u/Mulberry_Marshmellow

Hi, I paid for a health check privately, I’m in the UK.
12 months ago I have fatty liver on an ultrasound, today I received these results:

Bilirubin (7 umol/L)
ALT (74 U/L)
AST (66 U/L)
GGT (49 U/L)
ALP (73 U/L).
Non-HDL Cholesterol (4.08 mmol/L).
LDL Cholesterol 3.6
Ferritin is high at 208
And an iron deficiency

I suffer from health anxiety which prompted the test. I know alcohol is the cause, I’ve had 5 years of drinking 3-5 bottles of wine a week - now I know how this sounds and “what did you expect” is valid.
However circumstances got me to that level of drinking.
I’m around 30lb overweight and have up until recently been leaning more towards a sedentary lifestyle.

I’m 4 days alcohol free and the bloods was taken 48 hours after drinking a bottle of wine

My questions are have you seen these levels before and everything turned out ok, have I done any serious damage? Honest replies encouraged.

Thank you

I’m looking for some outside perspective because I feel like I’m burning out but I can’t tell if I’m overreacting or if this is actually what chronic stress feels like.
I work in a role where I’ve gradually become the person who takes ownership of everything. I go above and beyond constantly, stay highly available, anticipate problems before they happen, emotionally absorb workplace issues, and put a huge amount of pressure on myself to perform well and keep everything together.
The problem is I don’t think I ever properly switch off anymore.
Outside of work I’ve started becoming hyper-aware of my health, stress levels, appearance, and future. I’ve had periods of drinking too much wine in the evenings (around 50 units a week at my worst), partly because it became my way of shutting my brain off. I also vaped heavily for years. I’ve started reducing both and trying to improve things, but mentally I still feel “stuck on”.
I constantly feel like I’m monitoring myself:
health anxiety
overthinking symptoms
worrying about burnout
feeling emotionally exhausted
thinking about leaving my job
wondering if I’ve damaged my health/life long-term
The strange thing is I still function. I go to work, parent, organise life, keep responsibilities going etc. Most people probably think I’m coping fine.
Lately I’ve started wondering whether part of the solution is actually to emotionally detach from work:
stop over-performing
stop carrying everything
stop being available all the time
just do my job properly instead of treating it like my identity
Has anyone else reached this point where they realised they were operating in permanent stress mode without fully noticing it? Did pulling back from work actually help, or did it just make you feel guilty/anxious at first?
I think I’ve spent years in “survival mode” and I’m trying to figure out what normal is supposed to feel like.