Hepatitis is an inflammation of the liver which can be caused by a variety of different causes. Hepatitis is associated with damage and destruction of the liver cells (hepatocytes).

It can be acute or chronic.

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Functions of the liver:

• žDetoxification (ammonia, alcohol, medication ...)

• žExcretion of metabolic products (breakdown of steroid hormones, bilirubin from heme)

• žstorage (150 g glycogen, Fe, A, D, K, E, B12, 20% of the blood)

• žFirst pass effect (filter for all absorbed substances)

• žImmune defense (copper star cells)

• žMotion of blood (breakdown of erythrocytes)

• žMetabolism (EW, F, KH)

• žProducer (cholesterol from fatty acids & glucose, bile juice (0.5-1 L / day) blood proteins (albumins, globulins), blood clotting substances (fibrinogen, coagulation factors)

• žPH value / heat / buffer regulation

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Causes of inflammation:

• there is a purely mechanical or physical impairment (radiation hepatitis, bruise , blood flow disorder, etc.)

• toxic substances (drugs, drugs, poisons)

• Pathogens (viruses, bacteria, parasites)

• and many more

Fatty liver can also lead to fatty liver hepatitis. Weight loss is highly recommended in order to break down the fat in the liver and not to risk fatty liver hepatitis.

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Hepatitis course:

• Release of inflammatory mediators: cytokines

• Immigration of leukocytes and macrophages into the liver tissue

• Signs of inflammation in the body: leukocytosis, fever, increased blood sedimentation, C-reactive protein (CRP)

• Deterioration or death (necrosis) of liver cells

• Release of proteins and enzymes from dead liver cells

• Increase in transaminases ("liver enzymes")

• Limitation of the metabolic functions of the liver

• Disturbance of hemoglobin and bile acid metabolism with an accumulation of albumin, bilirubin in the blood and consequent jaundice (jaundice)

• The disturbed energy metabolism (glycogen) can result in a feeling of weakness

• Since the synthesis of blood coagulation factors is reduced, there is an increased tendency to bleed

• Furthermore, the removal of free ammonia from the bloodstream is impaired, which causes encephalopathy with the end stage of hepatic coma (coma hepaticum).

• If the inflammation does not heal without consequences (restitutio ad integrum), the submerged liver tissue is replaced by scar tissue: fibrosis of the liver, liver cirrhosis (due to chronic hepatitis)

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Why is nutritional therapy important?

Nutritional therapy supports you in reducing the inflammation of the liver for quick healing and regeneration through a wholesome, easily digestible diet. It also supports the liver function so that it can work better despite the inflammation. Furthermore, flatulence, bloating, pressure in the abdomen and abdominal pain are reduced by appropriate dietary therapy. The aim is to provide you with a wholesome diet that contains all of the fatty acids, micronutrients (vitamins and minerals) that are important for you, energy and protein in such a way that your body is optimally supplied. For this purpose, foods that promote inflammation are specifically avoided and plenty of anti-inflammatory foods are consumed. Weight reduction is recommended if you are overweight / obese. An anti-inflammatory diet can improve your health and strengthen your immune system for more well-being and strength in your everyday life. You will learn how you can actively counteract inflammation through foods that naturally have antifungal (against fungi), antibacterial (against bacteria), antiviral (against viruses) and antioxidant as well as immune-boosting properties - that is, natural antibiotics.

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Important: Please refrain from alcohol and nicotine.

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Classification of your weight - definition and classification of weight in relation to height.

Special percentile curves apply to children and adolescents; the BMI cannot simply be used here.

BMI and interpretation: BMI: body mass index. Formula: Body weight in kg : (body height in m) 2

Underweight: <18.5

Normal weight: 18.5 - 24.9

Overweight = pre-obesity: 25-29.9

Obesity grade I: 30 - 34.9

Obesity grade II: 35-39.9

Obesity grade III:> 40 = per magna

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Blood count:

It is advisable to have your Omega 3 index checked regularly.

This provides information about the supply of valuable omega 3 fatty acids (alpha-linolenic acid, eicosapentaenoic acid and docosahexaenoic acid), which can significantly counteract inflammatory processes in the body.

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Nutritional therapy

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• Anti-inflammatory nutrition as a basis, individually tailored to you

• Holistic therapy - do you have any comorbidities that need to be taken into account during the consultation?

• Overall fat selection, how should it be designed

• How many animal foods (e.g. meat products, milk and dairy products, cheese, fish products, eggs) are recommended?

• What do I have to look out for when choosing animal foods?

• How can I counteract inflammatory processes through diet?

• Body weight: Weight reduction is recommended if you are overweight / obese.

• Avoid micronutrient deficiencies and mineral deficiencies & possibly counteract them with nutrient preparations

• Prevent protein deficiency

• Which nutrients do I need in which ratio?

• Get enough fiber (> 30 g / day) through natural foods, possibly fiber substitution

• Sufficient fluid: total fluid per day: 30 - 35 ml per kg body weight and day. Attention, this is not just a drinking liquid. The liquid from food (approx. 500 - 800 ml) must still be subtracted from this, so that an amount of approx. 1.3 - 2 l of drinking liquid is created.

• add valuable anti-carcinogenic (anti-cancer) secondary plant substances

• A selection of foods tailored to your needs with cooking and technical information (for breakfast, snacks, lunch, dinner)

• Do you like to eat your warm meal in the evening? I am happy to cater to your individual situation and we will create a plan on how you can implement your wholesome diet into your everyday life.

• which oils are good for me? What should I watch out for in relation to the anti-inflammatory diet?

• How much fat spread (butter / margarine / vegetable fat) can I use and which products are recommended?

• Get enough Omgea-3 fatty acids and essential fatty acids

• How can I boost and support my metabolism with natural foods?

• Coordinate sensible meal frequency for your individual case - meal allocation

• Define the desired weight stabilization / normalization & the estimated period for this

• what should be considered with beverages and alcoholic beverages?

• How does exercise affect your body and thus also your diet?

• Avoid blood sugar fluctuations

• Sweetening foods - sweeteners, glucose, fructose, sugar and sugar substitutes, what can I use and in what quantities? How high is the respective sweetness of the different products?

• what should be considered when baking and cooking?

• what are cheap snacks / main meals

• Eating out - what should you watch out for?

• Vacation, boat trip or hospital stay, what should be considered?

• Flatulence, bloating, diarrhea, constipation, vomiting, heartburn, loss of appetite, pain related to eating, what can I do about it?

• Daily plans as an example for practical implementation in everyday life

• Enjoyment training

• Optimizing your eating situation

• long-term maintenance of a jointly defined weight

• Strengthen the stomach and intestines with natural foods

• Additional therapy options

• Dietetic products in support of nutritional therapy

• Food supplements - under certain circumstances, a supplement can be useful

• and other topics

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Any questions? I look forward to your call or email. To contact form

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Assistance:

• KISS self-help groups

• Self-help network

• German Liver Foundation

• Liver League support group

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