Drinking large quantities of alcohol risks the development of progressive liver disease, alcoholic hepatitis and cirrhosis with its complications in addition to a range of other medical problems. It is now commonplace to think about patterns of drinking in terms of increasing risk; from low risk (drinking up to 14 units per week) through increasing risk or hazardous drinking, when a pattern of consumption increases someone’s risk of harm. This might be when a woman drinks between 14 and 35 units per week and a man between 21 and 50 units per week. Harmful drinking means drinking in a way that is likely to cause physical or mental harm and the pattern and quantity will vary between people. There is generally an expectation of harm if people drink more than the hazardous level of 35 units for women and 50 units for men. It is never too late to think about reducing hazardous or harmful drinking. Our specialists offer a full evaluation of liver and general physical health, including Fibroscan and can refer patients to appropriate alcohol services for support.