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In a June 2020 interview with Variety, Cyrus announced that she'd been "sober sober" for about six months. She initially gave up alcohol and other substances for vocal surgery, but decided to stick with it after realizing that her family has "a lot of addiction and mental health challenges."
Later, in a November 2020 interview with Apple Music, Cyrus admitted to "falling off" during the COVID pandemic. Cyrus said she is "not a moderation person" and once again decided to completely eliminate alcohol from her life. "I don't have a problem with drinking, I have a problem with the decisions I make once I go past that level . . . I become very impulsive," she explained.
In a June 2024 episode of "My Next Guest Needs No Introduction With David Letterman," Cyrus said she still leads a sober lifestyle, with the exception of an occasional hit from her mom's joint. "I will randomly take one small puff off my mom's joint, pretty much never because it's way too strong," she told Letterman. "The last time I smoked her weed was a couple weeks ago, and I did walk in and take the smallest puff ever and I couldn't drive for what felt like three days."