Managing Hepatitis B: Nutritional Supplements and Liver Health

Q: Managing Hepatitis B: Nutritional Supplements and Liver Health

Hello, sir： Nutritional supplements can be made in Taiwan and should be natural as long as they are not too expensive, but their effectiveness may be poor. <br>For hepatitis B, liver-protective medications can be prescribed as long as there are abnormalities in liver function. <b

Care for Hepatitis B Carriers

Hello, doctor.
I am a carrier of hepatitis B and currently have check-ups every six months at a clinic near my home to monitor my GOT/GPT levels and undergo ultrasound examinations.
Recently, my GPT level was slightly elevated (100), but the doctor mentioned that this value does not meet the criteria for medication under the National Health Insurance, so he suggested that I buy some liver health supplements from the pharmacy.
I would like to ask: 1.
Are the so-called supplements referring to products like clam tablets? 2.
A friend recommended [Yongsheng Liver Protection Capsules 150 mg], saying that this is for maintenance purposes??? 3.
Does this mean that as long as my liver function tests are normal, I do not need to take medication?

Billy, 20~29 year old female. Ask Date: 2009/08/13

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, sir: Nutritional supplements can be made in Taiwan and should be natural as long as they are not too expensive, but their effectiveness may be poor.
For hepatitis B, liver-protective medications can be prescribed as long as there are abnormalities in liver function.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2009/08/13

More Info

Managing Hepatitis B, especially as a carrier, requires careful attention to diet and lifestyle choices. As you mentioned, your recent check-up indicated a slightly elevated GPT level (100), which suggests that while your liver function is not critically impaired, it is still important to take proactive measures to support your liver health. Here’s a comprehensive overview of nutritional supplements and dietary considerations for individuals with Hepatitis B.

Nutritional Supplements
1. Understanding Nutritional Supplements: Nutritional supplements can include a variety of products, such as vitamins, minerals, and herbal extracts. In the context of liver health, some common supplements include milk thistle (silymarin), vitamin E, and various B vitamins. However, it is crucial to approach these supplements with caution. For instance, while some studies suggest that milk thistle may have protective effects on the liver, the evidence is not definitive. Always consult with your healthcare provider before starting any new supplement.

2. Specific Products: Regarding the product you mentioned, "永勝-保肝膠囊," it is essential to research its ingredients and consult with your doctor. Many liver health supplements claim to support liver function, but their efficacy can vary widely. Some may contain beneficial ingredients, while others may not have any significant effect. Your healthcare provider can help you determine if such a product is appropriate for you based on your specific health needs.

3. Regular Monitoring: Since you are already undergoing regular monitoring of your liver function (GOT/GPT tests), it is crucial to continue this practice. If your liver function tests remain stable and within normal ranges, you may not need to take additional medications or supplements. However, if your liver enzymes continue to rise or if you experience symptoms of liver dysfunction, further evaluation and treatment may be necessary.

Dietary Considerations
1. Balanced Diet: A balanced diet is fundamental for liver health. Focus on whole foods, including plenty of fruits, vegetables, whole grains, lean proteins (such as fish, chicken, and legumes), and healthy fats (like those found in nuts and olive oil). Avoid processed foods, excessive sugars, and high-fat meals, as these can place additional strain on your liver.

2. Hydration: Staying well-hydrated is essential for overall health and can aid in liver function. Aim to drink plenty of water throughout the day.

3. Avoid Alcohol and Toxins: Alcohol can significantly worsen liver health, especially in individuals with Hepatitis B. It is advisable to avoid alcohol entirely. Additionally, be cautious with over-the-counter medications and herbal supplements, as some can be hepatotoxic.

4. Vitamin B Complex: As mentioned in previous discussions, B vitamins, particularly B1 (thiamine) and B12, can support liver health. However, be cautious with B3 (niacin), as excessive amounts can be harmful to the liver. A balanced intake through diet is generally sufficient, but if you consider supplementation, consult your healthcare provider.

5. Regular Check-ups: Continue your routine check-ups every six months, as you are doing. This will help monitor your liver health and allow for timely interventions if necessary.

Conclusion
In summary, managing Hepatitis B as a carrier involves a combination of a balanced diet, regular monitoring of liver function, and cautious use of nutritional supplements. While some supplements may offer benefits, it is vital to consult with your healthcare provider before starting any new regimen. Focus on maintaining a healthy lifestyle, avoiding alcohol, and ensuring that your diet is rich in nutrients that support liver health. By taking these steps, you can help manage your condition effectively and maintain your overall well-being.

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