Methotrexate worked great for me for more than a decade, but no alcohol intake and try-annual liver checks. The checks would catch anything before it wen't bad. Wish I could still take it today but some negligent oncologist didn't take me off of it when I went on chemo for throat cancer and cause me to develop a allergic reaction that took 9 months to discover what it was.
Good luck, I came here to find similar info before making the expat plunge.