beta carotene

alcohol + vitamin a

Alcohol depletes hepatic vitamin A by inducing cytochrome P450 enzymes (especially CYP2E1, CYP26A1, CYP26B1) that catabolize retinol. Paradoxically, vitamin A supplementation in heavy drinkers is hepatotoxic — alcohol potentiates retinol's toxicity to liver cells, and high-dose beta-carotene combined with alcohol increases liver injury.