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	<title>liver health Archives - Kathryn Matthews</title>
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		<title>How Having a Fatty Liver Affects Your Health</title>
		<link>https://thenourishedepicurean.com/how-having-a-fatty-liver-nafld-metabolic-syndrome/</link>
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		<dc:creator><![CDATA[kathryn matthews]]></dc:creator>
		<pubDate>Wed, 23 Apr 2025 17:54:52 +0000</pubDate>
				<category><![CDATA[Detoxification]]></category>
		<category><![CDATA[Lifestyle]]></category>
		<category><![CDATA[fatty liver]]></category>
		<category><![CDATA[liver health]]></category>
		<category><![CDATA[metabolic risk factors]]></category>
		<category><![CDATA[metabolic syndrome]]></category>
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				<div class="et_pb_text_inner"><p style="font-weight: 400;">How do you support your liver?</p>
<p style="font-weight: 400;">I know… The liver is not exactly a sexy organ to which most of us give much thought. Maybe you think of a damaged liver (e.g., cirrhosis) as a final bad outcome of alcoholism. Or maybe<strong>&#8212;</strong>since an estimated 2.2 million Americans live with it&#8211;you’ve known someone with hepatitis C, a viral infection that causes inflammation of the liver (1).</p>
<p style="font-weight: 400;">However, the liver, arguably the most important organ in our body, deserves our attention and care.</p>
<blockquote>
<h4 style="font-weight: 400;"><span data-redactor-span="true" data-redactor-style-cache="font-size: 18px;"><strong>The stunning prevalence of</strong><strong> </strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="https://thenourishedepicurean.com/how-your-metabolic-health-affects-chronic-disease-risk/" target="_blank" rel="noopener"><strong>metabolic syndrome</strong></a></span><strong> has resulted in a dramatic uptick of chronic diseases. Unfortunately, this includes non-alcoholic fatty liver disease (NAFLD), which now affects 30% to 40% of the U.S. adult population: that’s</strong><strong> </strong><strong><u>1 in 3 people</u></strong><strong> </strong><strong>(2, 3)!!</strong></span></h4>
</blockquote>
<p style="font-weight: 400;"><em>*Given its association with metabolic risk factors, NAFLD is now being called “Metabolic Dysfunction-Associated Steatotic Liver Disease” (MASLD).</em><em> </em></p>
<blockquote>
<h4 style="font-weight: 400;"><span data-redactor-span="true" data-redactor-style-cache="font-size: 18px;"><strong>Children have also been adversely affected. The prevalence of non-alcoholic fatty liver disease is (conservatively) between 5 and 10 percent among American children aged 2 to 19 years&#8211;that’s roughly</strong><strong> </strong><strong><u>1 in 10 children</u></strong><strong> </strong><strong>(4, 5). </strong></span></h4>
</blockquote>
<h4 style="font-weight: 400;"><span data-redactor-span="true" data-redactor-style-cache="font-size: 18px;"><strong>Non-alcoholic fatty liver disease (NAFLD)&#8211;a build-up of fat in the liver</strong><strong> </strong><strong><u>NOT</u></strong><strong> </strong><strong>caused by alcohol&#8211;was virtually unheard of prior to 1980.</strong></span></h4>
<h3></h3>
<h3></h3>
<h3 style="font-weight: 400;"><strong>So&#8230;what has changed over the last 45 years? </strong></h3>
<p style="font-weight: 400;">The US food system <em>(e.g., introduction of genetically engineered foods into our food supply; a dramatic increase in pesticide usage on crops);</em> an onslaught of toxic chemical exposures in every aspect of our daily lives; our food choices; and a convenience-based, technocentric, sedentary lifestyle (6).</p>
<h3 style="font-weight: 400;"><strong><br />What exactly does the liver do?</strong></h3>
<p style="font-weight: 400;">First, it is important to understand why our liver plays an essential role in our overall health.</p>
<p style="font-weight: 400;">The second largest organ in the body (the first is our skin) and weighing apx. 3 pounds (in adults), the liver is located under our right ribcage.</p>
<p style="font-weight: 400;">In her book <em>Good Energy, </em>Dr. Casey Means writes (7):</p>
<blockquote>
<h4 style="font-weight: 400;"><strong><em>“The liver is a master orchestrator of metabolism, hormone processing, detoxification, digestion, and cellular energy production across the whole body.”</em></strong></h4>
</blockquote>
<h4 style="font-weight: 400;"><strong><br />A multi-tasking organ that performs over 500 functions, the liver, among other things (8, 9):</strong></h4>
<ul>
<li style="list-style-type: none;">
<ul>
<li>Cleanses the blood.</li>
<li>Produces substances to help the blood clot.</li>
<li>Processes nutrients from the foods we eat.</li>
<li>Creates proteins and cholesterol to form hormones.</li>
<li>Converts our thyroid hormone from an inactive storage form (T4) to the active form (T3), which regulates our metabolism.</li>
<li>Metabolizes fats, carbohydrates and proteins so that your body can use them.</li>
<li>Stores glycogen, releasing glucose, as needed.</li>
<li>Produces bile, which is essential for healthy digestion and for absorbing the fats that we consume.</li>
<li><strong>**Plays a <u>vital</u> role in DETOXIFICATION. The liver absorbs and filters <em>everything </em>that<em> </em>we put into and onto our bodies, as well as what we breathe. </strong></li>
</ul>
</li>
</ul>
<h4 style="font-weight: 400;"><strong>That said… it is a misconception that the liver “stores” toxins. It does NOT! The liver serves as a <u>filter</u> that, first neutralizes, then clears out, harmful toxins and waste, while retaining the nutrients the body needs.</strong></h4>
<h3></h3>
<h3></h3>
<h3 style="font-weight: 400;"><strong>What is Non-Alcoholic Fatty Liver Disease (NAFLD)&#8230;and why should we care?</strong></h3>
<p style="font-weight: 400;">Unfortunately, our liver can get fat.</p>
<blockquote>
<h4 style="font-weight: 400;"><strong>Non-alcoholic fatty liver disease refers to a build-up of fat in the liver that is <u>NOT</u> caused by alcohol.</strong></h4>
</blockquote>
<p style="font-weight: 400;">It is normal for the liver to contain some fat. However, when the liver becomes overburdened and damaged, it will store fat inside its cells, creating fatty liver disease (10). <strong>NAFLD occurs when 5% to 10% of your liver’s weight consists of fat.</strong> Roughly 100 million people are estimated to have NAFLD (11).</p>
<p style="font-weight: 400;">The 4 stages of NAFLD include (12):</p>
<p style="font-weight: 400;"><strong>Stage 1: Simple fatty liver</strong>, a mostly harmless build-up of fat in the liver cells.</p>
<p style="font-weight: 400;"><strong>Stage 2: Non-alcoholic steatohepatitis (NASH)</strong>. At this stage, in addition to fatty build-up, the liver has become inflamed.</p>
<p style="font-weight: 400;"><strong>Stage 3: Fibrosis</strong>. Persistent inflammation causes scar tissue around the liver and blood vessels, but the liver is still able to function normally.</p>
<p style="font-weight: 400;"><strong>Stage 4: Cirrhosis</strong>. After years of inflammation, the liver shrinks and becomes scarred and lumpy. At this stage, the damage to the liver is irreversible and can lead to liver failure and liver cancer.</p>
<h4 style="font-weight: 400;"><strong><br />NAFLD is a metabolic liver disease that is strongly associated with (13, 14, 15):</strong></h4>
<ul>
<li style="list-style-type: none;">
<ul>
<li>Obesity.</li>
<li>Type 2 diabetes.</li>
<li><strong><a href="https://thenourishedepicurean.com/how-your-metabolic-health-affects-chronic-disease-risk/" target="_blank" rel="noopener">Metabolic syndrome</a>.</strong></li>
<li>Increased risk of chronic kidney disease.</li>
<li>Increased risk of liver-related disease, including liver cancer.</li>
<li>Increased risk of all-cause mortality.</li>
<li>Increased risk of atherosclerosis, cardiovascular disease and cardiac complications.</li>
</ul>
</li>
</ul>
<p style="font-weight: 400;">The consequence?</p>
<blockquote>
<h4 style="font-weight: 400;"><strong>Research suggests that unaddressed NAFLD can lead to a potentially shorter lifespan&#8211;and a lower quality of life (16).</strong></h4>
</blockquote>
<h3 style="font-weight: 400;"><strong>What are the risk factors for NAFLD?</strong></h3>
<h4 style="font-weight: 400;"><strong>You are at increased risk for NAFLD if you (17, 18, 19</strong>, <strong>20):</strong></h4>
<ul>
<li style="list-style-type: none;">
<ul>
<li><strong>Are overweight or obese</strong>, characterized by a large waist size  (Men: &gt;40 inches and &gt;35 inches for women) / excess abdominal fat.</li>
<li><strong>Have high blood sugar </strong>or <strong>Type 2 diabetes</strong>.</li>
<li><strong>Have insulin resistance </strong>or a condition that affects how your body uses insulin, like <strong>Polycystic Ovarian Syndrome (PCOS)</strong>.</li>
<li><strong>Have an underactive thyroid</strong>, also known as hypothyroidism.</li>
<li><strong>Have </strong><strong>low HDL “good” cholesterol</strong>.</li>
<li><strong>Have high triglycerides.</strong></li>
<li><strong>Are age 50 or older</strong>.</li>
<li><strong>Smoke now OR have a history of smoking.</strong></li>
<li><strong>Have a history of long-term prescription drug use. </strong><strong><em>*Medications commonly implicated in causing fatty liver include corticosteroids</em></strong><em>, <strong>antidepressant and antipsychotic medications</strong>, and <strong>Tamoxifen, a selective estrogen receptor modulator used to treat and prevent breast cance</strong>r. <strong>Amiodarone,</strong> <strong>used to treat abnormal heart rhythms</strong>, and <strong>methotrexate, used to treat cancer and autoimmune conditions</strong>, are also capable of causing fatty liver disease.</em></li>
</ul>
</li>
</ul>
<h4 style="font-weight: 400;"><strong><em>A study published in the Annals of Hepatology suggests that the best predictors of a fatty liver are your BMI (Body Mass Index) and waist circumference (21).</em></strong></h4>
<blockquote>
<h4 style="font-weight: 400;"><strong>According to researchers, <u>among people who have NAFLD, the disease is mainly associated with metabolic risk factors such as obesity (75-95%), Type 2 diabetes and/or insulin resistance (70%), and abnormal cholesterol levels (50%</u>).</strong></h4>
<h4 style="font-weight: 400;"><strong><u>Up to two-thirds (66%) of people with obesity and Type 2 diabetes present with fatty liver disease</u></strong><strong> (22).</strong></h4>
</blockquote>
<div>
<h3><strong>What you can do</strong></h3>
</div>
<div>
<p><strong>The good news? Your food choices and lifestyle habits can make a significant difference in reversing fatty liver,</strong><span class="apple-converted-space"> </span><strong>especially in the early stages of NAFLD</strong>. Consider the following:</p>
</div>
<div>
<p>&nbsp;</p>
</div>
<div>
<p style="padding-left: 80px;"><strong>1. </strong><strong>  </strong><strong>Test.</strong><span class="apple-converted-space"> </span>Don’t automatically assume you’re “fine”!  Most conventional medical doctors will run routine lab work that includes the liver function markers discussed above. You can also order your own blood work via direct access labs—no doctor’s visit required—and the results will be emailed directly to you within 7 to 10 days. The <span style="color: #ff0000;"><a style="color: #ff0000;" href="https://yourlabwork.com/EsUmV9" target="_blank" rel="noopener">Essential Labs Panel</a></span> provides excellent insight into your overall metabolic health, and it includes liver function tests (ALP, ALT and AST).  <span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="https://yourlabwork.com/EsUmV9" target="_blank" rel="noopener">Learn more here</a></strong></span>.</p>
</div>
<div style="padding-left: 40px;">
<p style="padding-left: 40px;"><strong></strong></p>
<p style="padding-left: 40px;"><strong>2. </strong><strong>  </strong><strong>Do a <a href="https://thenourishedepicurean.com/diy-7-day-body-reset-cleanse/" target="_blank" rel="noopener">whole foods cleanse</a> that supports the liver.</strong><b> </b><span class="apple-converted-space"><b> </b></span><span style="color: #ff0000;"><a style="color: #ff0000;" href="https://thenourishedepicurean.com/diy-7-day-body-reset-cleanse/" target="_blank" rel="noopener"><span class="ml-rte-link-wrapper"><b>Learn more here</b></span></a></span><strong>.</strong></p>
</div>
<div style="padding-left: 40px;">
<p style="padding-left: 40px;"><strong></strong></p>
<p style="padding-left: 40px;"><strong>3.  </strong><strong>Limit or eliminate pro-inflammatory foods, including</strong>: all forms of sugars, refined carbohydrates, excess starches, processed foods, GMO foods and alcohol.</p>
<p style="padding-left: 40px;"><strong>4.  </strong><strong>Eat whole foods, ideally, organic</strong>.</p>
<p style="padding-left: 40px;"><strong>5.  </strong><strong>Cook more at home </strong>vs. ordering online or eating out most nights.</p>
<p style="padding-left: 40px;"><strong>6.  </strong><strong>Move your body every day.</strong></p>
<p style="padding-left: 40px;"><strong>7.  </strong><strong>Hydrate well.  </strong>Ideally, drink filtered water.</p>
<p style="padding-left: 40px;"><strong>8.  </strong><strong>Try a 12-hour fast.  </strong>For example: Finish dinner by 7PM; eat breakfast at 7AM the next morning. No foodin the 12 hours between 7PM and 7AM.</p>
<p style="padding-left: 40px;"><strong>9. </strong><strong>Sleep.  </strong>Ideally, 7-9 hours.</p>
</div>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p style="font-weight: 400;"><strong><em>Sources</em></strong></p>
<p style="font-weight: 400;">1  Karon C Lewis, Laurie K Barker, Ruth B Jiles, Neil Gupta, Estimated Prevalence and Awareness of Hepatitis C Virus Infection Among US Adults: National Health and Nutrition Examination Survey, January 2017–March 2020, <a href="https://academic.oup.com/cid/article/77/10/1413/7220839?login=false">Clinical Infectious Diseases</a>, Volume 77, Issue 10, 15 November 2023, Pages 1413–1415.</p>
<p style="font-weight: 400;">2  Younossi ZM, Golabi P, Paik JM, Henry A, Van Dongen C, Henry L. The global epidemiology of nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH): a systematic review. <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10026948/"><em>Hepatology</em></a>. 2023 Apr 1;77(4):1335-1347.</p>
<p style="font-weight: 400;">3  Appleby RN, Moghul I, Khan S, Yee M, Manousou P, Neal TD, Walters JRF. Non-alcoholic fatty liver disease is associated with dysregulated bile acid synthesis and diarrhea: A prospective observational study. <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6347262/"><em>PLoS One</em></a>. 2019 Jan 25;14(1):e0211348.</p>
<p style="font-weight: 400;">4  Yu EL, Schwimmer JB. Epidemiology of Pediatric Nonalcoholic Fatty Liver Disease. <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8043694/"><em>Clin Liver Dis (Hoboken)</em></a>. 2021 Apr 13;17(3):196-199.</p>
<p style="font-weight: 400;">5  Cha, Ariana Eunjung. “Fatty Liver Was a Disease of the Old. Then Kids Started Getting Sick.” <em><a href="https://www.washingtonpost.com/health/interactive/2023/nonalcoholic-fatty-liver-disease-kids/">Washington Post</a></em>. Oct. 3, 2023.</p>
<p style="font-weight: 400;">6  Center for Sustainable Systems, University of Michigan. 2024. <a href="https://css.umich.edu/publications/factsheets/food/us-food-system-factsheet">&#8220;U.S. Food System Factsheet.&#8221;</a>Pub. No. CSS01-06.</p>
<p style="font-weight: 400;">7, 10  Means, C with Means, C. (2024). <a href="https://amzn.to/4jkivfa"><em>Good Energy</em></a>. Avery.</p>
<p style="font-weight: 400;">8  <a href="https://my.clevelandclinic.org/health/articles/21481-liver">Cleveland Clinic</a>. (2021, Feb. 22). Liver.</p>
<p style="font-weight: 400;">9, 23  Jockers, D. (2020). <a href="https://naturalhealth365programs.com/presentations/heal-your-liver-now-eguide-david-jockers-dnm-dc/">Heal Your Liver Now e-Guide</a>. Pgs. 3, 17-20.</p>
<p style="font-weight: 400;">11, 29  <a href="https://liverfoundation.org/liver-diseases/fatty-liver-disease/nonalcoholic-fatty-liver-disease-nafld/">American Liver Foundation</a>. (2025, Feb. 13). Nonalcoholic Fatty Liver Disease (NAFLD).</p>
<p style="font-weight: 400;">12, 17  <a href="https://www.nhs.uk/conditions/non-alcoholic-fatty-liver-disease/">NHS</a>. (2022, Jan. 13). Non-alcoholic fatty liver disease (NAFLD).</p>
<p style="font-weight: 400;">13  Mantovani, Alessandro et al. Complications, morbidity and mortality of nonalcoholic fatty liver disease. <a href="https://www.metabolismjournal.com/article/S0026-0495(20)30034-2/abstract"><em>Metabolism: Clinical and Experimental</em></a>, Oct. 2020. Volume 111, 154170.</p>
<p style="font-weight: 400;">14, 16  Vancells Lujan P, Viñas Esmel E, Sacanella Meseguer E. Overview of Non-Alcoholic Fatty Liver Disease (NAFLD) and the Role of Sugary Food Consumption and Other Dietary Components in Its Development. <a href="https://www.mdpi.com/2072-6643/13/5/1442"><em>Nutrients</em></a>. 2021; 13(5):1442.</p>
<p style="font-weight: 400;">15  Targher G, Byrne CD, Tilg H. NAFLD and increased risk of cardiovascular disease: clinical associations, pathophysiological mechanisms and pharmacological implications. <a href="https://pubmed.ncbi.nlm.nih.gov/32321858/"><em>Gut</em></a>. 2020 Sep;69(9):1691-1705.</p>
<p style="font-weight: 400;">18 Vassilatou E. Nonalcoholic fatty liver disease and polycystic ovary syndrome. <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4093689/"><em>World J Gastroenterol.</em></a> 2014 Jul 14;20(26):8351-63.</p>
<p style="font-weight: 400;">19  Bikeyeva V, Abdullah A, Radivojevic A, Abu Jad AA, Ravanavena A, Ravindra C, Igweonu-Nwakile EO, Ali S, Paul S, Yakkali S, Teresa Selvin S, Thomas S, Hamid P. Nonalcoholic Fatty Liver Disease and Hypothyroidism: What You Need to Know. <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9477544/"><em>Cureus</em></a>. 2022 Aug 16;14(8):e28052.</p>
<p style="font-weight: 400;">20  <em><a href="https://www.ncbi.nlm.nih.gov/books/NBK547860/">LiverTox: Clinical and Research Information on Drug-Induced Liver Injury [Internet]</a></em>. Bethesda (MD): National Institute of Diabetes and Digestive and Kidney Diseases; 2012-. Nonalcoholic Fatty Liver. [Updated 2019 May 4].</p>
<p style="font-weight: 400;">21, 22  Lopez-Velazquez JA, Silva-Vidal KV, Ponciano-Rodriuez G, Chavez-Tapia NC, Arrese M, Uribe M, Mendez-Sanchez N. The prevalence of fatty liver disease in the Americas. <a href="https://www.elsevier.es/en-revista-annals-hepatology-16-articulo-the-prevalence-nonalcoholic-fatty-liver-S1665268119308798"><em>Annals of Hepatology</em></a>. (March-April 2014). Vol. 13. Issue 2. Pgs 166-178.</p>
<p style="font-weight: 400;">24  Pezzino S, Sofia M, Faletra G, Mazzone C, Litrico G, La Greca G, Latteri S. Gut-Liver Axis and Non-Alcoholic Fatty Liver Disease: A Vicious Circle of Dysfunctions Orchestrated by the Gut Microbiome. <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9687983/"><em>Biology (Basel)</em></a>. 2022 Nov 6;11(11):1622.</p>
<p style="font-weight: 400;">25  Purssell H, Whorwell PJ, Athwal VS, Vasant DH. Non-alcoholic fatty liver disease in irritable bowel syndrome: More than a coincidence? <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8727221/"><em>World J Hepatol</em></a><em>.</em> 2021 Dec 27;13(12):1816-1827</p>
<p style="font-weight: 400;">26, 27 Appleby RN, Moghul I, Khan S, Yee M, Manousou P, Neal TD, Walters JRF. Non-alcoholic fatty liver disease is associated with dysregulated bile acid synthesis and diarrhea: A prospective observational study. <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6347262/"><em>PLoS One</em></a><em>.</em> 2019 Jan 25;14(1):e0211348.</p>
<p style="font-weight: 400;">28  Shin A, Xu H, Imperiale TF. Associations of chronic diarrhoea with non-alcoholic fatty liver disease and obesity-related disorders among US adults. <a href="https://pubmed.ncbi.nlm.nih.gov/31523443/"><em>BMJ Open Gastroenterol</em></a><em>.</em> 2019 Aug 12;6(1):e000322.</p>
<p style="font-weight: 400;">30 <em><a href="https://my.clevelandclinic.org/health/diseases/17179-liver-disease">Cleveland Clinic</a></em>. (2023, Oct. 4). Liver Disease.</p>
<p style="font-weight: 400;">31, 32  <a href="https://www.fda.gov/food/consumers/agricultural-biotechnology">FDA, U.S. Food &amp; Drug Administration</a>. (2024, Jul 9). Agricultural Biotechnology. Feed Your Mind.</p>
<p style="font-weight: 400;">33  <a href="https://www.centerforfoodsafety.org/issues/311/ge-foods/shoppers-guide-to-avoiding-ge-food/1944/sodas-juices-and-beverages">Center for Food Safety</a>. GE Foods.</p>
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		<title>Spring Allergies? Love Your Liver!</title>
		<link>https://thenourishedepicurean.com/spring-10-ways-to-love-your-liver/</link>
					<comments>https://thenourishedepicurean.com/spring-10-ways-to-love-your-liver/#respond</comments>
		
		<dc:creator><![CDATA[kathryn matthews]]></dc:creator>
		<pubDate>Tue, 06 Apr 2021 17:11:18 +0000</pubDate>
				<category><![CDATA[Real Food Wisdom]]></category>
		<category><![CDATA[cleansing the liver]]></category>
		<category><![CDATA[liver health]]></category>
		<category><![CDATA[natural allergy relief]]></category>
		<category><![CDATA[reduce inflammation]]></category>
		<category><![CDATA[spring allergy relief]]></category>
		<guid isPermaLink="false">https://thenourishedepicurean.com/?p=9464</guid>

					<description><![CDATA[Do you dread—achoo! achoo!  achoo!—spring? If so, you’re not alone! We should all love spring.  It means the end of cold and snow (for the most part!), and it can be a beautiful season, with budding trees and flowers and a greening landscape. Unfortunately, the reality for some 50 million Americans who are allergy sufferers—including [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>Do you dread—achoo! achoo!  achoo!—spring?</p>
<p>If so, you’re not alone!</p>
<p>We should all love spring.  It means the end of cold and snow (for the most part!), and it can be a beautiful season, with budding trees and flowers and a greening landscape. Unfortunately, the reality for some 50 million Americans who are allergy sufferers—including myself—is that spring can be sheer misery (1).</p>
<p>Allergy symptoms often compromise your quality of life. As a child, I spent summer and fall, miserably sneezing my way through countless boxes of tissues. During football season in college, I spent August through October in a zombie-like Benadryl-inducedl stupor, so desperate was I for symptom relief. After moving to New York City, I also developed spring allergies, which manifested as intense headaches, sneezing, congestion, brain fog, debilitating fatigue, lethargy and modest weight gain because my body was perpetually inflamed. It took everything I had to get through the day.</p>
<h3><strong>Hay Fever: Misery Has Plenty of Company</strong></h3>
<p><em>Allergic rhinitis</em>, also known as hay fever, causes sneezing, stuffy nose, congestion, runny nose, watery eyes, sleeplessness, headaches, fatigue and itchiness (nose, eyes or roof of the mouth).  Spring can also trigger—or exacerbate—other common allergic diseases, such as asthma, conjunctivitis, hives, eczema, dermatitis and sinusitis (2).</p>
<p>Though seasonal allergies seem harmless—just a temporary inconvenience that we need to soldier through—allergies are the sixth leading cause of chronic illness in the U.S., with an annual cost exceeding $18 billion (3). Allergies are also on the rise, affecting 30% of adults and 40% of children, with significant increases in food allergies and skin allergies among children under age 18 (4).</p>
<p>What I didn’t know then that I do now? How important it is to love your liver! Supporting your liver and optimizing your gut health is KEY to reducing the severity of allergy symptoms.</p>
<h3><strong>Spring Allergies and Liver Health</strong></h3>
<p>The liver is an important organ to support in the spring—especially if you are an allergy sufferer.  In Traditional Chinese Medicine (TCM), the liver is the organ that rules spring—and spring allergies.  Specific symptoms, such as itchiness and redness in the eyes, are indicative of poor or deficient liver function, according to TCM.</p>
<p>The ultimate multi-tasking organ in the body, the liver performs over 500 vital functions. Among its many important functions, the liver cleanses the blood; processes nutrients from food; produces bile (essential for healthy digestion); builds proteins; resists infections by removing bacteria from the bloodstream; and removes toxins from the body. When it works overtime, trying to process medications, alcohol, sugar, processed foods, and environmental toxins, it can become backlogged. A sluggish or congested liver results in (or worsens) allergies.</p>
<p>Allergies can be indicative of a liver overwhelmed by toxins. In other words, if substances enter your bloodstream too quickly—or in too large amounts—the liver is unable to &#8220;catch them&#8221; to process efficiently (think of the classic <em>I Love Lucy</em> candy factory episode where Lucy and her best friend fall desperately behind on their job of wrapping the chocolates whizzing by them on a conveyor belt!).  As a result, the immune system tags these molecules as an allergen and produces antibodies against them. Because the liver filters out harmful substances, it plays a significant role in reducing the effect (e.g., allergy symptoms) that an existing or potential allergen will have on your body.</p>
<h3><strong>10 Ways to Love Your Liver</strong></h3>
<p><strong>1.  Minimize fructose intake: 15 to 25 grams maximum daily.</strong></p>
<p>Fructose, a.k.a. fruit sugar, is what gives fruit its natural sweetness. High fructose corn syrup, on the other hand, is a highly refined form of fructose, extracted from corn, beets and sugarcane in a process that also removes all fiber and nutrients. Unlike glucose, which every cell in your body can break down for energy, fructose can <em>only</em> be metabolized in the liver—nowhere else (5)!</p>
<p>Around 1900, the average American ate 15 grams of fructose daily, mostly from fruits and vegetables. Today, Americans consume 60-70 grams of fructose daily, mostly as added, refined sugars (e.g., high fructose corn syrup).</p>
<p>High fructose consumption is associated with insulin resistance, high blood pressure, metabolic syndrome and fat build-up in the liver that leads to non-alcoholic fatty liver disease, or NAFLD (6). A new study published in <em>Nature Communications</em> found that excess fructose in the liver inflames the immune system (exactly what you don’t want during allergy season!), creating a cascade effect, where the body produces reactive molecules that create more inflammation that damages cells and tissues (7, 8).</p>
<p>What does “excess fructose” look like? Let’s compare. Whereas one large banana contains apx. 7 grams of natural fruit fructose and 1 cup of dried figs contain 23 grams of fructose, sodas, like Mountain Dew, Mug Root Beer, Pepsi, Sprite and Coca Cola, contain 62 to 72 grams of fructose per liter in the form of high fructose corn syrup (9).</p>
<p><strong>2.  Avoid overeating fruit.</strong></p>
<p>Yes, fruit is a whole, unprocessed food, containing antioxidants, fiber, vitamins and minerals. But&#8230;fruit also contains fructose in varying amounts, from 3 grams of fructose in 1 cup of raspberries, to 12 grams of fructose in 1 cup of grapes. Too much fructose—even as fresh fruit—overwhelms your liver. I had a client who, under duress, was eating 10-12 servings of fruit daily. Ten servings of raspberries contain 30 grams of fructose, too much for the liver to process efficiently. Also, depending on how sensitive someone is, fruit is a form of sugar that can cause blood sugar spikes that contribute to hormone imbalance.</p>
<p><strong>3.  Eat whole foods.</strong></p>
<p><strong><a href="https://thenourishedepicurean.com/health-benefits-whole-foods/" target="_blank" rel="noopener">The benefits of whole foods</a></strong> are many: fiber, vitamins, minerals and nutrient-dense calories, and they do not contain added sugars.</p>
<p><strong>4.  Eat enough fiber.</strong></p>
<p>Fiber slows down the absorption of fructose. Ideally, when you eat fruit, combine it with high fiber foods to prevent flooding the liver with fructose. For example: a banana with almond butter or a fruit smoothie with chia or flax seeds and leafy greens. Avoid all-fruit smoothies which release a rush of fructose and stresses the liver.</p>
<p><strong>5.  Eat liver (beef, chicken or fish)!</strong></p>
<p>My guess is that you either hate liver or love it. I happen to love it! Liver is a nutrient-dense superfood, rich in protein, B vitamins (B12, B6, biotin, folate), vitamin A and iron. Eating liver provides your liver with the necessary nutrients needed to help filter waste and toxins from the blood so they can be eliminated from the body. The B vitamins in liver also help support your body’s detoxification pathways. Bottom line: eating liver helps support liver function and detoxification.</p>
<p><strong>6.  Avoid ultra-processed foods.</strong></p>
<p>Highly processed foods, which comprise apx. 60% of the American diet, are a source of added sugars, including high fructose corn syrup, unhealthy fats, excess sodium, artificial flavors, artificial colors, preservatives, flavor enhancers and other unpronounceable, chemical-sounding ingredients, that would be considered toxic to the liver. These foods are also common sources of fructose: soda, fruit juice, breakfast cereals, commercial breads, frozen/boxed meals, pasta sauce, (e.g., barbecue sauce, ketchup), low-fat yogurt, salad dressings, granola bars, candy, cookies, crackers, chips, canned fruit, energy drinks and ice cream (10).</p>
<p><strong>7.  Minimize alcohol intake.</strong></p>
<p>Yes, I get that cocktails and wine can take the edge off a stressful day or help you “loosen up”! However, alcohol is toxic to the liver. As alcohol is broken down in the liver, toxic byproducts, like acetaldehyde, are released, causing inflammation and the toxic effects associated with drinking alcohol (11). Endotoxins are chemicals that cause toxic side effects of bacterial infection on organ systems. Alcohol consumption can increase intestinal permeability (a.k.a., leaky gut), allowing endotoxins into the liver (12).  Ultimately, alcohol can damage or destroy liver cells and scar your liver. In severe cases, liver damage from alcohol results in cirrhosis. Alcohol can also inhibit the breakdown of fats, leading to fatty liver—and that unsightly beer gut. The amount of alcohol your body can tolerate is affected by genetics, anatomy, physiology and gender; for example, women have a lower tolerance than men (13).  While general guidelines may characterize 1 drink per day as “moderate” for women, this may be excessive for someone who has a low tolerance for alcohol.</p>
<p><strong>8.  Be mindful about taking medications.</strong></p>
<p>Any medication you take, whether prescribed medications or over-the-counter remedies, must be processed in the liver. If you are taking multiple medications, this places a heavy burden on the liver. Always consult with your healthcare practitioner to make sure that taking a medication(s) is absolutely necessary and/or if the dosage needs to be adjusted.</p>
<p>Back in the day, I used to pop a Tylenol (acetaminophen) every time I had a headache, especially during allergy season, not realizing that excess acetaminophen can cause liver damage. In fact, a 2016 study showed that patients with acute liver failure, whose conditions were caused by acetaminophen poisoning, were more like to die within 48 hours than those with other causes of liver failure (14).</p>
<p>Looking back, I realize that what my body needed was more rest, more water and less sugar—not Tylenol. Many times, <strong><a href="https://thenourishedepicurean.com/10-tips-for-self-care/" target="_blank" rel="noopener">attention to basic self-care</a></strong> can reduce a dependency on medication as a “quick fix”.</p>
<p><strong>9.  Minimize exposure to toxins. </strong></p>
<p>These include commercial household cleaners, aerosol products, garden and lawn products, pesticides, insecticides and herbicides (e.g., glyphosphate, or RoundUp) heavy metals (arsenic, lead, mercury), among others. Start by choosing organic food, using a water filter and avoiding lawn chemicals, including golf courses, a source of chlorpyrifos, an organophosphate insecticide.</p>
<p><strong>10.  Honor your food sensitivities.</strong></p>
<p>Food sensitivities create inflammation in the body and can contribute to the liver&#8217;s toxic burden. This is why doing a whole foods cleanse, like the <a href="https://thenourishedepicurean.com/diy-7-day-body-reset-cleanse/" target="_blank" rel="noopener"><strong>7-Day Healthy Body R</strong><strong>eset</strong></a>, often helps to give allergy symptom relief.  Here is what you need to understand about <a href="https://thenourishedepicurean.com/?p=5296&amp;preview=true" target="_blank" rel="noopener"><strong>the seasonal allergy-food connection</strong></a>.</p>
<hr />
<h3><strong>Tune Up Your Liver with a Spring Cleanse!</strong></h3>
<p><a href="https://thenourishedepicurean.com/diy-7-day-body-reset-cleanse/"><img decoding="async" class="aligncenter wp-image-9508 size-full" src="https://thenourishedepicurean.com/wp-content/uploads/2021/04/1-7_Tray-w-Ginger-Lemon.jpg" alt="" width="600" height="401" srcset="https://thenourishedepicurean.com/wp-content/uploads/2021/04/1-7_Tray-w-Ginger-Lemon.jpg 600w, https://thenourishedepicurean.com/wp-content/uploads/2021/04/1-7_Tray-w-Ginger-Lemon-480x321.jpg 480w" sizes="(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 600px, 100vw" /></a></p>
<hr />
<p><strong>Continue Reading About Allergies (see below):</strong><br />
<strong><a href="https://thenourishedepicurean.com/allergy-food-connection/" target="_blank" rel="noopener">The Seasonal Allergy-Food Connection</a></strong> (Part 2)<br />
<strong><a href="https://thenourishedepicurean.com/eating-for-allergy-relief/" target="_blank" rel="noopener">11 Tips to Ease Allergy Symptoms</a></strong> (Part 3)</p>
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<p><strong>Sources:</strong></p>
<p><sup>1, 2, 3</sup> <a href="https://www.aafa.org/allergy-facts/">Asthma &amp; Allergy Foundation of America</a>.<br />
<sup>4  </sup>  <a href="https://www.cdc.gov/nchs/data/databriefs/db121.pdf">NCHS Data Brief</a>. No. 121. May 2013.<br />
<sup>5</sup>   <a href="https://www.health.harvard.edu/heart-health/abundance-of-fructose-not-good-for-the-liver-heart">Harvard Health Publishing</a>. Sept. 2011<br />
<sup>6, 9</sup> <a href="https://www.sciencedirect.com/science/article/pii/S0899900714001920">Nutrition</a>. Vol. 30, Issues 7-8, July–August 2014, Pages 928-935<br />
<sup>7</sup>   <a href="https://www.swansea.ac.uk/press-office/news-events/news/2021/02/high-fructose-diets-could-cause-immune-system-damage---new-research-.php">Swansea University</a>. Feb. 22, 2021<br />
<sup>8</sup>   <a href="https://www.nature.com/articles/s41467-021-21461-4">Nature Communications</a>. Feb. 22, 2021<br />
<sup>10</sup>  <a href="https://www.hsph.harvard.edu/nutritionsource/processed-foods/">Harvard T. H. Chan. School of Public Health</a>.<br />
<sup>11, 12</sup> <a href="https://pubs.niaaa.nih.gov/publications/arh21-1/05.pdf">Alcohol, Health &amp; Research World</a>.<br />
<sup>13</sup>  <a href="https://www.yalemedicine.org/news/alcohol-liver">Yale Medicine</a>. Oct. 29, 2020<br />
<sup>14</sup>  <a href="https://www.utsouthwestern.edu/newsroom/articles/year-2017/liver-study-milestone.html">UT Southwestern Medical Center</a>. March 28, 2017</p>
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