If you have fatty liver disease, the damage may be reversed if you abstain from alcohol for at least 2 weeks. After this point, it's usually safe to start drinking again if you stick to the NHS guidelines on alcohol consumption.
Myth 3: Drinking hard liquor is worse than drinking beer or wine. Contrary to popular belief, the type of alcohol you drink doesn't make a difference – what matters is how much you drink. "The safe limit is fixed at 14 units a week," explains Dr Lui. "Below this limit, alcoholic fatty liver is less likely to occur.
In the majority of patients fatty liver is a benign lesion which will reverse completely following abstinence from alcohol. Continued drinking is associated with the eventual development of cirrhosis in approximately 20% of individuals. Survival rates of 70% are reported both at 2 years and at 10 years.
About 20 percent of alcoholics and heavy drinkers develop fatty liver, or steatosis. In many cases there are no clinical symptoms except for an enlarged liver (hepatomegaly).
How long does it take to reverse a fatty liver? Healthcare providers recommend losing at least 3% to 5% of your body weight to begin to see results in your liver. (Current research suggests that even 1% weight loss may improve outcomes.) They also recommend that you aim to lose no more than 1 to 2 pounds per week.
Some imaging tests, including special ultrasound and MRI scans can help diagnose the disease and spot scar tissue in the liver. But the only way to be certain that fatty liver disease is the only cause of liver damage is with a liver biopsy. A liver biopsy involves getting a tissue sample of your liver with a needle.
Fatty liver was positively associated with obesity and negatively alcohol intake (light, OR 0.71, 95% CI 0.59–0.86; moderate, OR 0.55, CI 0.45–0.67; heavy, OR 0.44, CI 0.32–0.62). The frequency of alcohol consumption was more relevant than total amount.
According to the American Liver Foundation, there are no medical treatments – yet – for non-alcoholic fatty liver disease. So that means that eating a healthy diet and exercising regularly are the best ways to both prevent liver damage from starting or reverse liver disease once it's in the early stages.
Patients can live for many years with NAFLD, but many – about 30% – eventually end up with an inflamed liver or NASH (non-alcoholic steatohepatitis), and scarring. Of these, about 20% will develop end-stage cirrhosis, which can lead to liver failure and cancer.
It takes upwards of ten years for alcohol-related liver disease to progress from fatty liver through fibrosis to cirrhosis to acute on chronic liver failure. This process is silent and symptom free and can easily be missed in primary care, usually presenting with advanced cirrhosis.
An average period of 6 weeks to 2 months is an expected timeframe to recover from fatty liver disease.
Safe limits of alcohol consumption in NAFLD are usually defined as alcohol consumption of less than 210 g per week for men and 140 g per week for women (30 g/day in men, 20 g/day in women) and alcohol consumption below safe limits is generally regarded as moderate alcohol consumption.
It is estimated that alcohol-related fatty liver disease develops in 90% of people who drink more than 40g of alcohol (or four units) per day. That's roughly the equivalent of two medium (175ml) glasses of 12% ABV wine, or less than two pints of regular strength (4% ABV) beer.
Men and women should drink no more than 14 units per week. Give your liver a regular break and have 2 to 3 alcohol free days each week – try to have them all in a row.
Alcohol is a common cause of liver disease. However, some contexts link moderate red wine consumption to good liver health. According to a 2018 study , modest alcohol intake, particularly wine, is linked with lower liver fibrosis in people with nonalcoholic fatty liver disease.
Generally, symptoms of alcoholic liver disease include abdominal pain and tenderness, dry mouth and increased thirst, fatigue, jaundice (which is yellowing of the skin), loss of appetite, and nausea. Your skin may look abnormally dark or light. Your feet or hands may look red.
Evidence suggested that any level of alcohol consumption is associated with worsening of liver outcomes in NAFLD, even for drinking within recommended limits. Well conducted population based studies estimated up to a doubling of incident liver disease outcomes in patients with NAFLD drinking at moderate levels.
The good news is that fatty liver disease can be reversed—and even cured—if patients take action, including a 10% sustained loss in body weight.
Severe drinking may require three months to a year to fully regenerate the liver to its original capacity and functionality. Over time, the liver can heal itself from damages caused by alcoholic fatty liver disease and hepatitis. Unfortunately, when it comes to the scars of cirrhosis, these damages are irreversible.