Alcohol and Tobacco: Hidden Inhibitors of Bone HealingThis article delves into the detrimental effects of alcohol and tobacco on bone healing, highlighting the complex biological processes undermined by these substances. Key stages of bone repair, including inflammation, cellular proliferation, callus formation, and bone remodeling, are negatively impacted by impaired blood flow and disrupted osteoblast function due to…This article delves into the detrimental effects of alcohol and tobacco on bone healing, highlighting the complex biological processes undermined by these substances. Key stages of bone repair, including inflammation, cellular proliferation, callus formation, and bone remodeling, are negatively impacted by impaired blood flow and disrupted osteoblast function due to alcohol and tobacco use. Alcohol inhibits bone formation, while tobacco restricts blood flow and increases infection risks. These habits can lead to prolonged recovery times, higher non-union risks, and compromised surgical outcomes. To support bone recovery, the article recommends cessation of these habits, along with multidisciplinary rehabilitation strategies such as physiotherapy and nutritional optimization. It emphasizes the importance of quitting smoking and reducing alcohol intake to enhance bone healing, underscoring the role of lifestyle modifications over supplements. Patients are urged to disclose alcohol and to