alcohol does not help MS. it worsens all the known nutrition issues in ms patients. zinc is an important one that is affected by alcohol consumption. its depletion is linked to cirrhosis in the literature.
the liver enzyme tests are called AST and ALT for short. some info:
Nahrung. 2004 Apr;48(2):88-90.
Effect of low-zinc status and essential fatty acids deficiency on the activities of aspartate aminotransferase and alanine aminotransferase in liver and serum of albino rats.
Ajayi OB, Odutuga A.
The effects of dietary deficiencies of zinc and essential fatty acids (EFAs) or both on aspartate aminotransferase (AST) and alanine aminotransferase (ALT) were investigated in young growing rats. Four groups of albino rats were fed diets deficient in either EFA (4% hydrogenated coconut oil) or zinc (6 ppm) or both. The control diet was adequate in EFA (4% soybean oil) and zinc (100 ppm). The feeding trial lasted eight weeks and the activities of AST and ALT were determined in the liver and serum. EFA deficiency had no significant (p > 0.05) effect on liver AST. However, zinc and the double deficiencies depressed AST activity in the organ. Deficiencies of EFA, zinc and their combination depressed ALT activity in the liver significantly (p < 0.05) with a concomitant increase recorded in the serum
. The data suggested alteration in endothelial permeability of the plasma membrane and thus leakage of membrane constituents in the tissue studied
. It is therefore considered that these deficient diets may affect liver tissue negatively in view of the role of these enzymes in amino acid metabolism.
i would strongly recommend that you consider asking the doc for a zinc test, to address any issues before making decisions about medications that affect the liver.
ps low zinc also equals low uric acid which equals high ammonia so if you're feeling ambitious ask the doc for zn, ua and nh3.
i have only found one study so far, where they tested the nh3 level in an ms patient. it's not a nice paper, but it would still be interesting to see the result of that test. even though i corrected my zinc deficiency and my ua normalized as a result, i think i will ask for nh3 next time i get a requisition.