Alcohol use disorders can lead to malnutrition, which has a significant impact on the prognosis of individuals with alcoholic liver disease (ALD). Additionally, these patients often exhibit deficits in vitamins and trace elements, which raises the probability of developing anaemia and experiencing changes in cognitive function. The cause of malnutrition in ALD patients is multiple and complex, involving insufficient food intake, poor absorption and digestion, accelerated breakdown of protein in the skeletal and visceral tissues, and aberrant interactions between ethanol and lipid metabolism. The majority of dietary measurements are based on basic recommendations for chronic liver disease. In recent times, a significant number of individuals suffering from ALD have been identified as having metabolic syndrome, necessitating personalised treatment through nutritional therapy to prevent excessive feeding. As alcoholic liver disease (ALD) advances to cirrhosis, it often becomes worsened by protein-energy deficiency and sarcopenia. As liver failure worsens, nutritional treatment plays a crucial role in managing ascites and hepatic encephalopathy. The objective of the review is to provide a concise overview of significant nutritional therapy and use of Berberine for the treatment of ALD.