instruction: hello doctor I was diagnosed with palmer erythema last year I am 28 years old however I started drinking moderately from 16 20 then stayed sober for a year and a half however started drinking again at and have been more of a binge drinker consuming on average of 20 50 drinks a week over the last years I never drank everyday usually 10 one day during the week but would drink lot on friday annd saturdays since my pe diagnosis I have had my liver enzymes checked times along with abc and autoimmune diseases and just about every kind of blood work that could cause along with an ultrasound and everything has came back normal except my cholesterol and triglycerides were a high since I have gotten my triglycerides in healthy range but cholesterol is still a little high my question is how accurate is all of this in detecting liver damage I do not have any symptoms of disease except the red palms and should I be concerned since I am now sober as I have talked to several people in the cirrhosis and fatty liver disease community and it definitely scared the heck out of me how dangerous alcohol really is so I am just hoping to get some advice and if there is anything else I can do to be certain or what is your opinion on my story definitely never drinking again and totally not worth the risk of developing some kind of liver disease
output: hello do not worry you may have anxiety more than disease itself for raised total cholesterol you may take low cholesterol diet with regular exercise quitting of alcohol may be useful get it done ultrasound abdomen and liver scan avoid alcohol intake use tablet pantoprazole before breakfast for one week eat green leafy vegetables do yoga and meditation be happy and do not worry if cholesterol is still high then you may take antihyperlipidemic drugs please consult your physician he will examine and treat you accordingly take care