What factors make you recommend complete abstinence versus a harm-reduction target when counseling on alcohol use in patients with steatosis and ongoing moderate drinking?

I think a healthy adult can drink 1-2 drinks, once or twice a week at low risk. The issues of greater risk arise when even this level of consumption occurs in the setting of other factors (operating machinery), clinical states (pregnancy), or comorbidities (increased BMI, DM, concurrent chronic live...

I agree with Dr. @Dr. First Last on cardiometabolically healthy patients without steatosis.

However, if steatosis is present, I counsel no alcohol use. As we learn more, even moderate drinking is associated with small but real increased risk of many cancers. Women are especially susceptible to the d...