How quickly the liver can repair itself

Alcohol consumption and liver health is a fine balance. You don’t have to quit drinking completely, but you should understand its impact and how to protect your liver.

Alcohol affects men and women differently

Men typically metabolize alcohol faster due to higher concentrations of the enzyme dehydrogenase.

“When alcohol, or ethanol, reaches the liver, the cells of the liver have enzymes that help with the digestion and processing of alcohol,” explains Lance Stein, M.D., a transplant hepatologist at Piedmont Transplant. “When alcohol then reaches the blood, that’s when you feel the effects of alcohol.”

How the body processes alcohol

There is no denying alcohol is a toxin to the liver, Dr. Stein says.

“As the liver is processing alcohol, it can damage the liver’s enzymes, which can lead to cell death,” he says. “As with any damage to any cell of any organ, there is always a process of healing.”

The liver’s healing process

One of the most incredible facts about the liver is that it is self-healing, just like your skin. For example, a cut forms a scab as it heals and may leave a scar.

The same process happens in the liver. As cells die, scar tissue develops. This is known as liver cirrhosis. If excessive alcohol use and scarring continue over time, eventually, the liver can become too scarred to function properly.

Some alcohol-related liver damage can be reversed if you stop drinking alcohol early enough in the disease process. The body may start healing within days, but severe alcohol-related damage can take months to improve.

In some cases, “if the damage to the liver has been long-term, it may not be reversible,” Dr. Stein warns.

How much alcohol is too much?

“It’s important to know what you’re drinking because when people mix their own drinks, they’re often using more than the recommended amount,” Dr. Stein says. “They think they’re drinking one drink, but they’re actually having two or three.”

One serving of alcohol looks like:

• 12 ounces of beer
• 5 to 6 ounces of wine
• 1.5 to 2 ounces of hard liquor

The bottom line is that moderate alcohol use should be acceptable, and you should not expect any long-term damage.

“People who drink more heavily should be concerned and should seek medical counseling for assessment of whether they need assistance with stopping alcohol use or if they have any damage as a result of long-term alcohol use," Dr. Stein says.

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