This is called alcoholic fatty liver disease, and is the first stage of ARLD. Fatty liver disease rarely causes any symptoms, but it's an important warning sign that you're drinking at a harmful level. Fatty liver disease is reversible. If you stop drinking alcohol for 2 weeks, your liver should return to normal.
If you have fatty liver disease, the damage may be reversed if you abstain from alcohol for a period of time (this could be months or years). After this point, it's usually safe to start drinking again if you stick to the NHS guidelines on alcohol units.
Because the liver is in a constant state of regeneration, in many cases the healing process can begin within just weeks after foregoing alcohol. This happens when the liver enlarges already existing healthy cells, and new cells begin to form in the area that has sustained damage or injury.
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.
The liver can develop new cells, but prolonged alcohol misuse (drinking too much) over many years can reduce its ability to regenerate.
Avoiding Alcohol
Therefore, patients with NAFLD should avoid alcohol entirely if possible. If you do not think you can completely stop drinking alcohol, it is important to minimize alcohol intake (less than 2 drinks per day for men and 1 drink per day for women).
After two weeks off alcohol, you will continue to reap the benefits of better sleep and hydration. As alcohol is an irritant to the stomach lining, after a fortnight you will also see a reduction in symptoms such as reflux where the stomach acid burns your throat.
5 Weeks Without Alcohol
Your skin will improve. Drinking causes dehydration due to alcohol binding to your body's protein that helps reabsorb water back into the body. This means you urinate excess water while you're drinking, which typically would have been retained by your body to stay hydrated.
Blood pressure, diabetes and cholesterol
If you've got high blood pressure, there's a good chance it'll start to come down by the end of your challenge. Research has found that just four weeks without a drink can be enough to start lowering both blood pressure and heart rate.
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.
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.
Overall benefits of three weeks without alcohol
Weight loss. Clear skin. More energy. Improved gym performance.
Around day 10, you might experience your first full night of quality sleep. You might realize you're having more dreams than you did before, and waking up feeling more rested and energized. If this doesn't happen for you at this time – don't worry. Everyone's recovery from alcohol looks different.
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).
Wine consumption was systematically associated with a decreased risk of elevated aminotransferase levels, whereas modest beer or liquor drinking had no positive effect. Also mixed drinking was associated with reduced risk of NAFLD (OR 0.62; 95% CI 0.41–0.92).
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.
Increase physical activity by doing cardio and strength training exercises like weightlifting - these can increase basal metabolism to reduce the fat deposits.
Blood tests used to assess the liver are known as liver function tests. But liver function tests can be normal at many stages of liver disease. Blood tests can also detect if you have low levels of certain substances, such as a protein called serum albumin, which is made by the liver.