re: 27 year old cirrhosis

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Fast forward to after college and I continued to drink at the 40-50 drink a week pace for the past few years.

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To add injury to insult, I also recently lost my job. Drinking has never caused me any issues with work though.

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You don’t think it did, but that amount of alcohol can easily impact performance through the week. You probably don’t have cirrhosis, but you definitely have a problem.

Put the bottle down and I bet you will feel a whole lot better.

My cousin Larry quit drinking and then he died.

Buddy of mine drank every day from college to his 30’s. Right before he almost died, he was grey looking and sickly. He had to and did quit drinking. Got a new liver in his mid 50’s.
It’s been about 6-7 years and he’s doing good, but just a matter of time before it goes to shite.

You are probably in the window of quitting and being ok, do it. You don’t want a transplant.

No question blood tests, e.g. liver enzymes, can indicate alcohol exposure but that ain't cirrhosis. They're of limited use in alcoholism except maybe GGT which is very sensitive to alcohol use to shot of someone if drinking.

You're almost certainly fine unless you have horrible genetics or an aggravating factor. Very well possible you have fatty liver but that's basically nothing so long as you're capable of taking a few weeks off drinking

40-50 drinks a week is elite drinker stuff

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that's antidotal horseshite

anyone that does drink that much has a problem and has a miserable fricking life.

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It is absolutely not anecdotal (spelling is fun).

Tell me you are white collar with soft hands without telling me you are white collar with soft hands...

I kid, I kid, but brah, there are men who work in the searing summer heat who put down a 6 pack like it's aqua. 6 beers per day is silly business to millions and millions of blue collar workers.

To the OP, although the rate of young people getting cirrhosis is skyrocketing (diet, including energy drinks, is likely just as responsible as alcohol), you probably don't have cirrhosis, but you do need to slow down.

Way down.

Because when you're in your mid-to-late 30s and the humdrum, every day grind of mid-life hits, that 40 beers will turn to 84 beers per week, and the only fix is to keep it going because the hangovers get worse and worse. Sweating it out at work (or the gym) helps to prolong it ("help" being relative), but it will spiral out of control, and you're talking to a heavy hitter who just a few short years ago was drinking a fifth of maker's mark 46 per day: it will increase.

Alcoholism doesn't run in my family, it GALLOPS. Being attuned to alcoholic tendencies, one thing I've noticed is that women absolutely cannot come close to men when it comes to daily alcohol consumption for years on end. They die from it much sooner, and in far less quantities. Genetics also play a part, but the above holds true, generally speaking.

That said, my uncle drank a suitcase of old milwaukee, then natty light, for 40 years. He was functional: Woke up every morning at 4:30, held a union electrician job for 40 years until retirement, and never had any major screw ups. The last time I went to see him before he died of cirrhosis, I had to step out of the room while they changed his bloody diaper because he was shitting himself and bleeding out of every orifice of his body. He didn't know the world around him except for excruciating pain, and light beer did it to him. Took 40 to 50 years, but it finally did him in.

I love alcohol like a honeybee loves sweet nectar, and I am by no means righteous, but if you don't slow down, it's likely that you too, once you get into middle age and begin daily binge drinking, will also succumb to the same thing or complications from it.

Daily alcohol consumption should be treated with the same steadfastness as a man holding a loaded gun, and in both scenarios he is suicidal, whether he knows it or not: Both will kill you, but one is a slow burn, taking everything that you love and hold dear before you deal yourself the final blow. And the struggle is that you can buy it in gas stations and grocery stores every day of the week without so much as a 2nd glance. It won't get easier, and you have 3 options: Stop completely, take it seriously and stay vigilant and partake responsibly for the rest of your life, or be an alcoholic and die from it long after you've killed every semblance of a normal life. There is no option in between.

fatty liver is NOT "nothing". You might look up steatohepatitis and check out alcohol in it's development and not uncommon sequela of cirrhosis

Which is why I also said....

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so long as you're capable of taking a few weeks off drinking

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AFLD will typically heal itself within 6 weeks of sobriety, so long as it hasn't progressed to cirrhosis which is, frankly, medically absurd so long as OP is truthful