Toxins one of the most frequent disease is the liver and its not only due to Alcohol Consumption. Specialist phillips is heading to his next appointment with a customer the 37 year old often drives long distances for his work he usually doesnt have much time to eat and must settle for something quick typically hell stop at a roadside restaurant for some fast food. And obviously i try to eat a healthy diet freshly cooked things like chicken or other meat or a salad. But unfortunately it often doesnt work out i just have to stop off at a fast food place for a burger and fries. For the pepper is one meter 81 tall and weighs 93. 00 kilos thats a little above the ideal weight like many people every 2 years he goes to his g. P. For a general checkup including a blood test but his last visit to the doctor showed his liver values were 5 times what they should be he was surprised because he feels absolutely fine. Ive no pain no dizziness nothing all completely normal. Still the test results bothered him so we got an appointment with hepatologist. He says its no small matter of blood tests show liver enzymes are seriously elevated as in for the packers case they now need to investigate whats causing it. To leave my lighted license we have a college is always say that the liver suffers quietly to begin with you know this little if anything you might feel a bit of a twinge in your liver and thats it if it goes unchecked for you. Years or even decades. With a liver cirrhosis. And then it can be too late. He 1st conducts an ultrasound and immediately it becomes clear that philip peckers liver is in great condition. You can see that the liver tissue is slightly lighter in color than the kidney tissue and that indicates the beginning of Fatty Liver Disease. A socalled fibro scan is used to measure how much fat has been deposited in the liver in the past patients had to undergo a painful biopsy but these days its a lot easier for cases like this one the test shows that our patient needs to be treated with damage to the liver is only one aspect Fatty Liver Disease also means youre at greater risk of cardiovascular disease where you may get a hardening of the arteries or even a heart attack so its twice as important to do something about it. More and more patients are developing problems like for the ppaca the liver serves many vital functions such as filtering the blood coming from the digestive tract but when we eat too much of the wrong kinds of foods its staunch to store fat and can no longer work properly begins to swell and can reach twice its size. Liver cirrhosis and eventually organ failure. Is nowhere near that stage the good news for him is that his liver can still make a complete recovery but only if he makes some changes to his lifestyle and diet. Avoid eating too much fat or sugar sugar is contained in many foods fruit juices are one example of the things that have been sweetened and often its fructose that has been used which is especially bad its like pure alcohol for the little. Its been a healthy shock for the patient since the diagnosis he started exercising regularly. He goes jogging 3 times a week for 30 minutes and hes also changed his diet introducing a lot more salads and healthy snacks and his efforts have paid off just one month later the liver enzyme levels in his blood have dropped significantly and this test results are now almost normal. Stuff explicit travel ism is always so you can reverse things very quickly but only if youre disciplined and i think mr head is certainly being disciplined he was highly motivated. Plans to keep up the good work it may not always be easy but the benefits are great. As a g. P. I certainly know a lot about the liver but now im sitting next to a man who knows everything about it. From the german veterans west and clinic in berlin thanks for having me today you just saw a patient who was in his prime healthy he was not an alcoholic but he hadnt had a liver how could this be fed to store in the liver in most cases theres a dispute between too much fat or too much sugar and in decreased use of it so when this is in balance the liver is there to store fat for better times which usually do not come in the western world but could that mean that a lot of people have had liver without even knowing it yes indeed its a prevalence of fat liver is more than 30 percent in the western world and even though kids have a high incidence of liver with up to 20 to 30 percent of kids who do have an increase in pathologic storage in the liver not long ago affect the liver was considered something quite trivial but its not is it the opposite is the case so when the liver does not function anymore we havent decreased production of proteins which means decreased muscle production it is good for cutting off blood its important for a lot of functions without a liver we cannot live so when there is new. Priests storage of fat then the liver in flames and it comes to scarring of the liver surfaces so when this is cirrhosis of functional so there were decreases in patients do die from liver cirrhosis also the prevalence of liver cancer is enhanced by a fat storage the most common reason for liver cancer in the western world is liver so it is not a trivial disease its an important and life threatening disease. One of the causes for setting liver is Alcohol Consumption just under a liter of beer or approximately 300. 00 milliliters of wine can be dangerous for men or women its even less that any how many people drink alcohol on a regular basis. When diagnosing alcohol addiction doctors often start with the socalled cage test its a series of questions that require a yes or no answer anyone who answers 2 or more of the questions with a yes is in danger of becoming dependent on alcohol we conducted the test on a few people without telling them what it was about to start with the letter c. As in cut down drinking have they ever considered drinking laughs. Here every day. No im not into alcohol. I dont really drink that much sometimes i think it is better to drink less. I guess i think about how to fix my health because in the next letter is a as in annoyed if you ever been annoyed by people criticizing your drinking habits the way it is no no its never been that bad but i do criticize myself in trying to observe my own drinking habit. Thats actually no people have to decide for themselves but i have been criticized yes. No my friends never say anything because were all drinking together. Then theres g. As in guilty as your drinking habits ever made you feel guilty. And i know well actually yes i do feel bad for my body because i know that its not the healthiest activity so then i feel a bit guilty. No i dont. Know not really. Not at all i know my limits. Of one yes occasionally if ive overdone it then i do feel guilty about drinking this in. And finally theres as an eye opener if you ever needed alcohol 1st thing in the morning to stabilize your nerves or make the start of the day easier. No definitely not no never mornings almost never trust me. Almost maybe around christmas but other than that no night no way morgans in the mornings on the morning. Of a regular breakfast to my guns on. The 30 people we ask 5 of them answered at least 2 questions with a yes according to the cage test those subjects have a heightened risk of alcohol addiction dismissal well im aware that drinking is very much part of my day and that i drink too much if it doesnt i call it will be but you. Know i dont think i have an alcohol problem. But i think its a good idea to monitor how much you drink. Some of those who took our test were surprised that these innocent questions can indicate a possible dependence on alcohol all of them seem to have their own definition. Of a whole i think if you lose your ability to see whats happening to you. You might get to the point that you think its more able to drink in the morning. Or to stink and i want to just think i think if you drink every day you have a problem but it depends on the reason this is a glass of wine youre drinking for pleasure or because. If you really needed to unwind. But clearly its not always apparent from the outside whether someone has a problem with alcohol. A lot of people drink some over the day like a glass of wine over lunch or some beer at dinner is this the risk for developing a fatty liver unfortunately the individual risk to develop fatty liver is very different in humans you can say that youre on the safe side if you do not consume more than one or maximum of 2 units per day so one unit would be a glass of wine or a bottle of beer or contain you want 5 front of him else so how could i as a patient knew that i have another problem unfortunately symptoms of fat livers develop very very late in some cases even at that time when its too late already so when you think you might have affected liver when you consume too much ill call or eat or drink too much go to your doctor he can use the ultrasound and check if you have had a liver and then its up to you. Everything with the names in it sounds healthy at 1st for example it gets its name from is that chilled sauce. For a long time fotos was even recommended from doctors to diabetics today the industry uses it on a message in processed foods sweets and soft drinks that leads to obesity heart and intestinal diseases and fatty liver. We can get anough of the stuff although we know how unhealthy sugar is we can stop eating it but one particular sugar is thought to be especially unhealthy and in higher doses over long periods it can be very harmful fruit towse. Is funny traditional problems related to fructose have come to light in recent years it is a sugar that has a Significant Impact on the liver if you eat fructose in large amounts it can lead to Fatty Liver Disease. And our photos consumption is on the rise many processed foods contain it as do all sorts of sweet treats highly concentrated fruit towse is being produced on an industrial scale and there is one reason for that its the most powerful sweetener of all the sugars and ferry cheap to produce. For a long time fruit toast was even considered healthy it used to be recommended for diabetics because it doesnt raise blood sugar levels fruit toast behaves differently in the body than glucose for example. Glucose reaches the bloodstream directly via the small intestine and in doing so raises the sugar levels in the blood with the help of the hormone insulin glucose is transported to the cells and provides them with energy. Frew joes takes longer than glucose to enter the blood stream from the small intestine the cells cant process it so its sent to the liver to be broken down and turned into fact. Nutritional scientist andreas for richer has studied the effect of fruit. He conduction an experiment to find out how the. Human body breaks it down. In check to a number of test subjects with varying amounts of fruit those under this plastic could he was able to gauge how much energy the test subjects used during the experiment. Blood samples were taken every 5 minutes to test the sugar levels then you measure how much sugar live a produced how much fast it produced and how much of the sugar was stored despite of. The results of the tests show that too much fruit those leads to weight gain but whats even worse is the damage that fructose does to the liver it basically s. The same effect as consuming too much alcohol. Then id have to leave it to a few if theres if it has too much to do i dont breaking down the front toes when it comes metabolize it properly and stores that as fat fit from. The liver turns the fruit joes into fat part of which is transported throughout the body and stored as fat deposits but the liver itself begins to store the fat too that leads to a fatty liver just like consuming too much alcohol does. Whats more fruit those influences the hormones that regulate appetite. And spending thats what makes us feel full stay hungry is a fascinating subject and fructose clearly plays a role in that function. When we consume too much fruit oh so the hormone greely is produced in the stomachs mucous membrane this hunger hormone signals to the brain that we havent had enough. So we eat more. Often the main problem isnt even solid food we get especially large amounts of fruit those in our beverages whether in soft drinks or p. Your fruit juice. Will in here its so new flash if you take a bottle like this it contains a leisure of apple juice its just the same sugar content as the apples themselves but if i did the whole easier its like eating 8 apples when try to eat 8 apples i get sick of them quickly but i can drink the whole bottle easily in the flesh and its like things consumers who want to reduce their fruit chosen take should check the labels of soft drinks and processed food but what about fruit itself dont worry fruit is still healthy it contains less fruit and provides fiber and vitamins i have to admit i do love sweets you have to quit them i know you dont but it depends how much sure your body is tolerating usually you should not eat more than 25 grams of sugar which is about 6 troops of sugar but what if they eat sweets and then start for a jog or run if you burn the sugars which are eating this is not a problem but usually people who are not doing sports enough or not exercising eating too much sugar and then theyre storing it in the liver which then produces or causes for a liver where do we find in daily life sure traps are called traps because you dont think about that a cup of cappuccino usually is about 400 kilo careens appoggiaturas or oranges contains asked many calories as cocacola so smoothies for example they contain a lot of calories 4 to 500 kilo calories so if you eat or drink 3 of them you have enough calories for the full day children ready to go food pizza soft drinks sweets can they develop at 30 liver yes they can and about 30 percent of the kids do have fed liver we all love ready to go food because it is easy to eat and tastes well however the container lot of sugar which is actually then not used and stored in the liver which. This is for the liver so you need a balanced diet containing sugars but more importantly proteins and i mean are an asset to grow well lets be honest what would be the easiest thing you could give up money the internet your partner we humans find it difficult to eliminate the familiar things from our lives for me personally i could not do without the show and without sugar the people in our next report tried to give up sugar and took part in an exciting experiment. So its all to please step on the scale lets see how happy you are. Ok. What easing less sugar make us healthier so. The group of 65 people are about to find out theyre going to exclude all sweets and added sugar from their diet for the next 3 months or so on group class and often as a doctor specialized in nutrition will monitor them through ios. And cannot fail its 57 im suffering from joint pain considered and i have a lot of inflammation in my body which could be down to my sugar intake but the doctors arent so sure if im one of these 3 months per readjustment the idea is to get through it and then continue on a lower sugar intake thats what im aiming for its now or never and martin kim edwards has already had a heart bypass his Blood Pressure and cholesterol levels are too high so hes on medication for the. Whole fruitless it done at some stage to come off these cholesterol tablets because of the side effects. If you lose weight by changing your diet its possible we might be able to stop all the medication. Blood samples are 1st taken from all the participants the doctors want to monitor how to reduce sugar intake affect their. Metabolism. So on google earth and off will check their blood file use again at the end of the program. So from now on our test participants will need to be disciplined. Its week one and and he had half a letter husband are noticing some changes on the table. We used to have a plate of cookies now we have flowers for. The participants our light isa maximum of 25 grams of added sugar a day that ate q 46 teaspoons thats the limit recommended by the world health organization. And she had half a list starting to notice the difference after 5 days on this new diet my heart burdens gone it has an effect on. The doctor has summoned martin gets to the surgery to discuss the results of his blood test despite the medication hes on his Blood Pressure is too high. And hes overweight hes one meter 80 tall and weighs just under 105 kilos. This ultrasound image shows very clearly that you have a fatty liver but thats reversible we can work on that in the. 7 weeks now. The group are having a party to celebrate reaching the Halfway Point 2 thirds of the participants have managed to stay in the program. But fail is really missing the sugar. I feel like im constantly on the edge. Shes come to discuss her progress with the doctor although shes lost 4 kilos in weight shes still not satisfied because instead of eating chocolate shes now started snacking on potato chips instead. Of the t. V. Commercials dont help ive noticed that when youre watching t. V. In the evening youre constantly getting ads for Something Sweet or food in general. But i think losing 4 kilos in just under 8 weeks is a lot after all the only thing weve changed is reducing the amount of free sugars i think thats a huge achievement. Minutes on the other hand a surprise how easy its been to reduce his sugar intake. Hes also been exercising a lost and has lost 7 kilos isnt brilliantly with changing your diet your top and youre losing weight and what about the other participants the 3 months and i passed on the final blood test is about to reveal all. More than 40 participants have held out to the end. Of our foes joint pain is much better and she no longer need to take or stone. From me from im sure its been a huge success especially if it carries on like this i saw my orthopedist yesterday and he was very impressed he says i have to keep it up to. Her lab results also look promising her cholesterol levels liver and fibroid values have all improved that means shes now less at risk of developing diabetes. Youve managed to make the change it would be great if you could now keep that up. Mass incriminates has lost nearly 9 kilos and the blood tests shows that his cholesterol levels have sunk to. Your blood results of improved across the board im very pleased. If he continues to lose weight he might soon be able to come off the cholesterol tablets. 3 months with a radically reduced sugar intake have paid off nearly all the participants have lost weight and feel better for us and most of them want to continue on a low sugar diet. So if i would keep away from sugar completely my liver would heal so whats your job as a specialist unfortunately drax against liver so our. Patients. Also treat piper tension efficiently we treat your sugar efficiently both are risk factors for developing for the liver so we. What should the patient do the human being is weak so what you have to do you have to change your diet you have to eat more proteins more amino acid less sugar you have to start exercising usually you cannot start with a 2 or 5 kilometers walk but you should start slowly you know to burn more calories than you eat as a g. P. And know that its very difficult for my patients to go for a complete lifestyle change so how could it work yes indeed its takes a lot of times and effort to convince a patient to change your life its convenient to go on as you already did for 20 or 30 years to enjoy your red wine or to enjoy a good food however sometimes the patients has to experience a troll moral problem you to think about his own health to change his life thanks so much for this very interesting talk it was a pleasure thank you very much so exercise is good against a fatty liver and when i exercise i get my best ideas what about you and if youre a bit like me send me your best ideas. Good shape your Weekly Health show one g. W. Covers many aspects of Health Care Look at whats new in medical treatments nutrition fitness and b. Z. We discuss these topics in depth with specialists and give you the chance to pose your own questions so to get in touch. 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