Question: Just had blood work that revealed AST 273, ALT 69, and everything else WNL. In 11/13 AST was 39, ALT 14. In 11/13 I dramatically reduced alcohol intake to once a month. Before that, was 1-2 drinks 4-5 times a week. Drank moderate to heavy in 20s and early 30s. In 3/12 AST 33, ALT 11. Last alcohol intake was 5 weeks prior to lab work. I think it's pretty safe to say this is alcohol induced liver disease (AST:ALT ratio >2). My questions are about prognosis at this point. If I stop alcohol permanently now, should this disease process stabilize? What are my chances at not progressing to cirrhosis and liver failure (if I don't have cirrhosis already)? What tests should I expect to get (US, lab work, biopsy, etc.)?I am 40yo, white female, 5'7", 140 lb. I started taking bupropion XL 150 mg QD about 2 weeks prior to lab work. Also began vigorous exercise (weight training) 1 week prior to lab work and had severe muscle soreness. Been drinking about 4 energy drinks (Rockstar) a week for past 5 years. Also take Pristiq 100mg QD x 3 years, VitD3 2000 IU QD, multivitamin QD.

Given my past lab results, and not being symptomatic, is it reasonable to believe i am in the early stages or is cirrhosis still a real possibility? How often is someone with my presentation already in the cirrhosis stage? Thank you for your time.