Agave americana flavored with the very pungent mezcal worm. "Mezcal" and "tequila", although also produced from agave plants, are different from "pulque" in their technique for extracting the sugars from the heart of the plant, and in that they are distilled spirits. In "mezcal" and "tequila" production, the sugars are extracted from the "piñas" (or hearts) by heating them in ovens, rather than by collecting "aguamiel" from the plant's cut stalk. Thus, if one were to distill "pulque", it would not be a form of "mezcal", but rather a different drink. Agave nectar is marketed as a natural form of sugar with
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.