I haven't been able to find NICE guidance about this question, but BSG guidelines do recommend biopsy "if systemic treatment is being considered".
www.bsg.org.uk/getmedia/076...

This is a figure of age-specific incidence rates of alcohol-related liver disease in Denmark, by birth cohort. It shows that generations born after 1960 have had lower age-specific incidence rates than earlier generations (so far, at least). This is from pubmed.ncbi.nlm.nih.gov/33442297/ (OA.)