Binge eating disorder
Binge eating & "binge eating"
"Food keeps body and soul together"
When the soul is hungry
Certified individual therapeutic counseling
Cirrhosis of the liver (shrunken liver) is a progressive,
Scarred and connective tissue changes in liver cells.
The liver parenchyma represents the organ-specific tissue of the liver.
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
žDistinction of 2 stages:
ž1.) Compensated cirrhosis of the liver:
The first symptoms are present, but the functional failures of the liver can still be compensated.
ž2.) Decompensated cirrhosis of the liver:
Loss of function of the organ. The liver can only carry out its tasks to a limited extent (detoxification function, coagulation factor formation, albumin synthesis.
Complications of cirrhosis of the liver:
žesophageal varices (varicose veins of the esophagus)
Hepatic encephalopathy = brain dysfunction during severe liver disease, cause: reduced ammonia detoxification in the liver
Why is nutritional therapy important?
Nutritional therapy helps you to improve the side effects of the disease.
Furthermore, gas, bloating, pressure in the abdomen and abdominal pain are reduced.
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 the state of health.
žThere is an increased resting metabolic rate.
žOverall goal: Avoidance of malnutrition!
žState of decompensation:
60-100% of those affected experience malnutrition (energy or energy and protein)
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
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
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.
In the case of insulin resistance and lipid metabolism disorders, also treat them with nutritional therapy
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
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
Any questions? I look forward to your call or email. To contact form