Break if that is so this could be a very Dangerous Development especially for liver. Our liver is our main metabolic organ that gets rid of many toxins one of the most frequent disease is the liver and its not only due to Alcohol Consumption. Software specialist philip 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. Because. 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. No pain no dizziness nothing all completely normal. Still the test results bothered him so we got an appointment with hepatologist christoph. He says its no small matter of blood tests showed liver enzymes are seriously elevated as in for the peckers case they now need to investigate whats causing it. To leave my lighted license we have a toddler just always say that the liver suffers quietly to begin with you know it is 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 had his liver isnt in Great Condition after being shot 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 it was damaged in the liver is only one aspect Fatty Liver Disease also means your 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. Have the wrong kinds of foods it starts to store fat and can no longer work properly it 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 to fit avoid eating too much fat or sugar these days sugar is contained in many foods such as the one example of the things that have been sweetened and often its fructose thats been used which is especially bad its like pure alcohol for the liver. 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 active so you can reverse things very quickly but only if youre disciplined and i think mr heck 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 red Cross Western 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 they said this balance 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 fatty liver with up to 20 to 30 percent of kids who do have an increase in pathologic storage of fat in their 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 you have an decrease production of proteins which means increased muscle production it is good for cutting off 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 the functional some of our 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 life threatening disease. One of the causes for a setting liver is Alcohol Consumption just under a liter of beer or approximately 300. 00 millimeters of wine can be dangerous for men or women its even less but 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 starting 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. Yes i think about how to fix my health because in the next letter is as an annoyed if you ever been annoyed by people criticizing your drinking habits the right is that you know 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 and have me criticize 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 that 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 and my heart im so muddled on yes occasionally if ive overdone it then i do feel guilty about drinking. And finally theres an easy as an eye opener if you ever needed alcohol 1st thing in the morning to stabilise your nerves or make the start of the day easier. Now 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. I just have a regular breakfast going on some. Of 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 its going like this well no 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 normal to drink in the morning. Or to stink and i want to just and 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. 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 is a 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 beer or a bottle of beer or a container 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 affect your liver when you consume too much ill call or eat or drink too much go to your doctor you 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 its natural source foods. For a long time fotos was even recommended from doctors to diabetics today the industry uses it on a mess of unprocessed foods sweets and soft drinks that leads to obesity heart and intestinal diseases and fatty liver. We cant get enough 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 missional problems relation 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 fruit toast consumption is on the rise many processed foods contain it has 2 own sorts of sweet treats highly concentrated fruit towse is being produced on an industrial scale and theres one reason for that its the most powerful sweetener of all the sugars and fairy cheap to produce. For a long time fruit does 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 can process it so its sent to the liver to be broken down and turned into fat. Nutritional scientist on to be a scripture has studied the effect of fruit. He conducted an experiment to find out how the. Human body breaks it down. 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 i missed and you measure how much sugar is a live event used how much fast it produced and how much of the sugar was stored. The results of the tests show that too much fruit dose leads to weight gain but whats even worse is the damage that does to the liver it basically s. The same effect as consuming too much alcohol. Then im off to live up to a few thoughts of how to live that has too much to do in breaking down the front toes when it comes metabolize it properly and stores it as fat from. The liver turns the fruit juice 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 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 dose the hormone greely is produced in the stomach mucous membrane this hunger hormone signals to the brain that we havent had enough to eat yet we eat more. Often the main problem isnt even solid food we get especially large amounts of fruit in our beverages whether in soft drinks or. Or fruit juice. Women so the glass if you take a bottle like this contains a leisure of apple juice its just the same sugar content as the apples themselves but if i did the whole leisure 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 less think consumers who want to reduce their fruit juice intake should check the labels of soft drinks and processed foods but what about fruit itself dont worry fruit is still healthy it contains less fruit toast 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 sugar your body is tolerating usually you should not eat more than 25 grams of sugar which is about to 6 troops of sugar but what if they eat sweets and then start for jocko run if you go into 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 they are storing it in the liver which then produces or causes for 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 as 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 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 contain a lot of sugar which is actually not used and stored in the liver which produce. This is fed liver so you need a balanced diet containing sugars but more importantly proteins and i mean 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 heavy you are and. Kashered to all the good eating less sugar and make us healthier small. Group of 65. 00 people are about to find out theyre going to exclude all sweets and added sugar from their diet for the next 3 months. Song group laugh and dog whos a doctor specialized in nutrition will monitor them through ios. And hear that fail its 57 im suffering from joint pain and so have a lot of inflammation in my body which could be down to my sugar intake the doctors arent so sure that i want these 3 months for 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 martin kim edwards has already had a heart bypass his Blood Pressure and cholesterol levels are too high so hes on medication for the us. To get some states to come off of these cholesterol tablets because of the side effect. If you lose weight by changing your diet its possible we might be able to stop all the medication. Samples are 1st taken from all of the participants the doctors want to monitor how the reduced sugar intake affects their patients metabolism. So on who graph and off will check their blood values again at the end of the program. So from now on our tests participants will need to be disciplined. Its week one and im here after a lender husband are noticing some changes on the table. We used to have a plate of cookies now we have flowers for. The participants are light easy a maximum of 25 grams of added sugar a day. 8 cubes 6 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 burn is gone it has an effect on my partner. 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. Fine see this ultrasound image shows very clearly that you have a fatty liver but thats reversible we can work on that. We jump forward 7 weeks now. The group are having a party to celebrate reaching the Halfway Point 2 thirds of the participants of managed to stay in the program. But are fairly is really missing the sugar the 1st. Patient 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 not as stars its not potato chips instead its comes from 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 martin kim its on the other hand is surprised how easy its been to reduce his sugar intake hes also been exercising a lost and has lost 7 kilos. Brilliantly with changing your diet. And youre losing weight and what about the other participants the 3 months when i passed on the final blood test is about to reveal all. More than 40 participants have held out to the end. Joint pain is much better and she no longer need to take. From its been a huge success especially if it carries on like this i saw my orthopedist yesterday and he was very impressed 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. 300 youve managed to make the change it would be great if you could now keep that up. Martin kim gates has lost nearly 9 kilos as 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 has 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 the noise fact of drax against liver so often drop or susan is to convince our patients to make your lifestyle change also we should treat piper tension efficiently we should treat your sugar efficiently both our risk factors for developing fatty liver so 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 with exercise musically you cannot start with a 2 a 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 their lives 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 and 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 the view a bit like me send me your best ideas. In good shape for your Weekly Health show on g. W. Covers many aspects of health care will look at whats new in medical treatments nutrition fitness and beauty. We discuss these topics in depth with specialist and give you the chance to pose your own questions so do get in touch. 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