Drinking alcohol can cause elevated levels of bile acids. Bile acids are the end product of cholesterol digestion and breakdown in the liver and intestines, and are closely related to cholesterol absorption, metabolism and regulation. The serum bile acid level in the peripheral blood of a healthy person is minimal. When liver cell damage or intra- or extra-hepatic obstruction occurs, bile acid metabolism becomes abnormal, and bile acid is elevated. If alcohol consumption results in impaired liver function it will lead to elevated bile acids. In addition, under normal physiological conditions, age, diet and other factors also affect bile acid levels. Studies have shown that the older the person, the higher the alcohol intake and the higher the fat intake, the higher the level of bile acids in the blood will be. Alcohol is associated with the development of many diseases. The more alcohol a normal person drinks, the higher the level of bile acids will be. In addition, alcohol consumption may also lead to alcoholic fatty liver disease and other diseases that can also lead to elevated bile acids, so it is recommended to limit the intake of alcohol and to maintain a healthy lifestyle.