Nutrient intake for Patients with Hepatitis

Liver is the largest and most important organs. Damage to the liver have a major impact on the various processes in the body, including digestion, absorption, storage, and the use of vitamins and minerals.

Liver disease causes malnutrition due to three reasons, ie inhibit / interfere with digestion and absorption of food, affects the use of nutrients in the body, and reduce food intake because of nausea, loss of appetite, and vomiting. When the liver is not functioning properly, then the production, use, and expenditure / excretion of protein, carbohydrate, and fat will be changed. In addition, the absorption and use of various vitamins and minerals is reduced.

In the book “Living with Hepatitis C: A Survivor’s Guide” by Gregory T. Everson, M.D. and Hedy Weinberg 1997, the liver plays an important role in several steps of metabolism of vitamins. The patients with advanced liver disease may be deficient in vitamins, water soluble vitamins (vitamins C and B-complex), but this usually occurs because the input of food and nutrition that are less / not adequate.

While the vitamins are fat soluble (A, D, E, K) not only requires adequate food nutrient inputs, but also good digestion and good absorption by the body. That is why the production of bile in normal quantities is very important. Bile in the stomach / intestines needed for the absorption of fat soluble vitamins into the body because these vitamins are usually not soluble in water. Bile works as the detergent, breaks down and dissolving these vitamins so they can be absorbed by the body properly.

If the was poor bile production, oral supplements of vitamins A, D, E, K may not be adequate to restore vitamin levels to normal levels. The use of like solution liquid detergent of vitamin E (TPGS), was able to increase the absorption of vitamin E in patients with advanced liver disease. The same solution can also improve the absorption of vitamins A, D, and K if vitamin C taken together with vitamin E liquid.

Intake of vitamin A in sufficient quantities, can help prevent the buildup of hardened tissue, which is characteristic of liver disease. But the the use of fat-soluble vitamin that is for a long time and in excessive doses can cause liver swollen and liver disease.

Vitamin E can prevent the damage to liver and cirrhosis, according to experts at the University of Turin in Italy. They are experimenting by giving supplements of vitamin E in rats and mice in the number who can afford to increase the concentration of vitamin E in the liver. The mice were given carbon tetrachloride to test whether treatment with vitamin E that done before can protect them, either from acute liver damage / chronic and cirrhosis.

Vitamin E supplements increase the vitamin content in three section and reduces of liver oxidative damage in of liver cells, but does not have any protective effect on of liver fat infiltration. Cirrhosis can also be prevented in the rats fed supplements of vitamin E. It seems that vitamin E provides adequate protection against necrosis caused by carbon tetrachloride and cirrhosis, probably by reducing the spread of lipid oxidation and reduced oxidative of liver damage coverage.

Beta-carotene levels in the body of patients with of liver cirrhosis is very low, otherwise the diet with high beta-carotene may reduce liver damage. Cirrhosis of the of liver is often associated by increased activity of dangerous components called free radicals that can increase the risk of liver cancer. As an antioxidant, beta carotene can prevent the formation of free radicals which may be harmful.

Damage on the liver may be a sign of choline deficiency. Fat accumulates in the liver as triglycerides should be packaged as VLDL (very low density lipoproteins) so that can be moved from the liver, but VLDL phosphstidylcholine need in order to function. As a result, VLDL can not be removed from the liver during choline deficiency the body remains. People who are less choline diet showed liver enzyme dysfunction and increased blood cholesterol within three weeks. These symptoms are turned around within two to six weeks after the supplementation of lecithin, which can increase choline levels in the blood.

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Nutrition for Hepatitis