In short
No amount is proven safe. Alcohol adds to the damage from fat, so less is better and none is best if there is scarring.
When metabolic risk and moderate drinking come together, doctors call it MetALD. The liver is hit from two sides and damage can be faster.
If you have advanced fibrosis or cirrhosis, stop alcohol completely. Be open with your doctor about how much you drink.
Related questions
Sources
- EASL–EASD–EASO Clinical Practice Guidelines on the management of MASLD. J Hepatol 2024;81:492–542. Link
- Rinella ME, et al. A multisociety Delphi consensus statement on new fatty liver disease nomenclature. J Hepatol 2023;79:1542–56. Link
Last updated 2026-10-03. Based on international and Saudi guidelines. Education only: it does not replace your doctor. Read the disclaimer.