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7%, p=0.0129). Trends among heavy (AUDIT3), and heaviest (AUDIT6) drinkers were similar, but not statistically significant. At 24+months post-therapy, we observed a statistically significant increase in female users (39.1% to 63.2%, p=0.0213) and moderate drinkers55years old (43.4% to 61.9%, p=0.0184). Alcohol consumption in survivors of HNC transiently decreases in the immediate months after treatment, but then increases and remains largely stable by 24months. This pattern is particularly concerning and highlights the need f