Early Detection of Alcoholic Liver Disease

Inclusion Criteria: * Patients diagnosed with an alcohol use disorder (AUD) identification test (AUDIT) with a total score of 8 or more or patients with a score lower than 8 in the AUDIT test but for whom there is a high suspicion of current or recent (within one year) AUD based on medical history or self-reported history of excessive alcohol use, stigmata of alcohol use on physical exam, liver chemistry abnormalities, and/or alcohol-induced organ involvement other than decompensated liver disease. * Patients who admit having a persistent alcohol intake of more than 40 g/daily for women and 60 g/daily for men. * Patients with abnormal AST, ALT, GGT and/or bilirubin. * 21 years of age or older. * Signed informed consent. Exclusion Criteria: * Patients with a history of liver disease or decompensated advanced liver disease (i.e: jaundice episodes, ascites, hepatic encephalopathy, variceal bleeding, hepatorenal syndrome) or known hepatocellular carcinoma. * Patients with severe extrahepatic disease or terminal illness. * Patients who are pregnant or breast-feeding. However, pre-menopausal women capable of bearing children will be allowed to participate in the study provided they have a reliable method of birth control and have a negative pregnancy test prior to inclusion.