The 6 Best Ways to Heal a Fatty Liver

Summary

This video script discusses strategies for managing advanced liver disease, emphasizing the importance of autophagy, which recycles damaged proteins and cells, including in the liver. It suggests fasting, exercise, and certain foods like cruciferous vegetables to stimulate autophagy. The script also highlights the benefits of TUDCA for bile flow, the detoxifying effects of milk thistle, and the anti-inflammatory properties of tocotrienols. These methods aim to reduce inflammation, prevent fibrosis, and support liver regeneration.

Takeaways

• 🔍 The liver goes through stages of disease, starting from inflammation, then fatty liver, and potentially leading to cirrhosis, often without noticeable symptoms.
• 🌡️ Many people are unaware of their liver health, especially those with belly fat, which can be an indicator of a fatty liver.
• ♻️ Autophagy is a process where the body recycles damaged proteins and cells, which can be beneficial for liver health.
• 🕒 Fasting, both intermittent and prolonged, can trigger autophagy and is suggested as a method to support liver health.
• 🏃‍♂️ Exercise and adequate sleep can also stimulate autophagy, contributing to liver health.
• 🥬 A low-carb diet, eliminating snacking, and consuming more cruciferous vegetables can activate autophagy and aid liver function.
• 🌿 Tauroursodeoxycholic acid (TUDCA) is a bile salt that thins bile, decreases fibrosis, and rehabilitates liver cells.
• 🌱 Milk thistle is a potent herb that protects the liver against toxins, prevents fibrosis, and regenerates liver cells.
• 💊 Tocotrinols, a form of vitamin E, can help break up scar tissue and decrease inflammation, thus reducing the risk of fibrosis.
• 🚫 High iron levels in the blood can lead to inflammation and cirrhosis, so managing iron levels is crucial for liver health.
• 🛑 Blockages in bile ducts can cause various liver issues, including gallstones, emphasizing the importance of bile duct health.

Q & A

什么是自噬，它如何帮助肝脏？

自噬是身体回收受损蛋白质和细胞内不需要或损坏的部分的过程，然后可以利用这些材料制造新的蛋白质。自噬有助于清除肝脏中的癌症起源、疤痕组织或纤维化，以及像病毒、细菌和酵母这样的细胞内病原体。

如何通过饮食触发自噬？

触发自噬的主要方法是通过禁食，特别是定期进行间歇性禁食和周期性的长时间禁食。例如，每天进行18小时的禁食，并在6小时内进食，或者每周进行48小时的禁食，每月进行一周的禁食。

除了禁食，还有哪些方法可以促进自噬？

除了禁食，运动、睡眠、生酮饮食、冷疗（如冷水淋浴）、红外线疗法、咖啡中的特定多酚以及额外的初榨橄榄油和食用更多十字花科蔬菜也可以促进自噬。

为什么说长时间的禁食对肝脏特别有益？

长时间的禁食可以显著降低炎症，增加抗氧化网络，并减少肝脏酶的产生。这些效果有助于减缓或阻止肝病的进程。

Tudca是什么，它如何帮助肝脏？

Tudca是一种胆汁盐，已在中医中使用了超过3000年。它可以帮助稀释胆汁，减少肝纤维化，修复肝细胞，并保护肝细胞免受氧化等损伤。

如何服用Tudca以获得最佳效果？

为了获得最佳效果，建议在空腹时服用Tudca，早上两粒，下午两粒。如果与食物一起服用，它可能会作为胆汁盐作用于食物，而不是肝脏。

为什么促进肝脏的一、二阶段解毒很重要？

肝脏的一、二阶段解毒过程是将毒素转化为无害的粒子的重要途径。如果肝脏受损，这个过程可能不会完全发挥作用，可能导致毒素积累。

牛奶蓟对肝脏有什么好处？

牛奶蓟是一种可以保护肝脏免受毒素侵害的草本植物，甚至可以对抗毒蛇和毒蘑菇的毒素。它还可以减少纤维化，减少炎症，中和毒素，降低肝脏酶，并再生肝细胞。

Tocotrinols是什么，它们如何帮助肝脏？

Tocotrinols是一种维生素E，对于分解疤痕组织特别有效，可以帮助减少炎症和纤维化的风险。

为什么对于晚期肝病患者来说，管理症状和提高生活质量很重要？

晚期肝病患者可能会经历许多影响生活质量的症状，如疼痛、呼吸困难、肌肉痉挛、失眠和性功能障碍。有效的症状管理可以帮助患者更舒适地生活，并可能提高他们的生存机会。

晚期肝病患者应如何管理肌肉痉挛？

肌肉痉挛可以通过使用口服牛磺酸、夜间支链氨基酸、奎尼丁、肌肉松弛剂如巴氯芬、卡马西平和苯海拉明，以及L-肉碱或口服锌补充剂来管理。

晚期肝病患者应如何管理瘙痒？

瘙痒可以通过使用ursodeoxycholic酸、cholestyramine、利福平、纳曲酮和sertraline等药物来管理，尽管目前没有针对晚期肝病瘙痒的标准治疗方法。

为什么对于晚期肝病患者来说，睡眠障碍的管理很重要？

睡眠障碍是晚期肝病患者中常见的问题，可以影响他们的生活质量。管理睡眠障碍可以通过针对原因的治疗，如使用lactulose纠正轻微的HE，治疗抑郁和焦虑，避免晚上使用刺激性物质如咖啡和尼古丁，以及避免使用酒精。

晚期肝病患者的性功能障碍应如何管理？

性功能障碍在晚期肝病患者中很常见。对于男性，可以使用tadalafil等药物来改善勃起功能。对于低睾酮和肌肉消耗，可以给予睾酮以增加肌肉质量和骨密度，从而提高生存率。

Outlines

00:00

🧐 Understanding Liver Disease Progression

The first paragraph introduces the topic of advanced liver disease, highlighting the importance of managing the worst-case scenario. It discusses how the liver progresses through various stages: inflammation, fatty liver, and eventually cirrhosis (scar tissue formation). The liver’s condition often worsens silently, with subtle symptoms like fatigue, and many people with belly fat are at risk of having fatty liver disease. The liver, being a robust organ, can regenerate, but once cirrhosis occurs, reaching a point of no return may require a liver transplant.

05:02

🤔 The Power of Autophagy for Liver Health

Autophagy is emphasized as a vital process for recycling damaged cells, including those in the liver. It helps remove scar tissue, intracellular pathogens, and damaged proteins. Fasting, intermittent and prolonged, is the key trigger for autophagy, especially for people with cirrhosis. Other ways to stimulate autophagy include exercise, sleep, a low-carb diet, cold therapy, and consuming polyphenols in coffee and olive oil. Autophagy can help the liver by reducing fibrosis and addressing cellular damage caused by diseases like hepatitis.

💪 The Benefits of Fasting on the Liver

Fasting is not only beneficial for autophagy but also helps reduce inflammation, a key factor in liver disease progression. It naturally enhances the body's antioxidant network, reduces liver enzymes, and can significantly halt liver disease progression. Prolonged fasting can help target scar tissue and improve overall liver function, potentially reversing some of the damage.

🌿 The Power of Tadka and Phase Detoxification

Tadka (a type of bile salt) has been used in traditional medicine for over 3,000 years and has proven benefits for liver health. It thins the bile, reduces fibrosis, and protects liver cells from oxidative damage. Additionally, the paragraph highlights the importance of triggering phase one and phase two detoxification, where the liver converts fat-soluble toxins into harmless water-soluble substances. Cruciferous vegetables, green tea, and sulforaphane are key dietary triggers for this detoxification process.

🌱 Milk Thistle: Nature's Liver Protector

Milk thistle is introduced as a potent herb for liver protection and regeneration. It reduces inflammation, fibrosis, and liver enzyme levels while also neutralizing toxins. Milk thistle can protect against the harmful effects of medications, poisons, and excessive alcohol or caffeine consumption. It also plays a significant role in liver regeneration by supporting hepatocyte (liver cell) recovery.

🌿 Tocotrienols and Vitamin E for Fibrosis

Tocotrienols, a form of vitamin E, are highlighted for their ability to reduce scar tissue and fibrosis in the liver. They are also powerful antioxidants that help reduce inflammation and oxidative damage. The paragraph emphasizes the importance of choosing standalone tocotrienols over tocopherols to avoid competition between the two, which can reduce efficacy. Tocotrienols play a crucial role in protecting the liver and breaking down scar tissue caused by cirrhosis.

Keywords

💡Autophagy

Autophagy is a cellular process where damaged proteins and cells are recycled to produce new cellular components. In the context of the video, autophagy is crucial for liver health as it helps the body recycle damaged proteins and cells in the liver, aiding in the regeneration process. The video mentions that fasting, exercise, and certain diets can stimulate autophagy, which is beneficial for individuals with advanced liver disease as it can help clean up scar tissue and damaged cells in the liver [^1^].

💡Fatty Liver

A fatty liver is a condition where excess fat builds up in liver cells. It is often associated with obesity and is a precursor to more serious liver diseases like cirrhosis. The video emphasizes the importance of addressing fatty liver, as it can progress silently to more severe stages. It suggests that individuals with belly fat should be aware of their liver health, as this could be an indicator of a fatty liver [^1^].

💡Cirrhosis

Cirrhosis is a severe stage of liver disease where the liver is permanently scarred, affecting its function. The script mentions that cirrhosis can develop from a fatty liver over approximately 10 years and that it represents a point of no return, after which a liver transplant may be necessary. The video discusses various strategies to manage and mitigate the effects of cirrhosis [^1^].

💡Inflammation

Inflammation is the body's response to injury or infection and is characterized by redness, heat, swelling, and pain. In the context of liver disease, inflammation can lead to scarring and eventually cirrhosis if not managed. The video suggests that fasting can significantly lower inflammation in the liver, which is essential in preventing the progression of liver disease [^1^].

💡Antioxidants

Antioxidants are substances that help combat the damaging effects of自由基, which can cause cell damage. The video mentions that fasting can increase the body's antioxidant network, which is beneficial for liver health as it can protect liver cells from oxidative damage [^1^].

💡Bile Salt

Bile salts are produced by the liver and aid in the digestion and absorption of fats. The script discusses the use of 'Tadka,' a type of bile salt, which has been used in Chinese medicine for thousands of years. It is highlighted for its ability to thin bile, reduce fibrosis, and protect liver cells, making it a valuable supplement for individuals with liver disease [^1^].

💡Detoxification

Detoxification refers to the process of removing toxins from the body. The liver plays a central role in this process. The video discusses the importance of triggering phase one and phase two detoxification in the liver, which involves turning toxins into harmless particles. This process is crucial for individuals with liver disease as it helps减轻肝脏的负担 [^1^].

💡Milk Thistle

Milk thistle is an herb that has been used for centuries to support liver health. The video describes milk thistle as an important herb that can protect the liver against toxins, prevent fibrosis, decrease inflammation, and regenerate liver cells. It is presented as a potent natural remedy for individuals with liver disease [^1^].

💡Tocotrinols

Tocotrinols are a form of vitamin E that is particularly beneficial for breaking up scar tissue and reducing inflammation. The script mentions that tocotrinols can be helpful for individuals with liver disease, especially those with fibrosis or cirrhosis, as it can help reduce the risk of further scarring [^1^].

💡Fibrosis

Fibrosis is the formation of excess fibrous connective tissue in an organ, which can impair its function. In the liver, fibrosis can result from chronic inflammation and is a precursor to cirrhosis. The video discusses various methods to reduce fibrosis, including the use of certain supplements and dietary changes, which are essential for individuals with liver disease to prevent disease progression [^1^].

Highlights

The liver goes through stages, starting from inflammation to fatty stage, and then to cirrhosis.

It typically takes about 10 years to progress from a fatty liver to cirrhosis.

Liver disease often progresses silently without noticeable symptoms.

Fatty liver is associated with belly fat, indicating a high prevalence.

The liver has the ability to regenerate, but the process can take time.

Cirrhosis with extensive scar tissue may lead to the need for a liver transplant.

Autophagy is a process where the body recycles damaged proteins and cells.

Fasting can trigger autophagy, which is beneficial for liver health.

Exercise, sleep, and ketones can also stimulate autophagy.

Cold therapy, infrared therapy, and certain foods like coffee and extra virgin olive oil can aid autophagy.

Fasting helps reduce inflammation and liver enzymes, beneficial for liver health.

Tauroursodeoxycholic acid (TUDCA) is a bile salt that can improve liver function.

TUDCA thins bile, reduces fibrosis, and protects liver cells.

Phase one and phase two detoxification are crucial for liver function.

Milk thistle is an herb that can protect the liver against toxins and reduce fibrosis.

Tocotrinols, a form of vitamin E, can help break up scar tissue and protect against fibrosis.

High iron levels in the blood can lead to inflammation and cirrhosis.

Blockages in bile ducts can cause various liver problems.

Transcripts

what are the best things to do if they

have advanced liver disease because if

you had the ability to handle the worst

case scenario then you'd be in pretty

good shape because most people don't

have the end stage liver disease they

have some type of stage that's before

that as you may already know the liver

goes through stages it may start off in

an inflamed State and then go into the

fatty stage

and then serotic stage which are scar

tissue or you can start with a fatty

liver which then produces more

inflammation and then turns into

cirrhosis now typically

on average it takes like 10 years to go

from a fatty liver all the way into

cirrhosis right and during that process

many times

it's silent you Just One Day end up with

this serious problem that gave you no

clues now you may have some you know

fatigue weakness things like that but

you may not identify or connect the dots

and I'm including in that category all

the people with a fatty liver I mean

just think about if you take a look at

your your toes right now and you're

standing up and you can't see your toes

because your belly is in the way we know

your liver is fatty because the fat

around the organs in the abdominal area

is a spill-off from the liver being too

fatty I mean just think about how many

people actually have belly fat I mean

it's very very high so this video

definitely includes anyone with belly

fat as well here's the thing

um the liver is very robust it's one of

the only organs that can completely

regenerate but it does take time it

could take three years or longer if you

have too much scar tissue in the liver

because you have cirrhosis there is a

point of no return you have to get on

the waiting list for a New River and

unfortunately it's a very long list that

being said there's not a lot of studies

in this area

I want to talk about what I would do if

I had Advanced cirrhosis of the liver

and I was in the transplant list what

would I do okay that's what I'm going to

talk about because that's like the worst

case scenario you know the doctor says

it's permanent there's no chance of

reversing this well let's talk about it

because there's actually six things that

I want to discuss the first thing that I

would do is get my body into a state of

autophagy what is autophagy it's the

condition where your body is recycling

damaged proteins in the cells so it's a

bit of recycling things you don't need

or damaged parts of your body including

the liver and then making new proteins

as well but that's only the tip of the

iceberg there's a lot more that

autophagy does for your body like for

example cancer originates in the

mitochondria you also have all the scar

tissue or fibrosis in the liver where

autophagy can help clean some of that up

autophagy also can help get rid of

intracellular pathogen it's like viruses

and bacteria and yeast so it can clean

those up as well I mean you've heard of

the condition hepatitis right well that

involves a virus so again autophagy is

very very important in helping your

liver all right so what can trigger

autophagy the biggest thing is fasting

okay regular intermittent fasting where

you're fasting on a daily basis you're

going for like 18 hours and you're

eating within a six hour window and then

especially periodic prolonged fasting so

once a week you fast for 48 hours once a

month maybe you fast for a week why is

that so important because you can really

create a significant Dent into this

problem by doing prolonged fasting if

you have cirrhosis and scar tissue and

apparently you can even get autophagy

while you're fasting within four hours

because the liver is used to this action

of replacing a lot of cells on a regular

basis so we have fasting okay

intermittent and prolong we also have

exercise exercise can stimulate

autophagy right you have sleep can

activate autophagy ketones can activate

autophagy right that's getting on a low

carb diet that's eliminating snacking

and then we also have other types of

therapy like cold therapy taking cold

shower Asana or infrared therapy coffee

has a certain polyphenol that can help

with autophagy of course

it's not going to be significant it's

not going to compare to autophagy so

just by drinking a pot of coffee a day

is not going to help you also extra

virgin olive oil can help to a certain

degree with autophagy and also consuming

more cruciferous vegetables all right

number two which is actually part of one

but it's specifically fasting okay

fasting helps with autophagy but it does

other things for your liver that I want

to discuss number one it actually

significantly lowers inflammation if you

can get rid of the inflammation you

could definitely stop this whole process

from getting worse fasting also

significantly increases your antioxidant

networks without actually taking

antioxidants and the other cool thing

that fasting will do it will decrease

liver enzymes so now let's talk about

number three

what is tadka tadka is a type of bile

salt it's also been used in Chinese

medicine for over 3000 years so it's

been around for a very long time but if

you actually do research on tatka in

relationship to liver function uh you'll

be blown away

first of all it helps thin the bile

because one of the underlying causes of

a liver problem is there's some type of

blockage within the bile ducts and the

bile can actually act as a detergent and

irritate and even Scar the liver Tut cut

also directly decreases fibrosis tadka

directly rehabs the hepatocyte the liver

cell tadka also protects the liver cell

against certain things like oxidation

and when you take tadka I'm not going to

get into necessarily Brands but you want

to take two on an empty stomach in the

morning and two in the afternoon on an

empty stomach because if you take it

with food it tends to act on the food as

a bile salt and not on your liver what's

the next thing well you want to induce

or trigger phase one phase two

detoxification this phenomena or enzyme

process occurs in your liver where

you're turning poisons into harmless

particles okay so it's converting these

fat soluble chemicals into harmless

water-soluble chemicals that get

released through the bile ducts in other

ways and so when the liver gets damaged

you you don't have this process working

at Full Throttle and that can back

things up especially poison since the

liver is constantly breaking down

poisons and protecting you like in

Sulfur Rich vegetables like in

cruciferous broccoli brussels sprouts

cabbage arugula radish things like that

green tea is another trigger for phase

one phase two detoxification and

straight sulforaphane which is the

phytonutrient in broccoli Sprouts so if

you add broccoli Sprouts to your salad

you can greatly help your liver and the

next one on the list is milk thistle so

as you can see we're really hitting this

problem over the head with a

sledgehammer because these are all all

the most potent things to help your

liver okay milk thistle is a very

interesting herb it's this weed that you

can consume the seeds in fact a lot of

people you have it in their backyard so

you can grab some and grind the seeds

and and put it on your salad and it

protects the liver against poisons even

poisonous snakes even poisonous

mushrooms in fact if you're also on

medication on a regular basis or you

know someone who's on medication have

them start taking milk thistle just to

reduce some of the side effects but it

basically gives you properties to

protect the liver it also prevents

fibrosis it decreases inflammation it

helps neutralize toxins it helps

decrease liver enzymes and it

regenerates hepatocytes liver cells so

as you can see it does a lot it can also

help protect the liver against

medication

too much caffeine

alcohol

Tylenol lots of medications and the last

thing is tocatrinols now what is

tocotrinals it's a type of vitamin E

anytime you have scar tissue or fibrosis

vitamin E especially tocatrinos is a

great thing to help break up Scar Tissue

so that's why I included it on the list

also it's a very powerful antioxidant to

protect against free radical damage

inflammation and the things that lead to

fibrosis so the two things that

tocotrinos will do

is decrease inflammation and decrease

the risk of fibrosis and if you're going

to get tocotranol I would make sure you

get it

um as a standalone

complex not added with the tocopherols

because they tend to compete high iron

in your blood can create inflammation

and cirrhosis you also have a situation

where you have blockage in your bile

ducts which can back up into the liver

and create a lot of liver problems

including gallstones and many other

issues as well as your own immune system

where you have liver antibodies that are

attacking your own liver rusting and I

put that video up right here check it

out