embracing nutrition and functional medicine

Help and Support for Hepatitis with Functional Medicine

Have you been diagnosed with hepatitis, but need help with the symptoms? Read below how Functional Medicine may be able to help you.

Hepatitis - How Functional Medicine may be able to help you

The term hepatitis means ‘inflammation of the liver’. It is most commonly caused by a viral infection or as a result of liver damage from drinking alcohol.

  • Hepatitis A – is caused by the hepatitis A virus. It is usually contracted in developing countries where the sanitation is poor. For example where food and drink can become contaminated by water that contains faeces from an infected person.
  • Hepatitis B – is caused by the hepatitis B virus. It is spread through contact with the blood of an infected person. It can be contracted from infected needles, passed from mother to child and in rare cases caught through unprotected sex. Hepatitis B can be vaccinated against.
  • Hepatitis C – is caused by the hepatitis C virus and is the most common type of viral hepatitis in the UK. It’s usually spread through blood-to-blood contact with an infected person, such as via sharing needles. Hepatitis C often causes no symptoms, unless it become chronic.
  • Hepatitis D – caused by the hepatitis D virus. It only affects people who are already infected with hepatitis B, as it needs the hepatitis B virus to be able to survive in the body.
  • Hepatitis E – is caused by the hepatitis E virus. It has been mainly associated with the consumption of raw or undercooked pork meat or offal, but also with the wild boar meat, venison and shellfish.
  • Alcoholic hepatitis – is a type of hepatitis caused by drinking excessive amounts of alcohol over many years.
  • Autoimmune hepatitis – is a rare cause of long-term hepatitis in which the immune system attacks and damages the liver. It can lead to liver failure. Treatment involves medications that suppress the immune system and reduce inflammation. The British Liver Trust has more information about autoimmune hepatitis. https://www.britishlivertrust.org.uk/liver-information/liver-conditions/autoimmune-hepatitis/

 

Some types of hepatitis will resolve without any serious consequences. Other types can become chronic and long-lasting. This can lead to liver cirrhosis (scarring), loss of liver function and in some cases liver cancer.

Short-term hepatitis often passes without any symptoms. If hepatitis becomes chronic it is typical to experience:

  • A fever
  • Nausea
  • Severe fatigue
  • Muscle and joint pains
  • Loss of appetite
  • Abdominal pain
  • Dark urine
  • Pale stools
  • itchy skin
  • Yellowing of the eyes and skin

 

Conventional medicine has several available treatments depending on the type of hepatitis. These include antiviral agents and in the most advanced cases, liver transplants. The success of these can be limited and the side effects can be serious and in some cases dangerous.

In functional medicine, the aim is to promote liver function, support the immune system so it can clear the hepatitis virus from the body and support the liver’s detoxification pathways. This protocol will include:

  • Dietary adjustments – to remove foods that stress or damage the liver and increase foods rich in nutrients and protective factors that support liver function. 1
  • Nutritional liver support – a personalised regimen of nutrients, supplements and herbs to support liver function, promote proper detoxification pathways, lower inflammation in the liver and protect the liver from the damage caused by free radicals. 2 3 4 5
  • Immune support – specific therapies to stimulate the immune system and aid it in clearing viral load. 6

References

  1. Himoto T. Diet and Nutrition for Hepatitis. Nutrients. 2021 Apr 7;13(4):1210. Doi: 10.3390/nu13041210. PMID: 33916929; PMCID: PMC8067608.
  2. Abenavoli L, Izzo AA, Milić N, Cicala C, Santini A, Capasso R. Milk thistle (Silybum marianum): A concise overview on its chemistry, pharmacological, and nutraceutical uses in liver diseases. Phytother Res. 2018 Nov;32(11):2202-2213. Doi: 10.1002/ptr.6171. Epub 2018 Aug 6. PMID: 30080294.
  3. Kang Y, Kuang X, Yan H, Ren P, Yang X, Liu H, Liu Q, Yang H, Kang X, Shen X, Tong M, Li L, Wang X, Guo L, Ma J, Zhang F, Fan W. A Novel Synbiotic Alleviates Autoimmune Hepatitis by Modulating the Gut Microbiota-Liver Axis and Inhibiting the Hepatic TLR4/NF-κB/NLRP3 Signaling Pathway. mSystems. 2023 Apr 27;8(2):e0112722. Doi: 10.1128/msystems.01127-22. Epub 2023 Feb 16. PMID: 36794950; PMCID: PMC10134874.
  4. Moreno-Otero R, Trapero-Marugán M. Hepatoprotective effects of antioxidants in chronic hepatitis C. World J Gastroenterol. 2010 Apr 21;16(15):1937-8. Doi: 10.3748/wjg.v16.i15.1937. PMID: 20397276; PMCID: PMC2856839.
  5. Lozano-Sepúlveda SA, Rincón-Sanchez AR, Rivas-Estilla AM. Antioxidants benefits in hepatitis C infection in the new DAAs era. Ann Hepatol. 2019 May-Jun;18(3):410-415. doi: 10.1016/j.aohep.2019.04.004. Epub 2019 Apr 15. PMID: 31122787.
  6. Czaja AJ, Montano-Loza AJ. Evolving Role of Vitamin D in Immune-Mediated Disease and Its Implications in Autoimmune Hepatitis. Dig Dis Sci. 2019 Feb;64(2):324-344. doi: 10.1007/s10620-018-5351-6. Epub 2018 Oct 28. PMID: 30370494.

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