Alcohol Consumption and Liver Metabolism in the Era of MASLD: Integrating Nutritional and Pathophysiological Insights Alcohol Consumption and Liver Metabolism in the Era of MASLD: Integrating Nutritional and Pathophysiological Insights Cell to cell and organ to organ crosstalk in the pathogenesis of alcohol associated liver disease eGastroenterology Alcohol metabolism and why a few drinks linger longer than you think Your body processes >90% of ethanol in the liver, but the path creates toxic byproducts and drains key cofactors. 1