Which of the following symptoms is NOT typically associated with alcohol abuse?

To determine which symptom is not typically associated with alcohol abuse, it's important to understand how alcohol affects various body systems and the common medical conditions linked with chronic alcohol consumption.

Macrocytosis is an enlargement of red blood cells often seen in individuals with alcohol use disorder due to alcohol's suppression of red blood cell production and its effect on folate metabolism. Tremulousness, or shaking, is a common withdrawal symptom observed in those with alcohol dependency. Hypertension can also be an outcome of chronic alcohol abuse, with studies showing a correlation between excessive drinking and increased blood pressure.

Hyperlipidemia, on the other hand, is not a direct or commonly recognized consequence of alcohol abuse. While excessive alcohol consumption can alter lipid profiles, it does not consistently produce the same lipid abnormalities (such as hyperlipidemia) as a primary factor; rather, it can sometimes produce mixed results depending on the overall diet, lifestyle, and presence of other comorbid conditions. Therefore, hyperlipidemia is less frequently cited as a typical symptom related to alcohol abuse compared to macrocytosis, tremulousness, and hypertension.