Once you get cirrhosis you're fucked. Don't do it.
Just one episode per month was associated with a threefold increase in advanced liver fibrosis in people with underlying metabolic liver disease, according to research from the University of Southern California (USC).
Advanced liver fibrosis is a condition that occurs in the advanced stage of chronic liver disease, marked by a buildup of significant scar tissue due to chronic, long-term inflammation, according to the American Liver Foundation.
Consuming large amounts of alcohol in a short period of time is known to cause liver damage and inflammation, according to medical experts.
"Patients often ask how much they can drink," lead investigator Brian P. Lee, MD, hepatologist and liver transplant specialist with Keck Medicine of USC, told Fox News Digital. "In the liver world, we’re used to thinking about this as an average — for example, we categorize patients based on alcohol consumption per week."
The researchers aimed to determine whether the pattern of drinking affected the risk of liver disease, compared to the total amount consumed.
The study analyzed six years of data from the U.S. National Health and Nutrition Examination Survey (NHANES), which included more than 8,000 adults, according to the study’s press release.
The researchers focused on those with metabolic dysfunction-associated steatotic liver disease (MASLD), which is a fatty liver disease linked to metabolic health problems.
Most large epidemiologic studies estimate that MASLD affects about 25% to 30% of U.S. adults. The condition is associated with excess weight and obesity, as well as metabolic disorders like type 2 diabetes, high blood pressure and high cholesterol.
More than half of the adults in the study reported occasional heavy drinking, including nearly 16% of those with MASLD.
Occasional heavy drinking (four or more drinks in one day for women and five or more drinks for men, at least once each month) was linked to at least triple the chance of advanced liver fibrosis, compared to the same amount spread over a longer period of time, the researchers found.
"The key takeaway is that the pattern matters very much, and episodic heavy drinking is an incredibly common pattern right now among U.S. adults," Lee said.
Younger adults and men were more likely to engage in occasional binge-drinking, the study found. The more drinks consumed during each session, the greater the liver scarring.
The findings were published in the journal Clinical Gastroenterology and Hepatology.
The pattern of drinking is important, not just the average, Lee noted. "Many patients ask if they don’t drink on weekdays, whether they can drink more on weekends — like a weekly ‘quota’ — and our study is showing that the answer is no," Lee told Fox News Digital.
"This pattern of episodic heavy drinking is especially bad when compared to spreading out alcohol consumption over a longer period of time."
Potential limitations
The study did have some limitations, including that it was observational in design and could not prove that binge drinking causes advanced liver fibrosis.
It also relied on the participants’ self-reported alcohol consumption, which could be subject to inaccuracies.
Additionally, the findings were primarily linked to people with MASLD and may not apply to all populations.
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Just one episode per month was associated with a threefold increase in advanced liver fibrosis in people with underlying metabolic liver disease, according to research from the University of Southern California (USC).
Advanced liver fibrosis is a condition that occurs in the advanced stage of chronic liver disease, marked by a buildup of significant scar tissue due to chronic, long-term inflammation, according to the American Liver Foundation.
Consuming large amounts of alcohol in a short period of time is known to cause liver damage and inflammation, according to medical experts.
"Patients often ask how much they can drink," lead investigator Brian P. Lee, MD, hepatologist and liver transplant specialist with Keck Medicine of USC, told Fox News Digital. "In the liver world, we’re used to thinking about this as an average — for example, we categorize patients based on alcohol consumption per week."
The researchers aimed to determine whether the pattern of drinking affected the risk of liver disease, compared to the total amount consumed.
The study analyzed six years of data from the U.S. National Health and Nutrition Examination Survey (NHANES), which included more than 8,000 adults, according to the study’s press release.
The researchers focused on those with metabolic dysfunction-associated steatotic liver disease (MASLD), which is a fatty liver disease linked to metabolic health problems.
Most large epidemiologic studies estimate that MASLD affects about 25% to 30% of U.S. adults. The condition is associated with excess weight and obesity, as well as metabolic disorders like type 2 diabetes, high blood pressure and high cholesterol.
More than half of the adults in the study reported occasional heavy drinking, including nearly 16% of those with MASLD.
Occasional heavy drinking (four or more drinks in one day for women and five or more drinks for men, at least once each month) was linked to at least triple the chance of advanced liver fibrosis, compared to the same amount spread over a longer period of time, the researchers found.
"The key takeaway is that the pattern matters very much, and episodic heavy drinking is an incredibly common pattern right now among U.S. adults," Lee said.
Younger adults and men were more likely to engage in occasional binge-drinking, the study found. The more drinks consumed during each session, the greater the liver scarring.
The findings were published in the journal Clinical Gastroenterology and Hepatology.
The pattern of drinking is important, not just the average, Lee noted. "Many patients ask if they don’t drink on weekdays, whether they can drink more on weekends — like a weekly ‘quota’ — and our study is showing that the answer is no," Lee told Fox News Digital.
"This pattern of episodic heavy drinking is especially bad when compared to spreading out alcohol consumption over a longer period of time."
Potential limitations
The study did have some limitations, including that it was observational in design and could not prove that binge drinking causes advanced liver fibrosis.
It also relied on the participants’ self-reported alcohol consumption, which could be subject to inaccuracies.
Additionally, the findings were primarily linked to people with MASLD and may not apply to all populations.
Common drinking habit may quietly triple risk of advanced liver condition
Even occasional binge drinking could triple the risk of advanced liver fibrosis, a new USC study suggests, highlighting the danger of alcohol consumption patterns.









