Patients with hepatic steatosis due to alcohol will be offered liver biopsies when they enter a detoxification program. The first biopsy will occur in the first week of admission and the second in the fourth week when the steatosis has resolved. The hepatic transcriptome will be compared,
Any individual >=18 years of age who is enrolled in 14-AA-0181 and is seeking inpatient treatment.
Vibration Controlled Elastography parameters with initial CAP of >295dB/m.
Pregnancy
Existing diagnosis of hyperlipidemia or essential hypertension
Hemoglobin A1c >= 6.5%
Waist to hip ratio: >=0.90 in males, >=0.85 in females