Mar 20, 2008
Hey--great forum--I have a question about my liver. I've been pos with cronic hepB for over ten years. Been on meds the whole time. Basically been completely healthy and HIV undetectable, with the hep B going down, down, down... Recently noticed more liver-associated symptoms (malaise, loss of appetite, skin rashes....not elevated enzymes though) and I'm wondering, can your liver 'get tired'? There are quite a few alternative medical 'cleanses' to detox the liver. Any opinions from you Western Docs about those? And any other ideas about keeping a liver healthy--aside from the pills, pills, pills....?
Response from Dr. McGovern
I would certainly have a visit with your hepatologist if you feel your fatigue is more significant to examine you for any signs of advancing liver disease or any laboratory signs of worsening liver disease, such as a decline of the proteins the liver makes (eg, albumin and prothrombin).
However, this would surprise me since you have been on HBV treatment for a long time. You should have serial ultrasounds and alfa feto protein checked every six months as well for HBV infection.
You should be immunized against hepatitis A if not protected.
For a healthy liver, I recommend against significant alcohol intake and to keep trim. Obesity leads to fatty liver which can also cause liver scarring.
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