I treat a lot of these... seems stupid subjective but would move alcohol way down at least below amphetamines/meth/cocaine lol wtf. I see an order of magnitude more meth cardiomyopathy than alcoholic cardiomyopathy (you have to drink a TON to mess up your heart).
Meth will also fuck up yo skin and teef so if you want to go hard go classy with cocaine like the hollywood actors and models do.