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Dr Mike Hunter's avatar

It is never too late to stop drinking alcohol, even in end-stage liver disease.

In advanced liver disease, abstaining from alcohol can reduce ongoing oxidative damage, stabilise metabolic pathways, and improve the efficacy of medical interventions. It may not reverse cirrhosis, but it can slow further deterioration, reduce complications, and enhance quality of life.

The body’s capacity for repair is remarkable and removing alcohol restores the biochemical conditions necessary for healing. In this context, choosing sobriety is not just a lifestyle change; it is a scientifically supported act of metabolic restoration.

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Kristen Deuel, MSc's avatar

Perfect conclusion to this article, Dr. Hunter. As always, your contributions are priceless. Thank you for the thoughtful comments here, and the message to all that it is truly never too late to stop drinking.

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Daniel Flora, MD's avatar

In my clinic and in my own life, I have learned that prevention works best when people feel supported, not judged. We can talk honestly about alcohol risk and still enjoy our lives, our friendships, and our celebrations without guilt.

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Kristen Deuel, MSc's avatar

Absolutely. No judgement here ☺️

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Dr. Chad Swanson's avatar

ER physician here. Yet another example of the importance of scientific literacy, critical thinking, and unlearning in health and medicine. Thank you.

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The Biological Imagination's avatar

Great writing, one drop of alcohol is enough to tip the balance of metabolism.

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Kevin Kirkpatrick MSc.'s avatar

Well said :)

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Pjbsully's avatar

I’m told that Jesus, on orders from his mother, turned water into wine.

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Kevin Kirkpatrick MSc.'s avatar

Absolutely. No moral judgment here. Lord knows I’ve enjoyed enough beer and wine and whiskey in my day. It’s just super bad for our livers and brains at almost any dose :)

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Barbara's avatar

I stopped drinking entirely six years ago. It’s been an enlightening journey…developing the skills to hold to my preferences under social pressure (the hardest part!), handling the discomfort of others (their problem not mine), finding ways to celebrate, relax or have fun without alcohol, and knowing with certainty that it’s never the alcohol speaking or acting. Although I serve it when I host (no judgment) I absolutely see it as toxic poison. I was barely even a moderate drinker but being a teetotaler makes a difference and my body thanks me every day for that choice. Most people, when they learn I don’t drink not due to alcoholism or for medical reasons state with certainty, “Oh I could never do that.” To experiment with something different requires an open mind.

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Pyrrho of Elis's avatar

everyone will die

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Kristen Deuel, MSc's avatar

Everyone will in fact die. That is indisputable. We have, however, the power of choice in how we show up in the life we have. When we choose gratitude and happiness, sleep and rest, community and friendships, good food over fast food, our bodies have an opportunity to thrive. And it is in this physical state that we get to experience a high quality of life for a longer period of time instead of being riddled with illness and unable to participate in or enjoy the parts of life that bring us true joy.

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Pyrrho of Elis's avatar

Balance and moderation in all things in life - no need for extremes

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