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A 31-year-old male asked:

Does a normal liver biopsy rule out alcoholic liver disease?

3 doctor answers4 doctors weighed in
Dr. Lewis Hassell
Pathology 39 years experience
Liver biopsy: liver biopsy should be able to detect significant damage due to alcohol, virus, or other causes. Sometimes it can't differentiate the cause of damage but the sensitivity for inflammatory or toxic injury due to drugs like alcohol is very high. Be reassured.
Dr. Enrique Madrigal-segura
Psychiatry 54 years experience
Somehow: It might rule out fatty liver, cirrhosis and alcohol hepatitis. In terms of liver function blood tests, GGT (a liver enzyme) might detect early problem drinking, raising a red flag. There are many interventions and educational approaches for early intervention of problem drinking
Dr. Ed Friedlander
Pathology 44 years experience
Yes: At least at the present time. Elevated liver enzymes come and go rapidly if one is drinking intermittently. If there's any concern, or if you're generally an anxious kind of person, think about keeping your alcohol drinking to a minimum. I'm glad you are health-conscious and wish you the best.

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Last updated Jan 28, 2021

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