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36M, heavy drinker averaging 12-20 drinks per night for the past 8 years. I get yearly bloodwork. Overweight, but more of a skinny fat type of deal

AST 23
ALT 37
Bilirubin 0.8
Albumin 4.8
Platelets 275K

My labs have remained at this level give or take? by all means i should have cirrhosis right? Only thing i can thing of is i take nac and a statin daily, and consume almost no sugar
>>
People are different fam. I can chuck down two bottles of whisky in one weekend and still function the next week. The hangovers came with my age so I've quit.
>>
You only get symptoms when ur about to die
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>>950064599
What’s your resting heart rate and blood pressure
Heavy breathing?
>>
>>950064599
What a helpful chart

I'll just take a peek at my liver and see where we're at here
>>
>>950064768
like 70, 130/90 ish on average, no
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>>950064735
i have heard this, but why is the fib-4 formula considered highly sensitive for ruling out cirrhosis? im really just confused on all of it tbh
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>>950064722
sure... but this doesnt mean you're escaping liver damage by any means
>>
>>950064599
I've been downing similar for about 6 years. Funny enough, I'm 36, drinking same amounts per night (just finished a 12 pack last night), and in a similar boat to you.
1) liver damage has basically no symptoms until liver failure. You can kill 80% of your liver with no elevated enzymes or symptoms.
2) as mentioned, people are different. Some people get liver failure after a 6 pack/night for a year. Some can drink from 13 years old every day onwards and just exist.
3) it will catch up to you. When labs change, it's usually closer to end-stage. You won't just die, but you do go from "I feel normal" to "my eyes are yellow" overnight, randomly.
>>
>>950064599
It is because you are 36. Life will be very different when you are 46.
>>
>>950065106
are you a medfag? i have read heard labs can be completely normal, but its unusual "especially blood platelets". it sounds like you're talking more about severe acute alcoholic hepatitis
>>
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Good by gay earth
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>>950065176
if i slow down now, is there hope?
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>>950065216
meh... looks like mild alcoholic hepatitis. the bilirubin is too low for it to be severe
>>
>>950065244
Hope so. This was taken post an alcohol withdrawal seizure at er. Thanks for the info
>>
>>950064599
warranty period on your body hasn't expired yet
>>
>>950065300
if it was severe, you wouldnt be on 4chan right now
>>
>>950065300
curious.. did you try to quit cold, or did it just happen? its 100% hepatitis, but if it were going to immediately kill you, i suspect your bilirubin would be much higher
>>
>>950064599
hi anon.
I was like you, not quite as bad but I was getting there.
I got fed up with being overweight from the drinking, plus being broke, always feeling shitty and tired and knowing I was slowly killing myself.
I took a week off work, bought an 1/8th of weed and quit cold turkey.
spent the week high playing vidya to take my mind off of drinking.

Its changed my life for the better and now I'm able to enjoy like 1 pint out every few months.

quit. it sucks, especially if your withdrawals are bad, but its worth it.
not to mention non-alcoholic beer is actually fairly good now and doesnt taste like toilet water like it used to.
>>
>>950065220
Yes. Quitting drinking now will still be better for your liver than just continuing.
>>
>>950065651
see the probably with weed for me, it just makes me horny, tired, anxious (sometimes panic attacks) and hungry... i have tried 100's of different kinds... all the same. I have cut back a few days, i get severe night sweats, bad nightmares, and insominia... but that seems to be the extent.. i actually start to feel better after 2 days. for whatever reason though alcohol is a major upper for me, and gives me great euphoria, so it doesnt last long. One thing i can say is i have and only ever drink at night, so for that reason i have been trying to get an overnight shift at my work, something about drinking during the day seems just so unappealing to me, i think it would actually help me
>>
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978 KB WEBM
>>950065731
Yeah weed just does that to some people, but if it helps you quit its worth it.
>it just makes me horny, tired, anxious (sometimes panic attacks) and hungry
Thats what weed does.
>>
>>950065563
I was on a road trip and trying to taper. Went from at least half a bottle(probably more)/day to a shot per day.

Been drinking like this for years. Often on an empty stomach
>>
>>950065807
drinking on a empty stomach is a loaded gun, if you don't mind sharing your age, and how long and how much you have been at it. i would appreciate it? like i said im no dr but if you had life threating hepatitis; you wouldn't be talking to me right now. you do have hepatitis for sure, and i wouldn't be surprised by a cirrhosis diagnosis anon. thx for your time
>>
>>950065731
>One thing i can say is i have and only ever drink at night
Thats good, at least you have boundaries
If you dont mind me asking, what do you 'do' when you drink?
If you're saying stuff like
>i have been trying to get an overnight shift at my work, something about drinking during the day seems just so unappealing to me, i think it would actually help me
...it might partially be just a need to keep your hands busy.

>I have cut back a few days, i get severe night sweats, bad nightmares, and insominia... but that seems to be the extent.. i actually start to feel better after 2 days.
Yeah alcohol withdrawals are annoying but you get over them pretty quickly. You'll feel shitty for 2 to 3 days and crave carbs like you wont believe, then randomly you'll wake up one morning feeling really refreshed.

>alcohol is a major upper for me, and gives me great euphoria, so it doesnt last long.
Yeah thats how it gets you.

Seriously, give non-alcoholic beer a go. Even if you're having like... 1 regular beer, 1 non-alc back and forth to help you quit.
Most non-alc beer is like 0.1% or 0.5%. Enough to keep your withdrawals happy but not enough that you'll ever actually feel anything.
Soda water helps a lot too.

Quitting drinking sucks ass I wont lie, but you just have to push your way through.
One day 6 or 12 months later you'll look back on it and you'll feel ridiculous at yourself for being a bitch to liquid and feel glad you quit.
>>
>>950064599
It comes like an avalanche. First they start taking stuff like your gallbladder..
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>>950065780
then where does the relaxing and playing vidya part come in?
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>>950065890
Keeps you busy and not thinking about alcohol.
>>
>>950065879
video games and youtube, im a loner, so you're saying mix NA's in with regulars?
>>950065883
so it all burns down at once? no blood labs would give me a warning?
>>
>>950065883
gallbladder is perfect, i think a zero sugar diet, and some stuff like nac and milk thistle and a statin has helped me at least
>>
>>950065905
but when im high on weed, all i want to do is jerk off and sleep. i actually dont like the feeling at all most of the time. am i smoking to much?
>>
>>950066039
>am i smoking to much?
Probably. Most people have way too much too often.
I ended up getting medical and they "prescribe" me 20g a month. I make it last almost 6 months.
But hell, if jerking off and sleeping stops you from drinking its a win-win.
>>
>>950066054
i usually torch a pretty packed bowl of 29-32% stuff, im not a very experienced smoker. i heard i need sativa for what i want, which is focus, and playing vidya.. but i have never really noticed a difference between indica. sativa does induce anxiety a bit more me
>>
>>950065865
I’m mid 30 and unsure of how long I’ve been drinking. 5-10 years with increasing intensity.

I’ll give it my best not to doom post if it turns out I’m dying lol.
>>
>>950066054
also, i use a bong as my primary method; because the hot smoke kills my throat. dont know how much that matters
>>
>>950064865
>he doesn't have eyes growing inside his abdomen
>>
>>950066161
thx for answering. if you dont mind whats your race, type of alcohol you where consuming "beer/liquor" . Any family history of liver problems, autoimmune disorders, ect
>>
>>950065780
damn nigga
>>
The rate of progression varies, but at that quantity it will catch up to you eventually.
>>
FYI death from alcohol-induced liver failure is a very unpleasant way to go. And slow. Ammonia levels build in the bloodstream making you loopy as fuck and you'll be shitting your brains out the whole time while cakey yellow shit literally seeps from your skin and eyes.
>>
One other FYI: especially heavy drinkers should not quit cold turkey. It can kill you. Taper down over time.
>>
>>950066268
but if you're loopy asf; would you not have any idea whats going on?
>>
>>950066324
most dying people in t he us, are basically od'd on morphine, to ease pain and awareness
>>
>>950066324
You might not know your name, but you do feel all of the pain and misery.
>>
>>950066364
how do you know? have you been in this position? serious question, not a gotcha troll
>>
>>950066353
Only if they get put on comfort care measures by the POA for healthcare/decision maker. And even then it's less OD than titrate for effect.
>>950066384
ICU RN. Managing withdrawing severe alcoholics and end stage liver failure patients are a regular part of my job.



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