Dave, got sober myself almost 12 years ago. Right now my liver is okay, and it was a concern of mine too for many years. The best thing you can do for your liver is to not drink and see your doctor.

Second, I am curious what the doctor says about how Paxil and your liver will get along. I would insist on a liver profile to determine whether it is safe for you to be on Paxil or some other medication. Every time the doc wants to prescribe meds for me I insist on blood work first.

I tend to do the Saint John's Wort during the dreary months we have up here. I have had a few panic attacks, but nothing that required medication. The St. John's Wort keeps me pretty in check, but again, if your liver is already compromised, it could be harmful.

Will doing low carb compromise your liver? I don't really know the answer to that and I'd like to know as well. I can't see why it would to be honest with you, but if you aren't taking in enough water, I can see where kidney issues could and would arise. I am very careful to make sure I am drinking lots of water. No caffine here.

Whatever you do decide, don't drink no matter what. Every day above ground is a miracle and an opportunity.