveratrol has also been found to activate proteins known as sirtuins, particularly SIRT1, which plays a role in cellular repair and longevity. Studies from Cell Metabolism suggest that resveratrol might mimic some effects of caloric restriction—a diet shown to support lifespan in animals. Dr. Terjanian cautions, however, that the concentration of resveratrol in wine is modest, and while it’s a nice idea, resveratrol supplements may be needed for any significant effect.

3. Gut Health and Polyphenols

Dr. Terjanian is a proponent of gut health, and the science behind wine’s role in supporting the microbiome is fascinating:

  • Prebiotic Effects: Polyphenols in red wine act as prebiotics, feeding the beneficial bacteria in the gut. A study in Gastroenterology observed that moderate wine consumption increases microbial diversity, which can improve gut health and reduce inflammation. Red wines, particularly those from Alba and Bordeaux, offer a broad range of polyphenols that act as fuel for beneficial bacteria, helping support a balanced microbiome.
  • Reduced Inflammatory Response: The same study found that red wine polyphenols might reduce intestinal inflammation, which is linked to many chronic diseases. Dr. Terjanian highlights this as a unique advantage of wine, though he underscores the importance of moderation to avoid alcohol’s potential inflammatory effects.

4. Risks of Excessive Wine Consumption

While wine has potential health benefits, Dr. Terjanian emphasizes the importance of respecting the limits. Here’s what happens when the line is crossed:

  • Increased Cancer Risk: Alcohol consumption, even in moderate amounts, has been linked to increased cancer risk. Studies in The American Journal of Public Health report that alcohol can increase the risk of cancers, including those of the breast and liver, by affecting DNA repair processes and estrogen levels. Dr. Terjanian advises wine lovers to consider family history and other risk factors carefully when deciding on their consumption level.
  • Liver Health and Cirrhosis: Alcohol is processed by the liver, and over time, excessive intake can lead to fatty liver disease, fibrosis, or cirrhosis. Research in Hepatology shows that while moderate intake poses minimal risk, daily consumption above recommended limits significantly raises liver disease risk. To balance enjoyment with liver health, Dr. Terjanian suggests taking breaks from alcohol to give the liver time to recover.

5. Practical Tips for Responsible Enjoyment

Dr. Terjanian isn’t here to tell you not to enjoy a glass of wine. In fact, he believes that mindful, informed enjoyment is part of a balanced life. Here are his top tips for making the most of your wine experience:

  • Choose Quality over Quantity: Higher-quality wines often contain fewer additives and have a purer, richer flavor profile. Wines from trusted regions like Tuscany and Bordeaux are more likely to be made with traditional methods, emphasizing natural flavors and the natural compounds that support health benefits.
  • Pair Wine with Food: Drinking wine with meals helps to slow down alcohol absorption and may enhance its health benefits. Mediterranean diets, which traditionally include moderate wine consumption with meals, are consistently associated with positive health outcomes, as found in studies in Nutrients. Dr. Terjanian encourages savoring wine as part of a balanced meal rather than drinking it on its own.
  • Hydrate and Alternate: To minimize dehydration, Dr. Terjanian recommends alternating sips of wine with water. This not only helps you pace yourself but also keeps you hydrated, reducing potential negative effects of alcohol.

Conclusion: Wine as Part of a Balanced Life

Dr. Pascal Terjanian sees wine as more than just a drink—it’s a tradition, a sensory experience, and, when enjoyed responsibly, a small way to add something special to life. For those who enjoy wine, understanding its science-backed health impacts adds an extra layer of appreciation.

While research suggests moderate wine consumption may support cardiovascular health, gut health, and even cellular longevity, Dr. Terjanian emphasizes that excessive drinking can counteract these benefits. By enjoying wine mindfully, focusing on quality, and staying within moderation, you can savor the flavors and potential health benefits of wine without compromising well-being.

So next time you raise a glass of your favorite vintage, take a moment to appreciate not only the flavor but the balance that Dr. Terjanian so thoughtfully embodies: a blend of pleasure, health, and science.


This combines a lighthearted opening with a thorough, research-based look at wine’s health impacts. Let me know if you’d like any more adjustments!