Liver - symptoms of diseases, functions + how to take care of it and what to avoid

The liver is a key organ in the human body. Among other things, it is responsible for digesting food and storing vitamins and minerals. Our body cannot function without it. In this article you will find the most important information about the liver.

Have you ever wondered how big the liver is? Most people think, that this organ is not one of the largest. Meanwhile, the liver is the second largest (after the skin) organ in our body. It is about the size of a football field and is responsible for numerous functions. Together with Dr Witold Tomaszewski, M.D., we have prepared an overview of the most common liver disease symptoms, information on steatosis and enlargement, as well as tips to help you take care of this valuable organ.

See also:

• Liver supplements
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• NAC
• Liver tablets
• Fatty (oily) liver 
• Hepatic tests

What is the liver?

The liver is one of the most important organsand in our body. It is primarily responsible for regulating glycaemia (blood sugar concentration), removing foreign substances from the bloodstream, and producing essential nutrients. The liver collectively performs more than 500 vital functions.

Which side is the liver on?"

The liver is the largest internal organ in the human body. This organ is located just belowand the diaphragm, which separates the thorax from the abdominal cavity - in the upper right side of the abdomen. The liver is located directly above the stomach, right kidney and intestines.

Functions of the liver

You already know that the liver performs more than half a thousand vital functions. In this section you will find the most important ones. Which liver functions are crucial to us?

Biliary production

Biliary fluid is an aqueous solutionand that is produced and secreted by the liver. It is accumulated in the gallbladder and is responsible for digestion. Furthermore, it breaks down fatty acidsand, which can later be absorbed into the body through the digestive tract.

Carbohydrate metabolism

In the metabolism of carbohydratesand the liver takes care of the appropriate concentration of sugar (glucose) in the blood. When the glycaemia (sugar concentration) increases (e.g. after a meal) - the liver metabolises (removes) the sugar from the blood and stores it in the form of glycogen. Conversely, if the glucose concentration is too low - the liver uses glycogen to release sugar into the blood.

Storage of vitamins and minerals

The liver storesand fat-soluble vitamins (A, D, E and K). It is also responsible for storing one of the B vitamins - vitamin B12. It doesn't stop there, the liver storesand also stores valuable minerals - iron and copper.

What other functions does theand liver perform?

• Regulates  the amount of blood in the body.
• Supports  immune function.
• Filters the blood and removes dangerous substances from the bloodstream (alcohol, drugs).
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• Regulates the concentration of amino acids in the body.
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• Decomposes old or damaged blood cells.
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• Along with vitamin K, it produces the proteins necessary for the blood clotting process.

Enlarged liver

An enlarged liver (hepatomegaly) usually means that this organ is swollenand. This indicates a developing disease that is causing the organ to enlarge. Sometimes, however, an enlarged liver can be a symptom of other conditions, such as heart disease.

Liver enlargement is most commonly caused by:

• inflammation (response to infection),
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• excessively accumulated fat,
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• tumours (benign or malignant),
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• congestion of blood vessels or blockages or clots in them,
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Suspecting liver enlargement in yourself? Make an appointment to see your doctor.

Symptoms

The vast majority of us will not be able to determine on our own whether the liver is enlarged. However, we can distinguish several symptoms that indicate this condition.

Is it dangerous?

An enlarged liver can be a sign of a dangerous disease or just a warning that something bad is happening in our body. The most important thing is to see a doctor as soon as possible for a diagnosis. An enlarged liver may or may not be very dangerous.

Diseases that most commonly cause liver enlargement are:

• acute or chronic inflammation associated with excessive alcohol consumption,
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• toxic inflammation,
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• viral inflammation,
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• fatty liver disease,
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• infectious mononucleosis,
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Liver cirrhosis

Marrhosis of the liver is an advanced stage of fibrosisand of this organ. It is most often caused by alcoholism, overweight or viral inflammation. When the liver is damaged - for example due to excessive alcohol consumption - it attempts to regenerate itself. 

In this process - if it has been prolonged - so-called scar tissue is formed. As cirrhosis progresses, more and more of the aforementioned tissue appears. This results in significantly impaired liver function. Advanced cirrhosis may even result in death.

Causes

In addition to being overweight, chronic alcoholism or viral hepatitis, cirrhosis can also be caused by other conditions or diseases.

Other causesand cirrhosis:

• fat accumulating in the liver,
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• excess iron in the body (haemochromatosis),
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• diabetes,
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• too much copper in the liver (Wilson's disease),
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• mucoviscidosis,
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• genetic disorders (e.g. Alagille syndrome),
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• autoimmune hepatitis,
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• atresia of the biliary tract (fusion of the bile ducts),
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Symptoms

Marrhosis of the liver is very dangerous, but in its early stages  it usually does not produce obvious symptoms. However, there are a few symptoms that should make us turn on the red light.

Symptomsandof cirrhosis:

• loss of appetite,
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• nausea,
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• fatigue,
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• unexplained weight loss,
• a feeling of being unconscious.
• redness or yellow tinting of the skin,
• swollen skin.
• swelling of legs, feet or ankles,
• swollen legs, feet or ankles.
• ascites,
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• insomnia,
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• loss of sexual desire in men,
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Can cirrhosis liver damage be reversed?

No, the liver damage that is caused by cirrhosis most often cannot be reversed. However, if the condition is diagnosed early enough, the damage can be reduced. However, the possibility of reversing them is rare.

How to prevent?

Like most conditions, cirrhosis can be prevented, by taking the right steps. Which ones?

• Avoid alcohol if you have liver problems. People who have a diseased liver should avoid alcohol like the plague. Healthy people shouldn't abuse alcoholic drinks either - it reduces the risk of cirrhosis.
• Stay on a healthy diet. A diet rich in fruit, vegetables, whole grains and protein is the key to overall health and preventing cirrhosis.
• Maintain an appropriate weight. Excess body fat increases your risk of developing cirrhosis. Adequate weight will help you feel better and reduce the likelihood of cirrhosis.
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• Lower your risk of hepatitis. Don't have unprotected sex and don't share needles with others - if you are taking any substances intravenously. The needle should always be sterile. If you have the option - ask your doctor for a hepatitis vaccination.
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What leads to liver disease?

Hepatic diseases can be caused by a variety of factors. What are the most common causes of problems with this gland?

Hepatic disease can result from:

• Viral infections. These lead to, among other things, hepatitis A, B or C.
• Hepatitis A, B or C.
• Problems with the immune system. The most common autoimmune liver diseases are primary biliary cholangitis (PBC) and autoimmune hepatitis.
• The most common autoimmune liver diseases are the following.
• Hereditary diseases. Hereditary liver disorders include haemochromatosis or Wilson's disease, among others.
• Hereditary disorders of the liver include haemochromatosis or Wilson's disease.
• Cancer. An excessive number of abnormal cells in the liver can lead to the development of tumours. These can be benign or malignant (liver cancer).
• Inappropriate lifestyle. Alcohol abuse can lead to steatohepatitis. Non-alcoholic fatty liver disease (NAFLD), on the other hand, is most often caused by too much fat consumption.

Remember that the liver diseases described above are only a few of the most common ones. This organ is very complex, so problems with its function can be associated with many other conditions.

Symptoms of a diseased liver

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Hepatic pain is often associated with unusual additional symptoms. Which symptoms should particularly raise our concern?

Bitter aftertaste.

Bitter aftertaste in the mouth

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A bitter taste in the mouth is a symptom that can signal liver problems. It most often heralds hepatitis Band. This is a dangerous condition leading to cirrhosis or liver cancer and even death. If you suspect it in yourself, contact your doctor immediately.

Dark urine

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Amber, dark orange or brown urineand can be a sign of liver disease. Its abnormal colour is linked to the accumulation of bilirubin in the body (the yellow pigment), as the liver is unable to break it down.

Dermal lesions

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Cutaneous lesions can be indicative of many diseases - including liver problemsand. The most common symptom that can herald liver disease is itching. Diseases of this gland are also manifested by hemangiomas, palmar erythema, jaundice or skin discolouration.

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Interesting facts

Hepatic spots are patches of darker skin. They are most often between 0.25 and 1 cm in diameter and appear on the face, hands or arms. Contrary to their name, they have nothing to do with liver disease. Liver spots are caused by excessive UV radiation.

Waking up between 1 and 3am

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The body cleanses itself most intensively of toxins between 1 and 3 am. As you already know, the liver is responsible for this process. If we often wake upand at this hour, we can assume that the liver is having difficulty removing toxins. It is not uncommon that this will be indicative of problems with this organ.

Sleepiness during the day or an abnormal circadian rhythm can also be indicative of liver problems.

Changes on nails

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Changes on the nails often, but not alwaysand indicate liver disease. They are most commonly associated with cirrhosis. Terry's nails, leukonychia, onycholysis or dystrophic nails, among others, have been observed in people with this condition.

What are the symptoms of the aforementioned lesions?

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• Terry nails - white, dulland nails except for a thin pink or brown stripe at their tip,
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• leukonychia - vitiligo of the nails,
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• onychiasis - detachment of the nail plate from the nail bed,
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• dystrophic nails - curved, hooked appearance of the nails,
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Not unusual symptoms of a diseased liver

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The liver is an incredibly complex organ, so the above symptoms are just a drop in the ocean of what could herald serious problems with this gland.

Other symptoms  of a diseased liver are: 

• abdominal pain or swelling,
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• chronic fatigue,
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• nausea,
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• vomiting,
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• disorientation,
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• insomnia,
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• loss of appetite,
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• fever,
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• unexplained weight loss,
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• easy bruising,
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• nausea,
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• unpleasant breath,
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Caution!

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Remember that all of the above symptoms may or may not herald serious health problems. If you are experiencing any of the symptoms, the most important thing is to see a doctor as soon as possible. A specialist will make a diagnosis and provide you with the appropriate help.

Does the liver regenerate?

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Yes, the liver has, unique among organsand the ability to regenerate itself after damage. Even when 90% of the liver is destroyed, it can 'grow back' and return to its original state over time. 

Regeneration time is individual, but according to Dr Witold Tomaszewski, MD, dysfunction or damage to 50% of the liver parenchyma can resolve in as little as 30 daysand if the causative factor(s) are eliminated.

How to regenerate the liver

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Liver regeneration is an individual issue - depending on the degree of damage to the liver and the cause. It is therefore advisable to seek medical advice on this matter. However, if the damage is small, it is possible that the right diet, supplements (e.g. liver tablets) or medication will do the job.

Supports liver function

Sundose° For Liver Regeneration°

4.7



• Active ingredients: sylimarin, folic acid, phospholipids, choline, omega-3 acids
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• Form: capsules
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• Packaging: 3 × 30 capsules
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• Dose: 3 capsules daily
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• Sufficient for: 30 days
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See price

Product description

For Liver Regeneration° is a dietary supplement thatóry effectively supports liver regeneration, thanks to carefully selected ingredients. It acts as a powerful antioxidant, cleansing the liver of toxins and neutralising free radicals. 

Product strengthens cell membranes, protecting liver cells from damage, and stimulates detoxification processes. It helps restore damaged tissues, regulates homocysteine levels and supports the synthesis of essential amino acidsós. In addition, it has an anti-inflammatory effect, counteracts steatosis and maintains normal liver function.

Pros and cons

For Liver Regeneration° is a dietary supplement thatóry effectively supports liver regeneration, thanks to carefully selected ingredients. It acts as a powerful antioxidant, cleansing the liver of toxins and neutralising free radicals. 

Product strengthens cell membranes, protecting liver cells from damage, and stimulates detoxification processes. It helps restore damaged tissues, regulates homocysteine levels and supports the synthesis of essential amino acidsós. In addition, it has an anti-inflammatory effect, counteracts steatosis and maintains normal liver function.

Additional information

For Liver Regeneration° is a dietary supplement thatóry effectively supports liver regeneration, thanks to carefully selected ingredients. It acts as a powerful antioxidant, cleansing the liver of toxins and neutralising free radicals. 

Product strengthens cell membranes, protecting liver cells from damage, and stimulates detoxification processes. It helps restore damaged tissues, regulates homocysteine levels and supports the synthesis of essential amino acidsós. In addition, it has an anti-inflammatory effect, counteracts steatosis and maintains normal liver function.

Hepatic diet

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The vast majority of liver disease is caused by excessive alcohol consumption or poor diet. The liver diet aims to support its function and regeneration. It involvesand reducing animal protein intake and proportionately increasing carbohydrates in the diet.

On a liver diet you can eat:

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• fruits,
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• vegetables,
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• proteins (poultry, fish, legumes),
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• nuts,
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How do you know if your liver is cleansing?

Cleansing the liver is associated with some not-so-pleasant symptoms. However, if you experience them, you will know that your liver has started to cleanse itself of toxins.

Symptoms that indicate that the liver is cleansing are:

• vomiting,
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• nausea,
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• headaches,
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• anxiety,
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• increased heart rate,
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• disorientation,
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• irritability,
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• anxiety,
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• increased blood pressure,
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• excessive sweating,
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What can be experienced after a liver cleanse?

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Over time, you will begin to feel the positive changes caused by a liver cleanse.

A proper liver cleanse resultsand:

• increased energy,
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• cleaner skin,
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• improved mental state,
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• improved bowel function,
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• fighting of internal inflammation,
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• recovery of a healthy weight,
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What positively affects liver function?

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Q10 coenzyme

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Coenzyme Q10 is a vitamin-like compound that may support liver function. Research suggests, that it may support the treatment of disorders of this organ. Coenzyme Q10 reduces inflammationand also protects the liver from oxidative damage caused by alcohol. 

Cloves

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Cloves may supportand liver function. Research  suggests that the eugenol present in cloves may reduce symptoms of cirrhosis and steatosis of the liver. Furthermore, cloves may improve overall liver function.

Red wine

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Alcohol is one of the liver's biggest adversaries. However, studiesand suggest that drinking red wine in moderation may have a positive effect on its function. Nevertheless, further tests are needed to confirm the role of red wine in supporting liver function.

Ginger

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Ginger contains vitamin C, potassium and magnesium, so it exhibits many health-promoting properties. Studiesand suggest that ginger may have a positive effect on the treatment of non-alcoholic steatohepatitis.

Honey

Honey is a natural source of flavanoids. It hasand anti-inflammatory, antioxidant and antimicrobial effects. Studiesand indicate that honey may prevent some liver diseases e.g. biliary obstruction.

Coffee

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Coffee supports liver function and also reduces the riskand of certain diseases. This black beverage may reduce the likelihood of developing cirrhosis or liver fibrosis. What's more, coffee may reduce the risk of liver cancerand.

What other positive  effects on liver function ?

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• oatmeal,
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• broccoli,
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• green tea,
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• monds,
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• spinach,
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• cauliflower,
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• brown Brussels sprouts,
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• cabbage,
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• grapefruit,
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• garlic,
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• olive oil,
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• blueberries,
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What does a sick liver dislike?

Beer

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Unlike red wine, beer has no positive effect on the liver. What's more, it is an alcohol that damages this organ. Regular drinking of beer can lead to cirrhosisand or fatty liver disease.

How does non-alcoholic beer affect the liver?

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Research suggestsand that drinking non-alcoholic beer by patients with cirrhosis does not adversely affect their condition. However, the reality is that even a little alcohol (which is not uncommon in non-alcoholic beer) can adversely affect the health of liver patients. 

Further research is therefore needed to determine what effect non-alcoholic beer has on the liver.

Antidepressants

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Some antidepressants can adversely affect liver function and even cause liver damageand. In some patients, liver problems may occur after just a few days of taking antidepressants. In others, on the other hand, they may not appear until several months later or not at all.

Everyone taking antidepressants should keep their condition under constant review and report any worrying symptoms to their treating doctor immediately.

Cigarettes

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Cigarette smoking damages not only the lungs and blood system - the liver too. Studies suggestand that this action increases the risk of liver steatosis. Moreover, it accelerates the development of hepatocellular carcinoma and the process of liver fibrosis.

Stress

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Stress has been linked to numerous health problems, such asand diabetes, obesity, heart disease, and raised blood pressure. Research suggestsand, that excessive stress both directly and indirectly can damage liver tissue.

Further tests are needed, however, to confirm the effects of stress on the liver.

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Stress can also lead to hair loss. Would you like to find out more about this problem?

I invite you to my colleague Nina's article: Hair loss - causes, diagnosis, treatment.

Contraceptive pills

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Long-term use of contraceptive pills can adversely affect liver function. Studies suggestand that the most common complications associated with these drugs are liver adenomas, hepatic vein thrombosis or hepatocellular carcinoma.

Vitamin B3

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Vitamin B3 (niacin) is essential for our body (responsible for, among other things, the construction of DNA). However, niacin is given on prescription, as taking it unwiselyand can result in liver problems. High doses of vitamin B3 can lead to serious and even fatal liver damage.

What else negativelyaffects liver function?and

• sugar,
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• overweight,
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• sweet fizzy drinks,
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• harmful supplements (always advise your doctor before starting supplements!)
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• high cholesterol levels,
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How to prevent liver disease

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Liver diseases can devastate our bodies. A few simple steps can reduce the risk of their occurrence.

How to preventand liver disease?

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• Drink alcohol in moderation. Everything is for humans, however alcohol is the liver's biggest enemy. If you choose to drink alcoholic beverages - do so in moderation.
• Drink alcohol in moderation.
• Vaccinate yourself. If you have the opportunity, consult your doctor and get vaccinated against hepatitis A or B.
• Stay on a balanced diet. A proper diet, rich in vegetables and fruit (and low in animal fats), is the key to a healthy body and spirit. It not only supports the liver - it has a positive effect on the whole body. If you have the opportunity, contact a nutritionist who will prepare a balanced diet for you.
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• Maintain an appropriate weight. Obesity and excess fat in the liver leads to many conditions e.g. fatty liver.
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• Avoid risky activities. Always use a condom during sex. If you want a tattoo or body piercing - be picky about the cleanliness of the salon. Do not share needles while taking intravenous drugs.
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• Care for hygiene. Always wash your hands thoroughly before preparing food or eating. When you travel (especially in developing countries), only use bottled water for drinking or washing your hands or teeth.
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• Do not use medicines on your own. Always take prescription medicines as prescribed by your doctor. Over-the-counter preparations or supplements, on the other hand, should be dosed in accordance with the manufacturer's instructions - it is also worth consulting a specialist beforehand.
• Do not take medicines on your own.
• Avoid contact with other people's blood. Improper cleansing of wounds or body fluids can result in infection with viral hepatitis.
• Avoid contact with other people's blood.
• Protect your skin. When using dangerous, toxic chemicals always wear gloves, long sleeves, a mask and appropriate headgear. Take care that these chemicals are not absorbed by your skin.
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See also:

• NAC
• Thyroid research
• Blood tests
• Cortisol testing
• Saturation
• Pulse oximeter

Summary

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You have learned many things about the liver. Now you know how this organ works, what should worry us and how to take care of it.

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I would like you to remember some of the most important things:
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• The liver is one of the most vital organs in our body - it is located in the upper right side of the abdomen.
• The liver is one of the most important organs in our body.
• The most important functions of the liver are the production of bile, the metabolism of carbohydrates, and the storage of vitamins and minerals.
• The liver is the most important organ in the body.
• An enlarged liver most often signifies swelling of this organ and may or may not herald a serious disease.
• Marrhosis of the liver is a dangerous condition that is most often caused by alcoholism, overweight or viral inflammation.
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• Diseases of the liver are caused by viral infections, immune system problems or cancer, among other things.
• A bitter aftertaste in the mouth, dark urine or skin changes may indicate liver disease.
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• The liver can regenerate.
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• The work of the liver is supported by, among others, cloves, ginger and honey.
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• Hepatic problems can be aggravated by, among other things, alcohol, cigarettes or stress.
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• Hepatic diseases can be prevented by, among other things, moderate alcohol consumption, a proper diet and vaccinations.

FAQ

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What signals does a diseased liver send out?

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The early stages of liver disease may not give visible signals, but the following symptoms should direct you to your doctor:

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• swelling on the body - joints, legs, hands, face, and consequently ascites, which is most often the result of cirrhosis or hepatic steatosis;
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• change in urine and stool colour;
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• skin rash;
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• digestive problems;
• hepatic fatigue.
• variance of mood;
• increase in the blood count;
• increase in the liver
• enlargement of the liver (hepatomegaly);
• loss of appetite;
• lack of appetite.
• loss of appetite and reduction in body weight;
• loss of appetite.
• yellowing (skin and eye whites);
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How can I tell if I have a diseased liver?

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If you observe symptoms in yourself that suggest liver disease, it is essential to see your doctor to complete the diagnosis.

This will include:

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• a detailed medical history;
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• physical (palpation) examinations;
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• imaging examinations - e.g. liver and abdominal ultrasound, biopsy or elastography, CT scan, MRI or fibroscan;
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• laboratory tests, i.e. blood morphology and so-called liver tests.
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How does the ketogenic diet affect the liver?

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The ketogenic diet is a menu that involves drastically reducing carbohydrate intake and increasing fat intake. Research suggests that the keto diet may increase the risk of steatosis liver disease.

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An enlarged liver in a newborn baby - what to do?

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An enlarged liver in a newborn, or hepatomegaly, can be associated with hepatitis, blood or bile stasis, mononucleosis or fungal, viral, bacterial infections or the presence of parasites, among others. Slight enlargement of the liver is not necessarily a symptom of any disease. In any case, it will be necessary to consult a paediatrician to determine the cause. Diagnosis may require blood morphology or detailed liver tests, as well as liver ultrasound. This is the only way your doctor will select the appropriate treatment.

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How to regenerate the liver quickly

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The liver has regenerative properties, but this is not an instantaneous process. Depending on the severity of the damage, liver regeneration can take several weeks to several months.

If you want to speed up liver regeneration, improve liver function and remove toxins, follow the following guidelines:

• follow a so-called liver diet or add to your menu soya, cruciferous vegetables (e.g. cabbage, broccoli, cauliflower and Brussels sprouts), coffee, beetroot or oatmeal and rooibos tea, among others;
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• avoid alcohol and toxins - especially cigarette smoke or medications that stress the liver;
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• increase regular physical activity;
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• do regular checkups;
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• start conscious supplementation - after consulting your doctor or nutritionist;
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See for yourself: Liver tablets - suggestions from a pharmacist

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How long does the liver digest alcohol?

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The liver is almost entirely responsible for the metabolism of alcohol - only 2% is excreted unchanged from the body. The time taken by the liver to digest alcohol depends on, among other things, weight, gender, health status and the amount of alcohol consumed.

It is assumed that one standard drink (approximately 40-45 ml of alcohol at 40% strength) is digested over one hour.

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What to drink for the liver

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If you want your liver to feel better, drink detoxifying homemade herbs and drinks, which include:

• chamomile infusion;
• thistle infusion
• napar of milk thistle;
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• beetroot infusion with lemon and water;
• beetroot vapour.
• an oatmeal brew;
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• beef decoction;
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• beetroot drink with turmeric, cinnamon and lemon;
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See also: Liver supplements: 20+ regenerative products

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Resources

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See all

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Ali, S., Prasad, R., Mahmood, A., Routray, I., Shinkafi, T. S., Sahin, K., & Kucuk, O. (2014). Eugenol-rich Fraction of Syzygium aromaticum (Clove) Reverses Biochemical and Histopathological Changes in Liver Cirrhosis and Inhibits Hepatic Cell Proliferation. 19(4), 288-300. https://doi.org/10.15430/JCP.2014.19.4.288

Bruyneel, M., & Sersté, T. (2018). Sleep disturbances in patients with liver cirrhosis: Prevalence, impact, and management challenges. Nature and Science of Sleep, 10, 369-375. https://doi.org/10.2147/NSS.S186665

Cells that maintain and repair the liver identified. (2021, March 8). National Institutes of Health (NIH). https://www.nih.gov/news-events/nih-research-matters/cells-maintain-repair-liver-identified

Cirrhosis. (2017, October 20). Nhs.Uk. https://www.nhs.uk/conditions/cirrhosis/

Dogra, S., & Jindal, R. (2011). Cutaneous manifestations of common liver diseases. Journal of Clinical and Experimental Hepatology, 1(3), 177-184. https://doi.org/10.1016/S0973-6883(11)60235-1

Erguder, B. I., Kilicoglu, S. S., Namuslu, M., Kilicoglu, B., Devrim, E., Kismet, K., & Durak, I. (2008). Honey prevents hepatic damage induced by obstruction of the common bile duct. World Journal of Gastroenterology, 14(23), 3729-3732. https://doi.org/10.3748/wjg.14.3729

Estrogens and Oral Contraceptives. (2012). In LiverTox: Clinical and Research Information on Drug-Induced Liver Injury. National Institute of Diabetes and Digestive and Kidney Diseases. http://www.ncbi.nlm.nih.gov/books/NBK548539/

How does the liver work? (2016). In InformedHealth.org [Internet]. Institute for Quality and Efficiency in Health Care (IQWiG). https://www.ncbi.nlm.nih.gov/books/NBK279393/

Hundt, M., Basit, H., & John, S. (2022). Physiology, Bile Secretion. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK470209/

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Liver: Anatomy and Functions. (2019, November 19). https://www.hopkinsmedicine.org/health/conditions-and-diseases/liver-anatomy-and-functions

Long, M. T., Massaro, J. M., Hoffmann, U., Benjamin, E. J., & Naimi, T. S. (2020). Alcohol Use Is Associated With Hepatic Steatosis Among Persons With Presumed Nonalcoholic Fatty Liver Disease. Clinical Gastroenterology and Hepatology, 18(8), 1831-1841.e5. https://doi.org/10.1016/j.cgh.2019.11.022

Mantle, D., & Hargreaves, I. (2019). Coenzyme Q10 and Degenerative Disorders Affecting Longevity: An Overview. Antioxidants, 8(2), Article 2. https://doi.org/10.3390/antiox8020044

Niacin. (2012). In LiverTox: Clinical and Research Information on Drug-Induced Liver Injury. National Institute of Diabetes and Digestive and Kidney Diseases. http://www.ncbi.nlm.nih.gov/books/NBK548176/

Rahimlou, M., Yari, Z., Hekmatdoost, A., Alavian, S. M., & Keshavarz, S. A. (2016). Ginger Supplementation in Nonalcoholic Fatty Liver Disease: A Randomized, Double-Blind, Placebo-Controlled Pilot Study. Hepatitis Monthly, 16(1), Article 1. https://doi.org/10.5812/hepatmon.34897

Roerecke, M., Vafaei, A., Hasan, O. S. M., Chrystoja, B. R., Cruz, M., Lee, R., Neuman, M. G., & Rehm, J. (2019). Alcohol Consumption and Risk of Liver Cirrhosis: A Systematic Review and Meta-Analysis. Official Journal of the American College of Gastroenterology | ACG, 114(10), 1574. https://doi.org/10.14309/ajg.0000000000000340

Shrimal, A., & Gupte, A. A. (2020). Nail Changes in Cirrhosis and Reversal After Adult & Pediatric Liver Transplantation. Journal of Clinical and Experimental Hepatology, 10(5), 531-532. https://doi.org/10.1016/j.jceh.2020.04.005

Snopek, L., Mlcek, J., Sochorova, L., Baron, M., Hlavacova, I., Jurikova, T., Kizek, R., Sedlackova, E., & Sochor, J. (2018). Contribution of Red Wine Consumption to Human Health Protection. Molecules, 23(7), Article 7. https://doi.org/10.3390/molecules23071684

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