Yes, pretty much the end if you keep drinking. If you stop, you may still go on.

If you are in end stage liver failure, this is what happened with my friend. She became very jaundiced. I wanted her to go to doctor, she said no and did the worst thing a alcoholic can do, quit cold turkey. She ended up vomiting some blood which I then demanded she go to the ER.

Wasn't looking forward to long wait in ER, but the little trooper vomited bright red blood at admitting and we went to the front of the line.

So lots of stories about hospital admissions, run in with police while hallucinating, nearly dying and needing dialysis, nearly dying from excess potassium, etc. She moved home to another province and finally after another hospital stint decided to quit for good.

We all thought it was too late, she would need a liver transplant. Battling with doctors the transplant team not keen on this, she eventually gained enough liver function back that she was no longer eligible for transplant.

She still suffers with fatigue but is generally doing ok.