Lifestyle changes, nutrition, and supplements for hep b

Came across this article. Does artificial sweetener aspartame really cause cancer?

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Hi All, ive been living and making peace with HepB virus after finding it out that i got one in 2011. Knowing the prevalence level of HepB in Indonesia is pretty high, im pretty convinced that i contracted it from an unhygienic medical tools back in the 80s or 90s. But again, i already make peace that i got one and starting to change my lifestyle accordingly, here are what i do to maintain the virus asleep and low;

  1. Get your sleep routine right, a minimum of 7-8 hours a day is a must. Liver generate their new cells while you are sleeping
  2. Drink black coffee (but make sure it wont disrupt your sleep cycle). There are plenty of researches that mentioned how coffee protect the liver from fibrosis and cirrhosis
  3. Cut all the processed food and drinks, absolutely no junk food, and lower your alcohol consumption habit. I like to have a drink especially when listening to good music, but i pretty much do it once every 2-3 months. Moderation is the key
  4. Start doing keto! I’ve practiced keto for the last 1 year and i managed to lower my body fat significantly, this is really helpful especially if you have high visceral fats
  5. Work out! I do weight training 4x / week, it surely improve your blood works and your overall body composition
  6. This one is additional, try to incorporate tumeric in your diet. tumeric + black pepper is scientifically proven to fight cancer cells.

For me its easier to make peace and live with the virus. Trying to completely eradicate it from your body requires a huge effort, financially and physically. I just monitor my blood result once every 2-3 years, try my best to have a healthy lifestyle and thats it.

Awesome news and great reminder of how exercising next to right diet is key.

Just remember you cannot out exercise a bad diet. Lol

Thanks. This adds to my list if hope. How have you managed to control body itching, feeling like vomiting and excessive abdominal pain at the right hand side abdomen? This worries me mostly when one health specialist said i have limited years to survive given these symptoms.

I would say you already develop fibrosis on your liver and the change of lifestyle ive mentioned above wont be enough to prevent it from spreading. I suggest you to seek medical help, and do whatever you can to help your liver to generate new cells everyday (i.e quality sleep, black coffee (no sugar), cut junk food and process food, cut starchy fried food, cut alcohol, and drink cucurma and tumeric (its a potent herbal medicine to improve your liver function). Hope you get better!

Welcome to the forum @anathans, glad you found us here and thanks for your contributions. I wanted to highlight about the point regarding turmeric. As mentioned in previous posts, there is no evidence that dietary turmeric provides any clinical benefit for hepatitis B:

And indeed the Australian TGA (the FDA equivalent) has just recommended that people should not take turmeric supplements due to the risk of liver injury: https://www.tga.gov.au/news/safety-alerts/medicines-containing-turmeric-or-curcumin-risk-liver-injury

Hi @Opa, I think it is worthwhile to go to your doctor about this, but also recognise there may be other causes for this (as described in this thread: Upper right quadrant pain)

Hope this helps,
Thomas

Is it safe to take supplements with ashwaganda? I was considering supplementing it for their beneficial effects on muscles. Studies confirm that it helps increase muscle gain and strength.

However, I see conflicting info about it on its impact on the liver. On the one hand, it allegedly helps organism to de-toxify, on the other hand, studies warn that it can cause liver injuries and failure as it is itself toxic for the liver.

If not ashwaganda, then what else for the muscles? I already see reports that spiruline is harmufl, proteins probably also, creatine has disputable influence on the kidneys. This is so pointless. Can I take anything at all to boost my muscle strength or is everything harmful?

Hi @arb,

As mentioned above in this thread, supplements are unregulated, so it’s hard to be sure what is in them and how dangerous they can be.

As far as what could be used, a healthy diet (for example, a Mediterranean-style diet, mostly vegetables not too many calories) and good sleep for recovery are probably the things that have the most impact.

TT

Hello,

I want to update my case. My doctor told me that I’m unique, but I don’t know if that is bad or good because my results are good. My BMI is within a healthy range. Maybe our community can help me.

I have had Hepatitis B for over 10 years, but my viremia is low (<300) and my liver tests are good. I exercise for 2-3 hours every day, including morning swimming, afternoon gym and powerlifting (like deadlift 200kg etc) , and evening tennis, running, or biking.

I work as a programmer, and sports help me stay more focused and relaxed. Additionally, on weekends, I run more than 40km or participate in 1/4-1/2 Ironman events.

I know this may sound strange, but I feel very good. I don’t drink alcohol and follow a vegan diet (I buy only organic product, many fruits, vegetables, zero fast-food), including eggs. For the past 3 months, I have been taking supplements such as creatine, vegan protein, amino acids, and collagen. I use very low doses, but is it harmful for my case of Hepatitis B?

My questions are:

  • Are low doses of high-quality supplements okay?
  • Is it okay to spend 20 hours per week on sports? This doesn’t include stretching and recovery.
  • I also use the sauna for 15-30 minutes every day for relaxation. Is this harmful to my liver?

Best regards,
Leon.

Dear @leonk,

  1. As mentioned above, there aren’t any regulations on supplements and it’s unclear how much they actually help. Given that, it’s hard to give advice regarding these.
  2. and 3. As mentioned above, there aren’t no recommended restrictions on any exercise or saunas for people living with hepatitis B.

@ThomasTu
Understood, thank you! What should I do in this case?
Should I control the frequency of tests to be every 6 months / like 3 months?

Hi @leonk
Follow your doctors instructions. I’m not a doctor but I’ve had hepatitis B for 40 years.
If your results are good there’s no reason to see your doctor sooner, having tests every six months would be fine and the lifestyle that you are living is very healthy you’re doing all the things.
Well done

Hi @leonk,

As mentioned by @Caraline, this should be a question for your doctor, as the frequency of monitoring can depend on many aspects of your clinical history.

Hope this helps,
Thomas

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I would just say exercising 20 hours a week is better than sitting around doing nothing for 20 hours a week.

Eat right, keep exercising, since you’re taking supplements, take quality.

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Hello everyone,

I hope you’re all doing well. I’m reaching out to this knowledgeable community with a specific question regarding medication interactions. I am currently taking Vemlidy for Hepatitis B management. Due to a rise in my cholesterol levels related to Vemlidy, I am considering starting a supplement – Jarrow Formulas Red Yeast Rice 1200 mg & Co-Q10 100 mg per serving.

However, before proceeding, I am concerned about a potential interaction between Vemlidy and the Red Yeast Rice supplement. My understanding is that both Vemlidy and components of Red Yeast Rice are metabolized via P-glycoprotein (P-gp). The warning label on Vemlidy indicates that drugs which strongly affect P-glycoprotein activity may alter the absorption of Vemlidy.

Given this, I am seeking insights or experiences from anyone who might have faced a similar situation or has knowledge about this. Specifically, I’m looking for information on whether there is a known contraindication or interaction between Vemlidy and Red Yeast Rice supplements.

I am planning to discuss this with my healthcare provider, but I thought it would be beneficial to hear from this community as well. Any shared experiences, information, or guidance on this matter would be greatly appreciated.

Some insights about my results: 33 years old, male, 70Kg, 178cm [I have tried diet but it does not help to reduce the numbers]




Hi @learnandshare,

Thanks for sharing this information.

You should probably be cautious about taking this supplement regardless of its cross reactions with
vemlidy (which may be more suitably answered by @PharmacyExperts on this forum). There have been cases of liver toxicity from Red Yeast Rice supplement:

Due to the uncontrolled nature of supplements, it may be more worthwhile considering statins with very highly controlled concentrations of active agent so that you can get the cholesterol lowering effects with lower risks of the hepatotoxic side-effects.

Thomas

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Hi Thomas,

Thank you for the thoughtful response and for raising those concerns about potential liver toxicity with the Red Yeast Rice supplement. I appreciate you providing those specific references demonstrating cases of toxicity. That is definitely something WARNS that the risk is too high.

Going with a highly regulated statin may allow me to achieve the cholesterol lowering effect more safely as you said.

Thanks again,

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Hello learnand share,
My doctor is also suggesting to start using Velmidy. Could you pls let me know for how many months it years usage of Velmidy high cholesterol issue start coming up? Have you had any high cholesterol issues prior stating Velmidy?

Me personally - I didn’t have high cholesterol before taking vemlidy and don’t have it now on vemlidy. Been taking vemlidy for around 3.5 years.

I’m vegetarian/pescatarian for around 25 years, BMI well in norm, doing moderate amount of exercise.

Hello, I have taken Vemlidy from 2019. The cholesterol I have started to see it rising after 2 years of treatment.