Have you had your liver scanned to see if, indeed, you have a fatty liver?
Alcohol is not a smart choice and if your doctor hasn't told you that I would not be comfortable with that doctor.
Fatty liver is often associated with alcohol use and if yours isn't then why would you introduce alcohol into the equation?
Good luck,
Mike
I have been seeing the doctor for several months about this now, but he can't figure out what's causing it. I doubt it's anything to do with alcohol, as I rarely drink, it seems to most likely be something like non-alcoholic fatty liver disease. My doctor hasn't stated I shouldn't drink, so I assume that he does not believe there is a great danger involved in me drinking alcohol.
By a moderate amount, I mean no more than 4 cans (500ml) of beer in one night.
Alcohol is usually forbidden to anyone with any kind of liver disease as mike pointed out. Stop drinking, find the cause of your high ALT, and then ask your doctor if you can drink.
As a general rule alcohol is not advisable for a person with elevated liver enzymes. Alcohol will burden an already stressed liver. And the question of what is moderate drinking is usually a hard one to agree upon. If you drank a glass of wine each month it would likely have no effect. If you drank 4 glasses each week it might have a negative effect though in a healthy individual that would probably be considered moderate drinking. People with hepatitis c are advised not to drink any alcohol but in reality a drink per week would probably not be harmful. I would make it simple and not drink any alcohol and I would also find out, if I didn't already know, why your ALT is elevated and address that problem.
Good luck,
Mike