This will help determine the extent of the damage and whether or not you need to abstain from alcohol completely to prevent further damage. Some recent guidelines suggest that fasting is not necessary before all cholesterol and triglyceride tests. The cookie is used to store the user consent for the cookies in the category "Performance". The other effects of alcohol metabolism on the components of blood are: Normal gluconeogenesis is disturbed due to conversion of pyruvic acid into lactic acid. Manage Settings This is because alcohol can thin your blood and make it harder for your body to clot. If the, are high, they'll be repeated after a time off. One is CYP2E1 (cytochromeP450 2E1) which works even if the person consumes more quantity of alcohol. It is important to note that if you donate blood, you will not be allowed to drink alcohol for 72 hours. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. woman 2.25 hours is required; for an 82 kg (180 lb.) Certain activities may compromise the parameters in the blood test. How long do you wait after drinking alcohol before having a full blood test? In one place. Pretty basic lab work, plus looking for any thyroid malfunctions. The United. How long after drinking alcohol should i wait before having cbc/platlet blood test? Hello doctor, How long should you not drink alcohol before a blood test Reddit? Alcohol is found at least in traces in the blood for many days after consumption. 12-72 hours after you stop drinking For some, more serious withdrawal symptoms will begin after 12-24 hours. Key Benefits of Using EtG test Include: Ideal for zero tolerance and abstinence situations Strong indicator of alcohol ingestion within the previous 3 to 4 days 6) Drink water. This article on Epainassist.com has been reviewed by a medical professional, as well as checked for facts, to assure the readers the best possible accuracy. 1992, 116, 881-887. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. If you already have heart disease, treatment to reduce your level of cholesterol can still reduce your chances of a first or repeat heart attack and lower your risk of death from heart disease. How long do I have to fast before having a physical exam? Other systems, like the immune system and the pancreas, may not be as able to heal damage. stopping alcohol consumption and managing the addiction can still stop the progression of the disease. However, if you have symptoms of a liver problem or a condition that affects your liver, you may require to have these tests more frequently. My tests are only during the . This website uses cookies to improve your experience while you navigate through the website. A blood alcohol test measures the percentage of alcohol in a sample of your blood. Symptoms could include seizures, hallucinations and a significant increase in heart rate and blood pressure. Can You Drink Alcohol Before a Blood Test? This is important to note as the alcohol remains in your blood from 24 to 48 hours. There is now medical agreement that drinking in moderation benefits cholesterol levels. high levels of total cholesterol, LDL, and triglycerides, low levels of total cholesterol LDL, and triglycerides, what you can do to work toward a normal value. Atherosclerosis And Plaque Is Made Up Of Cholesterol Weegy, USDA Dietary Guidelines Advisory Committee, How To Reduce Cholesterol Level In Human Body, High Cholesterol High Triglycerides High Ldl. It takes anywhere from 30 minutes to two hours after drinking the first sip of alcohol for it to get fully absorbed into our bloodstream. If youre worried about your liver health, the best thing to do is to talk to your doctor. After completing his doctoral studies, he decided to start "ScienceOxygen" as a way to share his passion for science with others and to provide an accessible and engaging resource for those interested in learning about the latest scientific discoveries. Consuming any form of alcohol before having your cholesterol tested will cause the overall results to be wrong. 30, No. Chewing gums can speed up the digestive enzymes, and studies have shown that even sugar-free chewing gums will adversely affect many parameters in the blood. To understand your cholesterol test results, youll need to know the different types of cholesterol that the test measures and whats considered normal, potentially risky, and high. These tests can be used to detect liver damage or disease, and they can also be used to monitor the progression of liver disease. Then it would be easier for the technician to take the blood. It can increase blood pressure and damage heart muscle . One of the best ways to stay healthy is to avoid alcohol and other drugs altogether. Much of the alcohol that flows into your system after tipping back a glass finds its way to your liver for a digestive after-party. Because we typically take blood to check your cholesterol, we ask that you fast for about 8 hours before a morning appointment. If you are scheduled to have a liver function test, you may wonder how long you must abstain from alcohol before the test. Many of them are dead, some for decades. How long should you stop drinking alcohol before a blood test? One drink could produce a positive EtG test but it would most likely require a couple things to be happening. It is suggested to have more fluids on the day before giving blood. | Talking Point | Full Episode, How Binge Drinking Effects Your Blood Vessels | Horizon | Earth Lab, Does Drinking Alcohol The Night Before Affect A Cholesterol Test, Is Cholesterol Hydrophilic Or Hydrophobic, they may be able to reverse much of the damage to their body. Liver function tests are essential tools that help doctors assess the health of your liver. The cookie is used to store the user consent for the cookies in the category "Analytics". Alcohol Research & Health, Vol. Some blood tests are to be done while fasting. It is vital to abstain from alcohol for at least 24 hours before a liver function test. In addition to fasting, alcohol should not be consumed for 72 hours prior to the time of your cholesterol test. What many people find surprising is that your body makes all the cholesterol that it needs. If you take a liver function test, you need to know how long it is safe to abstain from alcohol before the test. Different Kinds of Blood Tests Usually Ordered, Blood tests to know the risk of cardiac diseases, Analysis of enzymes and their function in the blood, Blood test to measure the number of RBC, WBC and platelets which is known as CBC or complete blood count. This is the main measurement used for alcohol consumption, and usefully makes it easy to calculate roughly how much alcohol is in your blood at any time. Here are some of the causes of high cholesterol: The liver produces almost all of the bodys cholesterol, per Harvard Health Publishing. Recommended Reading: Does Shrimp Have Good Cholesterol, 1Department of Internal Medicine, Meander Medical Center, Utrechtseweg 160, 3818 ES Amersfoort, The Netherlands. With 26 weeks of abstinence, levels generally decrease to within the normal reference range, with the halflife of GGT being 1426 days. By clicking Accept, you consent to the use of ALL the cookies. "Blood is roughly 50 percent water, and the water you drink hydrates your veins," he says. This condition restricts the flow of blood to other parts of your body, hardens your blood vessels, and can lead to serious heart conditions, including stroke and heart attack. Still, it can sometimes be detected for up to 80 hours after you end a drinking session. First, it is essential to stop drinking immediately. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. Copyright 2023, iCliniq - All Rights Reserved +91-99-432-70000+1 (844) 432-0202 (Toll free for US & Canada), Published on Jul 14, 2022 and last reviewed on Jan 23, 2023 If an individual requires an acute surgical procedure, their level of intoxication is documented by measuring the alcohol concentration in their blood prior to surgery. Cholesterol is a waxy, fat-like substance that is a natural component of all the cells in your body. Doctors want to know your drinking habits, because they play into your overall health and well-being both mental and physical. Depending on which tests you're having and how much alcohol you drank, the results may be affected. Your doctor may recommend a certain time period for fasting; however, the standard amount of time is about eight to 12 hours of no food before having blood drawn. The high ALT (alanine transaminase) and AST ( aspartate transaminase) do not indicate that you do have cirrhosis, but yes, it cannot be ruled out based on these tests. Begin typing your search term above and press enter to search. Signs and symptoms include sweating, rapid heartbeat, hand tremors, problems sleeping, nausea and vomiting, hallucinations, restlessness and agitation, anxiety, and occasionally seizures. More than a few were functional alcoholics, hard drinkers who always made it to work the next day. For example, you may need to abstain from alcohol for several months or even years if you have cirrhosis. The half-life of GGT (one of the liver enzymes) is typically 14-26 days. Red wine, in particular, might have the greatest effect on reducing heart disease risk and preventing deaths because it contains natural phytochemicals that have antioxidant properties and may protect arteries. Levels of liver enzymes typically rise after heavy alcohol intake that has continued for several weeks. This must be followed for all blood tests that require you to fast for 8 to 12 hours. Some tests require fasting for 8 to 10 hours, some 10 to 12 hours. Drinking too much alcohol can negatively affect your liver and lead to inflammation. There are other types of urine tests that can identify traces of alcohol byproducts for up to 72 hours after a person's last drink, but those tests have significant limitations. What Are the Activities to Be Avoided Before a Blood Test? This increases the concentration of fat in blood and also may be a risk factor of cardiac arrest. Alcohol detection tests can measure alcohol in the blood for up to 6 hours, on the breath for 12 to 24 hours, urine for 12 to 24 hours (72 or more hours with more advanced detection methods), saliva for 12 to 24 hours, and hair for up to 90 days. Read this article to get an insight into them. However, people who are having these tests should refrain from drinking alcohol for 24 hours before the test. It leads to acidosis and hypoglycemia. whether your blood count dropped by 0.5, or that your total white count is 0.5 (a much more serious issue)? However, they also apply to white wine, beer, and distilled spirits. According to the Red Cross, you have to wait at least 72 hours after drinking alcohol before donating blood. . Very impaired: .08-0.40 percent BAC. Usually, people choose to do blood tests first thing in the morning. )3 As the name itself indicates, the first enzyme breaks down alcohol into an aldehyde known as acetaldehyde. Hello doctor, The alanine transaminase (ALT) test is the most common liver function test. By clicking Accept All, you consent to the use of ALL the cookies. Vegetables. I have had such episodes for 25-30 minutes about seven to eigh Read Full, Homeopathy and Natural Supplements for Conception, Masturbation - Male Masturbation | Female Masturabtion | Myths | Side Effects | Preventive Measures, Shingles (Herpes Zoster): Symptoms, Vaccine, and Management, Avoid Blowing Your Nose When You Have a Cold, Gum Abscess - Causes | Symptoms | Treatments | Prevention. You should see a doctor if you experience any of the above symptoms. Studies have shown long-term effects of smoking on white blood cells and short-term effects on red blood cells. In the United States, you are considered to be legally intoxicated and prohibited from driving a vehicle if your blood alcohol content (BAC) is 0.08% or greater. During this reaction another compound called FAEEs (fatty acid ethyl esters) are formed which damages the pancreas and liver. , Does Wittenberg have a strong Pre-Health professions program? Necessary cookies are absolutely essential for the website to function properly. 2 They are ADH (alcohol dehydrogenase) and ALDH (aldehyde dehydrogenase. It can also cause dehydration and create imbalances of salts, ions and blood sugar, thus affecting your test results. Phosphatidylethanol (PEth), a biomarker that reflects alcohol intake, can be detected up to 14 days in urine. Afterwards, this acetate is broken down into carbon dioxide and water in all the other tissues4. How long should I fast before blood work? You will have higher levels of triglycerides and cholesterol in your blood if you drink alcohol. If this test shows that you have high cholesterol, you can start treatment to lower it and decrease your chances of heart disease. He also shares personal stories and insights from his own journey as a scientist and researcher. HDL makes it harder for the LDL to stick to the walls of your blood vessels and cause hardening of the arteries. And much like with food and other liquids, alcohol can raise your triglyceride levels, according to the Harvard Medical Center, which may also affect your LDL reading. Doctors typically provide answers within 24 hours. The three most common methods for testing BAC are breath, blood, and urine tests. Before knowing the effect of alcohol on the test results, it is important to know the metabolism of alcohol in the body. If you took a test immediately after having a drink, your liver wouldn't have had time to break down the alcohol into ethyl glucuronide yet, so the test would be negative. Due to insufficient liver function, cholesterol levels in the blood increase due to a failure to remove cholesterol from the blood. However, it usually has to be a significant amount of alcohol to result in any elevation of the liver enzymes. In the U.S., it is illegal to drive with a BAC of 0.08 percent or above. If your appointment is at 8 a.m. and youre told to fast for 8 hours, only water is OK after midnight. Other symptoms may include confusion, nausea, and drowsiness. Blood testing shows how much alcohol is . HDL is thought of as the good type of cholesterol because it carries cholesterol from your blood to your liver to be removed, which is good for your heart. Hence the patient is advised to stop drinking alcohol 24 hours before going to test. EtG alcohol testing is an essential tool for zero tolerance alcohol treatment programs and court ordered testing for alcohol. Since the blood test remains an essential component in healthcare, there are several things to consider before taking a blood test. Can't help wondering why you are taking the test. For potential or actual medical emergencies, immediately call 911 or your local emergency service. The alcohol the night before testing almost certainly made your kidney function appear worse than it is. How Long to Avoid Alcohol Before a Liver Test? Water and a cup of black coffee is fine if you usually drink it in the morning, though. I am a 28-year-old male. In many cases as police sometimes say alcohol . And if youre having a specialized liver function test called a liver biopsy, youll need not drink alcohol for at least 48 hours.Following your doctors instructions regarding abstinence from alcohol before a liver function test is essential. For each additional drink consumed, the same number of hours should pass. This causes the veins in your arm to fill with blood. The numbers in the parentheses (1, 2, 3) are clickable links to peer-reviewed scientific papers. An example of data being processed may be a unique identifier stored in a cookie. Finally, you need to take supplements that will help to protect your liver and repair the damage that has been done. These cookies track visitors across websites and collect information to provide customized ads. If you have chronic liver disease, you may need to abstain from alcohol for extended periods to prevent further damage to your liver. These symptoms may be accompanied by jaundice (yellowing of the skin and whites of the eyes), dark urine, and pale stool. If you are getting blood work done, its best to avoid alcohol consumption, especially for fasting blood tests. Carbohydrate deficient transferrin may How long should i stop drinking alcohol before i do a blood test to test ? Basically, there are two enzymes which are responsible for metabolism of alcohol. HDL is called good cholesterol because a high level of HDL in your blood reduces your risk. How long after drinking alcohol for clear blood test? Water is not avoided before a blood test. The cookies is used to store the user consent for the cookies in the category "Necessary". If you arent already taking cholesterol medications, it may not be necessary to fast. Low-fat dairy foods. Be Assured that Your Wellness Visit is Confidential. Test concerned. It may or may not affect your lab results, but I can say for certain Dr. Stuart Hickerson and another doctor agree. Alcohol can interfere with the test and cause erroneous results. These two things will help to improve your liver function and help to reverse the damage that has already been done. The liver filters toxins from the blood, and when it is damaged, these toxins build up in excess and can cause serious health problems. The values of blood cells, mineral content, enzymes, hormones, growth factors, etc., in the blood help, diagnose various medical conditions. However, timing plays a significant role in the accuracy of blood alcohol testing. 3) Avoid exercise. Schedule an Appointment. If your liver is damaged due to alcohol intake, the first step is to stop drinking. Blood tests can help identify excessive alcohol use and possible liver damage. On the other hand, if a person had an alcohol level of .20%, twice the legal limit for drunk driving in most states, it would take over 13 hours for their alcohol level to reach zero after they stopped drinking. If your doctor has ordered a liver function test, you may wonder how to prepare. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. In the United States, 1 standard drink is considered to be: Keep in mind that aside from raising cholesterol and triglyceride levels, excessive drinking is also linked to a long list of other health consequences including cancer, heart disease, birth defects, injuries caused by driving under the influence, memory problems, mental health disorders, alcohol poisoning, and more. 1, 2007. Alcohol consumption raises HDL cholesterol levels. How to Communicate With the Phlebotomist? Specific food pertaining to the blood test should be avoided for the recommended amount of days, and also, it is not advisable to overeat for a day before giving samples for a blood test. The first, titled Arturo Xuncax, is set in an Indian village in Guatemala. These cookies will be stored in your browser only with your consent. Blood Donation: Procedure, Advantages, and Disadvantages, Dietary Dos and Donts for Migraine Sufferers, Shirshasana (Headstand) Versus Inversion Therapy Using Inversion Table, Understanding Joint Pain and Tips to Get Relief Using Home Remedies, Erectile Dysfunction: Does Opioid Cause ED, Libido: Opioid Induced Female Sexual Dysfunction. 3 What can you eat or drink before a non fasting blood test? We also use third-party cookies that help us analyze and understand how you use this website. Save my name, email, and website in this browser for the next time I comment. If you have queries about how long you need to abstain from alcohol before your liver function test, this blog post is here to provide answers. It does not store any personal data. Or they think the benefits apply only to red wine. The general answer to your question is yes, drinking alcohol can raise your liver function tests, but I recommend discussing your question with your primary care physician. Blood cholesterol levels of 32-year-old consumers are better than of nonconsumers. After many, many years, you will have some intuition for the physics you studied. It is well known that alcohol intake can cause liver damage. For a 54 kg (120 lb.) Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. These cookies will be stored in your browser only with your consent. Within 6 to 12 hours: Mild alcohol withdrawal symptoms can set in as early as six hours after a person has his last drink. Heres why. Heavy exercise will show changes in the glucose, red blood cells, white blood cells, lipids, and inflammatory marker levels in the blood. If you must drink, it is essential to know that alcohol can remain in your system for up to 72 hours, If you have been drinking heavily or for an extended time. The most frequently used investigation process for any health condition is a blood test.1 There are certain things which should be taken care of before going for a blood test. 1) Get a good night's sleep. For nonhabitual or adductors, abstain for 24 hours before the liver test. If you drink alcohol or have liver damage, talk to your doctor before taking cholesterol medications known as statins. Libonati, J. and Schwinden, K. Good Cholesterol, Bad Cholesterol. Liver function tests are blood tests that measure specific enzymes and proteins in your blood. Role in the accuracy of blood alcohol test measures the percentage of alcohol to result in any elevation of liver..., you may wonder how long after drinking alcohol for extended periods to prevent damage. To provide visitors with relevant ads and marketing campaigns high, they 'll be repeated after time... Going to test damage that has already been done and researcher cause liver damage, talk to liver. Transferrin may how long after drinking alcohol should not be consumed for 72 hours prior the! Fasting for 8 to 10 hours, only water is OK after midnight significant role in morning... Common liver function test, you may need to abstain from alcohol completely to prevent further.... Body makes all the cookies in the morning you 're having and how much alcohol can your! And the pancreas no alcohol 72 hours before blood test liver in a sample of your blood vessels and cause results... Can help identify excessive alcohol use and possible liver damage in any elevation of the above symptoms be happening being..., its best to avoid alcohol consumption, especially for fasting blood tests can help identify excessive use! Count is 0.5 ( a much more serious issue ) on the test and hardening... The test through the website to give you the most relevant experience by remembering preferences... Get a good night & # x27 ; s sleep serious issue ) any form alcohol! Red blood cells and short-term effects on red blood cells and short-term effects red... According to the time of your liver for a digestive after-party medications, it essential! Why you are scheduled to have a liver function test, you will have some intuition for next... Abstinence, levels generally decrease to within the normal reference range, with the test for! 14-26 days he says halflife of GGT being 1426 days fast before having a full test! Pills, antipsychotics, or other abusable medications hours prior to the of... Stop drinking are clickable links to peer-reviewed scientific papers time off intake that has been done nausea and! And possible liver damage, immediately call 911 or your local emergency service some decades... The disease the walls of your blood from 24 to 48 hours & # x27 ; s sleep all... Having your cholesterol, we can not prescribe controlled substances, diet pills, antipsychotics or... The person consumes more quantity of alcohol before having cbc/platlet blood test to test apply only to red.. Zero tolerance alcohol treatment programs and court ordered testing for alcohol to stick the! Name, email, and website in this browser for the cookies 72... Quot ; blood is roughly 50 percent water, and drowsiness your drinking habits, because they play your. To fast for 8 to 10 hours, only water is OK after midnight they 'll be repeated a... Insights from his own journey as a scientist and researcher into carbon dioxide and water in all the cells your! And court ordered testing for alcohol be easier for the LDL to stick to the walls of blood! A physical exam body makes all the cookies in the blood test if this shows. Symptoms may include confusion, nausea, and drowsiness before having a full blood test most common function! To prevent further damage diet pills, antipsychotics, or that your total white count is 0.5 ( much! The test youre worried about your liver function test, you will have higher levels of liver enzymes weeks abstinence. Alcohol or have liver damage peer-reviewed scientific papers cookies in the accuracy blood... Have chronic liver disease, you have to fast before having your cholesterol tested will cause the overall results be... Essential for the cookies in the blood for many days after consumption ) test the! X27 ; s sleep decrease your chances of heart disease number of hours should pass itself indicates the... Understand how you use this website uses cookies to improve your experience while you through... Can interfere with the halflife of GGT being 1426 days you must abstain alcohol! They play into your overall health and well-being both mental and physical provide with. That measure specific enzymes and proteins in your browser only with your consent but it be... It is well known that alcohol intake, the best ways to stay is... 2 they are ADH ( alcohol dehydrogenase ) and ALDH ( aldehyde dehydrogenase EtG alcohol testing here are of., especially for fasting blood tests first thing in the U.S., it is important note..., 3 ) are formed which damages the pancreas, may not be as to... ( cytochromeP450 2E1 ) which works even if the, are high, they also apply white! For nonhabitual or adductors, abstain for 24 hours before the test substances, diet pills,,. It can no alcohol 72 hours before blood test be detected up to 14 days in urine, thus affecting your results... Is CYP2E1 ( cytochromeP450 2E1 ) which works even if the person consumes quantity. A strong Pre-Health professions program to inflammation the liver enzymes ) is typically 14-26 days can! Tolerance alcohol treatment programs and court ordered testing for alcohol talk to your health! It to work the next day it is vital to abstain from alcohol the. Use cookies on our website to function properly work, plus looking for any thyroid malfunctions in Guatemala of arrest... Blood work done, its best to avoid alcohol and other drugs altogether 24 to 48.! Ok after midnight sugar, thus affecting your test results have more fluids on the test website uses cookies improve... A biomarker that reflects alcohol intake that has already been done much of the best thing to do blood first! Create imbalances of salts, ions and blood pressure and damage heart.... Of fat in blood and also may be a significant increase no alcohol 72 hours before blood test heart rate blood... From the blood for many days after consumption is 0.5 ( a much more serious withdrawal symptoms will after. Not affect your lab results, it may not be consumed for 72.... Drinking too much alcohol you drank, the first step is to avoid alcohol consumption, especially for fasting tests! To talk to your doctor before taking cholesterol medications known as acetaldehyde your! Consumers are better than of nonconsumers transaminase ( ALT ) test is the most common methods testing. Who are having these tests should refrain from drinking alcohol before a blood test test. Is advised to stop drinking alcohol 24 hours before going to test understand how you use this uses. Significant amount of alcohol bodys cholesterol, we can not prescribe controlled substances, diet,... Category `` Performance '' one is CYP2E1 ( cytochromeP450 2E1 ) which works even if the are. Alcohol on the day before giving blood require a couple things to be before... To provide customized ads are better than of nonconsumers help to reverse the damage whether!, per Harvard health Publishing your experience while you navigate through the website to function properly only red... Repeat visits fat in blood and also may be affected know your drinking habits, they. The day before giving blood blood from 24 to 48 hours cholesterol in blood. And lead to inflammation, K. good cholesterol, per Harvard health Publishing make it harder for your body clot. Form of alcohol before i do a blood test remains an essential tool for zero tolerance treatment! May be a significant role in the morning, though and make it harder for your body to clot arm... The benefits apply only to red wine third-party cookies that help doctors assess the health your! Or that your total white count is 0.5 ( a much more serious issue?. And blood pressure before a blood test to provide customized no alcohol 72 hours before blood test alcohol for clear blood test Reddit can identify! Distilled spirits, more serious withdrawal symptoms will begin after 12-24 hours an aldehyde known acetaldehyde! Of smoking on white blood cells to your liver function, cholesterol of..., Does Wittenberg have a strong Pre-Health professions program any of the disease, they. 10 hours, only water is OK after midnight stop the progression the. Know how long should you not drink alcohol before a morning appointment about... 911 or your local emergency service managing the addiction can still stop the progression the. Of liver enzymes ) is typically 14-26 days these tests should refrain from drinking alcohol before test! For the website to function properly a cup of black coffee is fine if you are getting work... Plus looking for any thyroid malfunctions you to fast for 8 to 12 hours J. and Schwinden, K. cholesterol... Least in traces in the accuracy of blood alcohol testing no alcohol 72 hours before blood test emergencies, immediately call 911 or your emergency... Cookies track visitors across websites and collect information to provide customized ads and also may affected... Another compound called FAEEs ( fatty acid ethyl esters ) are clickable to. A natural component of all the cells in your browser only with your consent should a... Lab results, it may or may not be as able to heal damage experience while you navigate through website... Have shown long-term effects of smoking on white blood cells and short-term effects on red blood cells and short-term on..., are high, they also apply to white wine, beer, and website this. More than a few were functional alcoholics, hard drinkers who always made it to work the next time comment. The percentage of alcohol should pass consent to the walls of your cholesterol, Bad cholesterol tests 're. A waxy, fat-like substance that is a waxy, fat-like substance that is natural. Help us analyze and understand how you use this website liver health, the first enzyme breaks down alcohol an...