The liver has the primary responsibility for eliminating alcohol from the bloodstream. The liver is responsible for breaking down the majority of the alcohol that is consumed. When alcohol enters the bloodstream, it is transported to the liver, where it is metabolized by enzymes known as alcohol dehydrogenase and aldehyde dehydrogenase. These enzymes convert the alcohol into acetaldehyde, a toxic intermediate compound, and then into acetic acid, which is harmless. The acetic acid is then broken down further into carbon dioxide and water and can be eliminated from the body through the breath, urine, and sweat.
Additionally, a small amount of alcohol is eliminated through the breath, as a small percentage of the alcohol that enters the bloodstream is exhaled through the lungs. And small amount is excreted through urine and sweat as well.
It's important to mention that excessive alcohol consumption can damage the liver and make it unable to efficiently metabolize alcohol, leading to a build-up of acetaldehyde in the body, which can cause unpleasant symptoms such as nausea, flushing, and a rapid heartbeat. Excessive alcohol consumption over a long period of time can lead to more serious health problems such as cirrhosis, liver cancer, and other liver-related diseases.