Been a functioning alcoholic my whole adult life. Got my first bad test for liver enzymes. Looked the numbers up, holy shit that's fucking off the scale! Quit kratom powder for 2 weeks, keep drinking as normal, perfect retest.
Doc: "I'm so proud of you!" Uh....?
Another anecdote: Good friend crashed her liver with Tylenol. This was before it was widely known to fucking kill you. Hardcore alcoholic. 90-proof generic vodka, hiding bottles kinda alki. She got a transplant after being in a coma for 2-months, poster child for success! Doctors wanted her to speak at medical events as to how she no longer needed anti-rejection drugs after only 18-months. Imagine that!
Surgeon to family: "Believe it or not, her alcoholism had nothing to do with her liver failure."
All that to say, yeah, other factors we didn't evolve for can kill your liver. We been drinking for 10,000 years, the weak livers are largely weeded out.
Let's hear from Kurt Vonnegut!
"Beer, of course, is actually a depressant, but poor people will never stop hoping otherwise." I feel personally attacked. :(
Anyway, Julie got run over by a random dude while crossing the corner with her husband, my best friend. So it goes.