Culture of England ale and Burton ale, and has accordingly been described as "the national drink of England". Research in 2014 found that although "beer fans divide equally between ale and lager drinkers … classic bitter is still the favourite for ale drinkers". Cobra Beer is an Indian-style lager that was created in 1989 to be drunk with food, which is now brewed in Burton upon Trent and sold in almost all Indian restaurants. Cider and perry is produced in the West Country. Scrumpy refers to rough dry farmhouse cider. Shandy is beer mixed with a non-alcoholic drink, such as lemonade. Ginger beer
Alcoholic drink and fat oxidation. Ethanol is directly processed in the liver to acetyl CoA, the same intermediate product as in glucose metabolism. Because ethanol is mostly metabolized and consumed by the liver, chronic excessive use can lead to fatty liver. This leads to a chronic inflammation of the liver and eventually alcoholic liver disease. The average number of people who drink was 39% for males and 25% for females (2.4 billion people in total). Females on average drink 0.7 drinks per day while males drink 1.7 drinks per day. The rates of drinking varies significantly in different areas of the world.