Elevated hepatitis B index?
The recent hepatitis B test results show E antigen positive at 1774, Y-GT at 16, total bilirubin at 0.60, GOT at 33, GPT at 73, and AEP at 2.4 (previous tests were normal).
Is there a way to reduce hepatitis through traditional Chinese medicine?
Regarding lifestyle, I often experience insomnia at night, feel sleepy during the day, and have good energy at night.
I sometimes have to work past 11 PM, which makes it difficult to sleep.
I've heard that sleeping past 11 PM can be harmful to the liver.
What dietary recommendations do you have? Is it possible to combine Western liver protection medications with traditional Chinese medicine? I am quite worried and feeling down about this situation.
Thank you for your response.
Niming, 20~29 year old female. Ask Date: 2022/07/06
Dr. Gao Peiyi reply Traditional Chinese Medicine
1.
Yes.
2.
Try to maintain a regular schedule; it is not necessary to sleep before a specific time.
This liver concept belongs to Traditional Chinese Medicine (TCM) meridians, not Western medicine.
3.
A balanced diet is sufficient; avoid long-term use of overly warming or immune-interfering supplements, such as turmeric, reishi mushroom, and deer antler.
4.
It is possible, but Chinese herbal medicine may be more bitter and cold in nature, and it requires a period of use to be meaningful.
Maintain a balanced diet, try to keep a regular schedule, and since previous test results were normal, there is no need for excessive worry; regular follow-ups with Western medicine are sufficient.
Reply Date: 2022/07/06
More Info
Managing high levels of Hepatitis B can be a complex issue, especially when considering the integration of Traditional Chinese Medicine (TCM) with Western medical practices. Your recent lab results indicate elevated levels of Hepatitis B e-antigen (HBsAg) and liver enzymes (GOT and GPT), which suggest that your liver is under stress and may be inflamed. It is crucial to approach this situation with caution and a well-informed strategy.
Understanding Hepatitis B and Liver Function
Hepatitis B is a viral infection that affects the liver and can lead to chronic liver disease, cirrhosis, or even liver cancer if not managed properly. The liver enzymes (GOT and GPT) you mentioned are indicators of liver inflammation; elevated levels suggest that the liver is reacting to the viral infection. The presence of HBsAg indicates an active infection, and it is essential to monitor these levels closely.
Traditional Chinese Medicine (TCM) and Hepatitis B
TCM approaches health from a holistic perspective, focusing on restoring balance within the body. Some practitioners believe that certain herbal remedies can support liver health and improve liver function. However, it is vital to consult a licensed TCM practitioner who can provide a tailored treatment plan based on your specific condition. Not all herbal remedies are safe for individuals with liver disease, and some may even exacerbate liver issues.
Risks of Combining TCM with Western Medicine
While some patients seek to combine TCM with Western medicine, it is crucial to communicate openly with both your Western medicine physician and your TCM practitioner. Certain herbs can interact with prescribed medications, potentially leading to adverse effects. For instance, some herbal supplements may increase liver enzyme levels or interfere with antiviral medications used to treat Hepatitis B. Therefore, it is essential to avoid self-medicating with herbal products without professional guidance.
Lifestyle Modifications
Your lifestyle choices significantly impact liver health. Here are some recommendations:
1. Sleep Hygiene: You mentioned difficulty sleeping and working late into the night. Sleep is crucial for liver health, as the liver performs many of its detoxification processes during sleep. Aim for a consistent sleep schedule, ideally going to bed before 11 PM. This practice can help regulate your body's circadian rhythm and support liver function.
2. Diet: A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support liver health. Foods high in antioxidants, such as berries, leafy greens, and nuts, may help reduce inflammation. Avoid alcohol, processed foods, and excessive sugar, as these can further strain the liver.
3. Stress Management: Chronic stress can negatively impact liver health. Consider incorporating stress-reducing practices such as mindfulness, meditation, or gentle exercise like yoga or tai chi.
4. Regular Monitoring: Keep regular appointments with your healthcare provider to monitor your liver function and adjust treatment as necessary. This is especially important given your elevated liver enzyme levels.
Conclusion
In summary, managing high levels of Hepatitis B requires a comprehensive approach that includes medical supervision, lifestyle modifications, and possibly the integration of TCM under professional guidance. While TCM may offer supportive therapies, it is essential to prioritize safety and efficacy by consulting licensed practitioners and maintaining open communication with your healthcare team. Your concerns about your health are valid, and taking proactive steps can lead to improved outcomes. Remember, you are not alone in this journey, and there are resources and professionals available to support you.
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