Nutrition. Vitamins. You.
PRIMARY FOOD, LIFESTYLE AND OUR HEALTH~HEALTH By: Allie Might, FMC, INHC, ATT HEALTH seems like a no brainer when discussing wellness and lifestyle. However, what does it really mean? Let’s break this down and I’ll go over what this means to me as it …
PRIMARY FOOD, LIFESTYLE AND OUR HEALTH~SOCIAL LIFE By: Allie Might, FMC, INHC, ATT Many people don’t think of having a social life as being part of a healthy lifestyle. I didn’t either for a long time. However, like many of us, my mind was …
Deep Dive into Fatty Liver Disease: NAFLD and NASH
Dr. Claire Arcidiacono, ND
One of the most common concerns that people call about is fatty liver. Since NASH is a progression, or worsening of NAFLD I wanted to talk about them both in one blog. To start at the very beginning what even is NAFLD? Well it stands for nonalcoholic fatty liver disease. As the name implies this is a type of liver disease that occurs in people who drink little to no alcohol. Basically what happens in this situation is that too much fat begins to build up in the liver. Over time as the fat begins to accumulate it cause’s the liver cells to swell and become damaged. As the disease progress’s it progress to NASH, this stands for nonalcoholic steatohepatitis. So to sum things up for you NAFLD and NASH are both conditions where excess fat accumulates in the liver. NAFLD does not involve liver damage but can progress to NASH which does involve liver damage. (1) Please see the attached picture. (2)
How you are normally diagnosed with NAFLD? Well there are some blood tests that can rule out other diseases as well as determine if any liver damage is present. These tests can include a CBC (complete blood count), iron studies, liver enzyme and liver function tests. Other tests can include testing for hepatitis A, C and others. It is also important to test for celiac, fasting blood sugar (Including HA1C) and a lipid profile. In addition to blood work there are a number of imaging tests that can be done. These include abdominal ultrasound, MRI, CT scan, transient elastography and magnetic resonance elastography. Lastly depending on the results of other tests your doctor may recommend a liver biopsy. (3)
What are the symptoms of NAFLD and/or NASH? Well as the disease progress’s your symptoms will also become more severe. To start you may experience fatigue. You may just “not feel good” or have a feeling of malaise. Lastly there may be pain in the upper belly area. As the disease progresses to NASH and even eventually cirrhosis symptoms will also progress. You will start to notice itchy skin, red palms and even yellowing of the skin and eyes (jaundice). You may notice abdominal swelling (ascites) and swelling in your legs. You may experience shortness of breath. Spider veins may also develop. There may be enlargement of the spleen. (1) In addition to these symptoms there maybe rapid weight loss. (4)
Now moving on what are the risk factors for fatty liver? While the exact reason that some people develop fatty liver is not well understand there are some known risk factors. For example both NAFLD and NASH are linked to genetics, and being overweight or obese. Having insulin resistance, diabetes and high cholesterol all increase your risk. Other risk factors include metabolic syndrome, PCOS, sleep apnea and either hypothyroidism and/or hypopituitarism. Growth hormone deficiency can also increase risk. Lastly being over 50 can increase risk of NASH. (1)
Fatty liver can have severe complications. Let’s start with some of the more serious complications of NASH. Approximately 1 in 5 people with NASH will develop cirrhosis. Additionally 1 in 8 with NASH and cirrhosis will develop liver cancer. NASH is also the leading cause of liver transplants in women and the 2nd leading cause in men. NAH may shorten life expectancy. (5) Other complications can include swollen veins in the esophagus, which can rupture and bleed. You may have hepatic encephalopathy which presents as confusion, sleepiness and slurred speech. Your spleen may become overactive which can lead to a reduction in platelets. Lastly as previously stated you may develop ascites. (1)
How to reduce fatty liver?
Next up our product highlight will be Daily Detox powder!
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Glutathione-The Antioxidant for Liver Health Dr. Claire Arcidiacono, ND Glutathione drips or in other words IV glutathione is a well-known treatment in holistic medicine. However many people are afraid of needles. Invite Health’s Glutathione Lozenges are an easy to use form of glutathione. You may …
Liver Function Tests Dr. Claire Arcidiacono, ND The Liver Basics! As an Invite health nutritionist one of the most important parts of my job is to help people understand their blood work. In general I find that when it comes to blood work liver …
From a Naturopath Point of View Part 5
Dr. Claire Arcidiacono, ND
You may have heard the saying that sleep and a good healthy diet are both the base of the pyramid of health. As a Naturopath I agree with this concept 100%! But while I agree it is important I understand that the practicality of “healthy diet and proper rest” can be confusing. Let’s start with sleep, shall we?
Why is sleep so important to our overall health? Well inadequate sleep has been found to affect our overall heart health. Those who don’t get enough sleep have a higher risk of coronary heart disease, high blood pressure, stroke and even obesity. Studies have also found that not getting enough sleep can affect our metabolism and even hormones such as insulin, ghrelin and leptin. Additionally those who aren’t getting enough sleep are more likely to get colds and other infections. Lastly memory and brain health can be affected. (1) These are just the most common reasons that sleep is important for our overall health.
How do you know if you’re getting enough sleep? How do you know if you are getting good quality sleep? Remember it’s not just how much sleep that matters but the quality of sleep also matters. In my clinical experience I have found that the following questions can help determine if you’re getting enough, good quality sleep. To start do you have trouble falling asleep and/or staying asleep? Do you wake up feeling energized or do you feel like you “need more sleep” to fee refreshed? I have found that the answers to these questions can help determine if your sleep is both adequate in quantity and quality. Please see the attached source to help determine how many hours of sleep are best for your age, https://www.nhlbi.nih.gov/health/sleep/how-much-sleep ! (2) For more information on sleep please check out Allie Might’s blog Are you getting enough sleep part 1.
The other part of the health equation is nutrition. This is where it can get tricky. A healthy diet can look different for everyone. For some people it can be the well-known Mediterranean diet. For others it means a vegetarian diet fits their goals better. As a Naturopath I will say that while there is no “one diet” there are some things that are important to incorporate into any healthy eating plan. These of course include vegetables, some fruit, protein and healthy fats. A healthy diet will also limit processed foods as well as added sugar. I always say the closer your food is to its original form the less processed it tends to be. What are some signs that your current eating plain is working well for you? When you are eating nutritious foods you will sleep well and have good energy. You will also find that your digestive system is working well. For example you will not have any constipation, gas, diarrhea or even bloating. You will also be less likely to get sick. If you’re eating plan is working well you will find it relatively easy to maintain a healthy weight. Your mood and even focus will be improved. Lastly, if your eating plan is working for you it will show in your annual blood tests. (3)
What are some ways to help improve sleep and nutrition?
I hope you enjoyed this Naturopathic view of different health topics. Our next topic will be focused on an important topic, our liver and kidney health.
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