FREE REPORT By Samglo Enterprises (Makers of “Nu-Liver” Chinese herbal formula) www.liverformula.com “FOODS AND DRUGS THAT CAN DAMAGE YOUR LIVER” (Take these and your virus could go from BAD to WORSE) Did you know that there are at least 1000 drugs that can cause harm to your liver? In the worst cases, drug toxicity can result in acute liver failure, necessitating a liver transplant. Additionally, there are certain foods, when consumed that can also damage the liver. And to top it off, if you have liver disease (i.e. hepatitis), you run an even greater risk by consuming these products. Find out what these dangerous products are by reading this free report. Weighing in at between 3-5 pounds, the liver is the largest organ in adults. It is the chemical wizard of our bodies, going about its daily tasks of transforming toxins into harmless chemicals for excretion, while at the same time, converting absorbed nutrients into the proper biochemical forms our cells can use to function. It’s an enormous task for one organ to perform. The liver routinely performs over 500 known functions to regulate our cells’ metabolism. But it is probably the organ most assaulted by our toxic modern lifestyles, all full of stress, junk food, drugs and pollution. To better understand how important the liver is to our daily survival, let’s review just a few of the major functions the liver performs. 1. The liver is the main poison detoxifying organ, breaking down virtually all foods and drugs into harmless chemicals. Through its enzyme system (P450) the liver can detoxify over 10,000 chemicals that routinely pollute modern food, water and air. 2. The liver is the major storehouse for various nutrients, especially vitamins A, D, B-12, iron, and glucose (blood sugar). 3. The liver is a key regulator of blood sugar and protein, converting glucose to glycogen for storage and back to sugar again when needed. It also converts excess protein to new glucose, a process called “gluconeogenesis,” especially when the diet provides little or no available carbohydrates. 4. The liver is a manufacturer. It produces cholesterol for transport throughout the body in the proper lipoprotein combinations. It manufactures bile salts used to emulsify fats and the fat soluble vitamins (vitamins A, D, E, and K). 1 5. The liver is a deactivator. It breaks down excess hormones, such as estrogen and insulin, after they have served their functions. It also decomposes ammonia, a toxic by-product of protein metabolism. The liver performs these tasks and so many more. From the most deadly poison to a glass of crystal clear pure water, the liver is in charge of filtering out impurities. Given the importance of the liver in keeping individuals healthy, a damaged liver appears to be the missing key for so many unhealthy people. WHAT’S IN YOUR MEDICINE CABINET? It is a fact that drugs can damage the liver, and they don’t have to be prescribed by a doctor to be deadly. For example, Tylenol (acetaminophen), the most widely used non-prescription over-the-counter pain medication was responsible for more than 50,000 emergency room visits and 100 deaths in the United States alone last year. Persons with chronic hepatitis already have compromised livers, so even regular doses of acetaminophen that would normally be metabolized by healthy livers, can actually accumulate in their livers and blood streams. And severe liver toxicity, especially from otherwise harmless drugs, can result in rapid, acute liver failure, coma and even death. HOW DRUGS DAMAGE THE LIVER The liver metabolizes (breaks down) most medications into active chemical components and metabolites (by-products). Some of these by-products can be toxic to the liver. Normally, the liver compensates for this toxicity by mixing toxic metabolites with bile salts that are then excreted through the urine and the feces. To enable this process to occur, the liver utilizes a family of enzymes, better known as the P-450 enzyme system. This system helps metabolize and process most of the common prescription and non-prescription drugs a person consumes. Some drugs inhibit the P-450 enzyme system and can cause a direct toxic buildup of their by-products in the body. Taking multiple medications at the same time can also cause the drugs to compete with one another for the same liver enzymes, thereby causing a depletion in these enzymes’ abilities to process the drugs. There are medications that cause direct liver injury by killing liver cells (necrosis). Other drugs block bile flow (cholestasis) and prevent inactivation of toxic by-products. Still others cause damage to hepatic blood vessels and a buildup of fat in the liver (steatosis). A few drugs even cause liver tumors. WHO IS AT RISK FOR DRUG INDUCED LIVER TOXICITY? As a general rule of thumb, no two people process drugs exactly alike and genetics mainly determines the speed at which individuals process medications. Some people have more P-450 enzymes in their bodies, so they can process 2 drugs faster. These persons are known as rapid metabolizers. Others are slow metabolizers. Persons with existing liver disease (i.e. hepatitis) are more likely to have drug related liver toxicity due to inadequate P-450 liver enzyme levels. Coupled with impaired blood flow through the liver, they are more apt to process drugs less efficiently. Research also indicates that women are more likely to experience drug related liver effects because they primarily have a lower body weight than men. There are other external factors that appear to influence drug metabolism such as smoking, drinking alcohol, and eating certain foods. We will discuss each of these factors separately in this report. WHAT DRUGS CAUSE LIVER TOXICITY? While some drugs can actually be beneficial to the liver, others are highly toxic. We start by reviewing some of the more popular drugs on the market and the potential dangers they pose to the liver. 1. Acetaminophen: As previously mentioned, acetaminophen is one of the leading causes of acute liver failure. Severe hepatotoxicity can occur with only twice the normal dose, but liver toxicity is especially likely when the drug is combined with alcohol. In an overdose of acetaminophen (Tylenol), the liver chemical glutathione tries to render the drug non-toxic, but it is rapidly overwhelmed by the drug and soon depleted. The toxic acetaminophen material is then free to react with other groups of liver cells, leading to hepatic necrosis and death. 2. Antibiotics: As a class, antibiotics are a mixed bag. Some antibiotics can cause direct damage to the liver, especially in people who already have chronic liver disease. Tetracycline, when used in large doses, can cause jaundice and fatty liver. Erythromycins can damage the liver through cholestasis (bile retention) in about 10% of people who take this class of drugs. Penicillins are the most liver friendly antibiotics, unless they are combined. Amoxicillin-clavulanate (Augmentin), when taken concurrently with the penicillinase resistant penicillins oxacillin, or cloxacillin, can cause cholestatic hepatitis. As a general rule, most quinolones are safe antibiotics, since only 50% of the drugs are typically metabolized, the other ½ being unchanged and recovered in the urine. The exception is the antibiotic Trovan, a 4th generation quinolone that has been known to cause acute liver injury. It remains on the market because it appears to have important benefits that are apparently not matched by safer medications. The same is true for isoniazid, a drug associated with liver toxicity, but still used to prevent and treat tuberculosis. 3. Other dangerous drugs: Many anti-HIV drugs are associated with liver toxicity, a cause of concern among people co-infected with HIV and hepatitis B or C. Viramine can cause liver inflammation. Also, in a study funded by Johns Hopkins University, it was found that the risk of liver injury was 5 times greater in people who took the drug Norvir, an HIV protease inhibitor medication. The statin 3 drugs (popular cholesterol reducing medications, i.e. zocor) can be hepato-toxic by preventing the liver from producing a substance necessary to make cholesterol. Halothane, an inhaled general anesthetic, has been known to cause severe side effects and possibly death from liver damage. On May 9, 2001, the Food and Drug Administration (FDA) issued a health warning regarding the potential liver problems associated with Sporonox and Lamisil, two drugs used to treat fungal infections of the nails and skin. This came after the agency reviewed liver failure in several people who took the drugs. Naphthene is the major ingredient in moth balls. Inhaling excessive amounts of naphthene can damage the liver, kidney and eyes. Several drugs were taken off the American market due to liver toxic effects. Rezulin, an anti-diabetic drug, was removed in March 2000 due to severe liver failure in over 90 reported cases. Other drugs pulled from the market include: Duract, a pain medication, Selacryn, a diuretic, and the arthritis drug Oraflex. The anti-depressant, Serzone, is still prescribed in the United States, but has been withdrawn in Europe after 50 reports of liver injury, including 11 deaths. 4. Alcohol and the liver: Alcohol abuse has probably the worst effects on the liver of any drug. It is a toxin that can cause fatty liver disease, alcoholic hepatitis and cirrhosis. Because of their lower body-weight, women who abuse alcohol are statistically at greater risk for developing liver disease than are men. Approximately 10-35% of heavy drinkers develop alcoholic hepatitis (an inflammation of the liver that resembles viral hepatitis) that eventually leads to cirrhosis (scarring). Cirrhosis is essentially the scarring that occurs when the liver is damaged by inflammation. The scar tissue blocks the flow of blood and prevents the organ from functioning properly. About 5% of people who suffer from cirrhosis develop liver cancer. Because so many medications are capable of causing liver damage, anyone with a history of liver disease should check carefully with their doctor before starting a new medication. The enclosed list, while not all-inclusive, comes from “The Essential Guide to Prescription Drugs” by James W. Long and James J. Rybacki. It entails many of the drugs that require careful monitoring of their effects on the liver. Drugs that may cause ACUTE DOSE-DEPENDENT LIVER DAMAGE (resembling acute viral hepatitis) acetaminophen salicylates (doses over 2 grams daily) Drugs that may cause ACUTE DOSE-INDEPENDENT LIVER DAMAGE (resembling acute viral hepatitis) acebutolol labetalol quinine 4 ethionamide indomethacin phenylbutazone allopurinol isoniazid phenytoin atenolol ketoconazole piroxicam carbamazepine probenecid cimetidine maprotiline pyrazinamide dantrolene metoprolol quinidine diclofenac mianserin diltiazem naproxen ranitidine enflurane para-aminosalicylic acid sulfonamides ethambutol penicillins sulindac phenelzine tricyclic antidepressants halothane phenindione valproic acid ibuprofen phenobarbital verapamil Drugs that may cause ACUTE FATTY INFILTRATION OF THE LIVER adrenocortical steroids phenothiazines sulfonamides antithyroid drugs phenytoin tetracyclines isoniazid salicylates valproic acid methotrexate Drugs that may cause CHOLESTATIC JAUNDICE actinomycin D chlorpropamide erythromycin amoxicillin/clavulanate cloxacillin flecainide azathioprine cyclophosphamide flurazepam captopril cyclosporine flutamide carbamazepine danazol glyburide carbimazole diazepam gold cephalosporins disopyramide griseofulvin chlordiazepoxide enalapril enalapril haloperidol ketoconazole norethandrolone sulfonamides mercaptopurine oral contraceptives tamoxifen methyltestosterone oxacillin thiabendazole nifedipine penicillamine tolbutamide nitrofurantoin phenothiazines tricyclic antidepressants nonsteroidal phenytoin troleandomycin antiinflammatory drugs propoxyphene verapamil Drugs that may cause LIVER GRANULOMAS (chronic inflammatory nodules) allopurinol gold phenytoin aspirin hydralazine isoniazid quinidine chlorpromazine nitrofurantoin sulfonamides 5 procainamide carbamazepine isoniazid quinidine chlorpromazine diltiazem penicillin tolbutamide disopyramide phenylbutazone Drugs that may cause active chronic hepatitis acetaminophen (chronic use, large doses) dantrolene methyldopa isoniazid nitrofurantoin Drugs that may cause liver cirrhosis or fibrosis (scarring) methotrexate terbinafine HCI (Lamisil, Sporanox) nicotinic acid Drugs that may cause chronic cholestasis (resembling primary biliary cirrhosis) chlorpromazine/valproic acid (combination) imipramine thiabendazole phenothiazines tolbutamide chlorpropamide/erythromycin (combination) phenytoin Drugs that may cause LIVER TUMORS (benign and malignant) anabolic steroids oral contraceptives thorotrast danazol testosterone Drugs that may cause DAMAGE TO LIVER BLOOD VESSELS adriamycin dacarbazine thioquanine anabolic steroids mercaptopurine vincristine azathioprine methotrexate vitamin A (excessive doses) carmustine 6 mitomycin cyclophosphamide/cyclo-sporine (combination) oral contraceptives TOXIC HERBS: Some herbs are beneficial to the liver; others are highly toxic. The following is a list of herbs that are hepato-toxic and should not be taken by people with hepatitis C or other liver disease (reprinted with permission from: “The Hepatitis C Support Project”) bush tea chaparral coltsfoot comfrey Crotalaria species ephedra (Ma Huang) germander Gordolobo yerba tea groundsel Heliotropium species Jin Bu Huan kava kava Mate tea mistletoe pennyroyal oil pyrrolizidine alkaloids sassafras Senecio species senna skullcap valerian FOODS THAT CAN “INJURE” THE LIVER Diet is one of the most important aspects of staying healthy, and the liver is the most important organ of digestion. The following describes the relationship of several food groups to Hepatitis C, and their potential dangers. THE RELATIONSHIP OF DIET TO HEPATITIS C: 1. IRON AND HEPATITIS C: Some people with Hepatitis C have difficulty excreting iron from the body. Since the liver stores iron, an excess of iron (iron 7 overload) can become very damaging to the liver. Some studies suggest that high levels of iron suppress the immune system and the body’s response to interferon. Hepatitis C patients should avoid taking iron supplements and restrict excess iron from all sources, especially from red meats. 2. FAT AND HEPATITIS C: The presence of excess fat in the liver can cause liver enlargement, fatty inflammation and even fatty cirrhosis. Since overweight individuals are often found to have the most liver abnormalities, people with Hepatitis C are advised to maintain a normal weight. The primary culprits are hydrogenated fats and trans-fatty acids, prevalent in many fast foods. Hydrogenated fats from fried foods (i.e. french fries, donuts) are high in liver toxic lipid peroxides (rancid fats) and can cause immune suppression and liver cell damage. Trans-fatty acids (i.e. margarine) can suppress the production of PGR-1, an important liver protecting prostaglandin. 3. SODIUM AND HEPATITIS C: Advanced scarring (cirrhosis) of the liver may lead to an abnormal accumulation of fluid in the abdomen, referred to as ascites. For every gram of sodium consumed, there is an accumulation of 200 ml of fluid. By lowering a person’s salt intake, this excessive fluid accumulation can be controlled. It is, therefore, advisable, that people with fluid build-up in the stomach should not eat at fast food restaurants, and restrict their intake of red meats that are high in sodium. 4. ALCOHOL AND HEPATITIS C: As we have mentioned previously, the use of alcohol will accelerate the progression of liver disease in persons with Hepatitis C. Alcohol damages the liver by producing acetaldehyde, a toxin that inhibits PCE-1 production, and is largely responsible for liver, brain and heart blood vessel disease. The National Institutes of Health recommends total avoidance of all alcohol by persons infected with Hepatitis C. OTHER FOODS AND ODORS TO AVOID 1. Junk foods: especially those cooked in hydrogenated fats. 2. Caffeine: including colas, chocolate, coffee and some teas. Most coffee is grown outside the United States and is laden with harmful pesticides. In addition, when roasting dark coffee beans, carcinogenic hydrocarbons are produced that can damage the liver. 3. Alcohol: It is worth repeating over and over again to avoid alcohol at all costs due to its toxic liver effects. 8 4. Smoking: Tobacco contains an array of liver toxins including: benzopyrene, polycyclic aromatic hydrocarbons, cyanide, acetaldehyde, and tars. 5. Fuel exhaust: Auto and diesel exhaust contains dozens of liver damaging poisons such as: lead, nitrogen oxides, acetaldehyde, cadmium and peroxyacetylnitrile. 6. Products containing pesticides or heavy metals: These include odors from solvents, paints, sprays, and even beauty parlor chemicals. Many of these products are loaded with liver damaging DDT, chlordane, dioxins, lead, cadmium, mercury, and hydrocarbon solvents like sulfuric acid. 7. Bleached white flour has been chemically processed and most of the vitamins have been lost. Artificial sweeteners are extremely hard for the liver to process. 8. Red meats are fine in moderation, but animal products can contain chemical sprays, growth hormones, antibiotics and steroids, all given to or consumed by that particular animal. Meat can also take a minimum of 8-10 hours to be digested, often sitting in the bowel the entire night, adding a further burden to the body. 9. Hot spices like pepper and chili can irritate the liver, but warm spices such as ginger, fennel and cumin are recommended. IDEAS YOU CAN USE NOW FOR EATING HEALTHFULLY Now that you know what foods and drugs can damage the liver, how can you eat healthfully and still protect your liver? We’ve designed some sensible guidelines for people with liver disease to follow, based upon sound principles of nutrition. To boost energy, cleanse and support the liver, and to ensure good immune function, try this: 1. Try to get some protein at every meal, but limit the amount of red meat since it is high in fat and toxins. 2. Eat vegetables every day, either as solid food or vegetable juice. Vegetable juices act to flush out the body to relieve bloating, heaviness and lethargy. The best vegetable juices are: celery (relieves liver congestion through its diuretic effect), broccoli (high in sulfur to support the liver), and beets (has powerful enzymes to protect the immune system). 3. Have a moderate amount of fruit and fruit juices to assist liver health. The best fruit juices are: lemon (benefits bile formation), apple (cleanses the liver), pineapple (has the enzyme bromelain which aids digestion), grape (used since ancient times to treat jaundice and liver disorders), and melons. 9 Also blueberries and strawberries are known for their medicinal properties, and they can break up excessive toxins in the liver. 4. Have some essential fats every day. Salmon, sardines and tuna are foods high in omega-3 essential fatty acids to help reduce liver inflammation. 5. Try to buy organic foods if you can since they have less added chemicals which can stress the liver. 6. Drink pure clean water (not tap water) and consume at least 6-8 glasses per day. 7. Do not eat when you are angry, frustrated, or bored, because your liver is already stressed. 8. Eat small meals, never large meals at one time, and chew, chew, chew. Incomplete digestion due to not properly chewing food is a source of many digestive disorders and can overwork the liver. 9. Most importantly, BE PATIENT. The body takes time to adjust to a diet that supports healthier liver function. 10