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of blood alcohol at every outpatient visit often is helpful in determining patient's compliance with abstinence.Deterrence/Prevention: Almost all authorities agree that abstinence from alcohol improves survival and is the cornerstone of long-term alanine aminotransferase management of patients with ALD.Emphasize abstinence from alcohol early and continuously to optimize its beneficial effects. Abstinence improves histology, decreases alanine aminotransferase portal hypertension, and decreases, but does not eliminate, development of cirrhosis.Emphasize alcohol rehabilitation.Complications: Continued alcohol consumption may result in a more advanced form of liver disease, either alcoholic hepatitis or cirrhosis.In a study from Denmark, using a population-based National Registry, investigators noted an increased alanine aminotransferase mortality and an increased cancer risk, particularly liver cancer, among patients discharged with a diagnosis of alcoholic fatty liver.Prognosis: Alcoholic steatosis usually is considered a benign lesion with a favorable prognosis once alcohol consumption is discontinued.Several
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