Lifestyle changes, nutrition, and supplements for hep b

Thanks Thomas and Joan. You are great people.



Thanks Thomas, you’re really doing a great job.


Hi Thomas,
I am a late entrant and sometime I might be commenting on issues discussed long time ago. To start,I might make mistakes but eventually I will mature and become like anyone of you.
No more said, I have seen your comment that, it is most unlikely for CHB patients to develop NAFLD (MAFLD) as you said(for reasons unknown).
Going through the document which you attached above by Wiley Online Library “Concurrent Fatty Liver increases risk of HCC among Patient with Chronic Hep b”,the author observes " patient with Chronic Hep b have reduced serum triglycerides and lower metabolic syndrome compared with the general population and hence they are relatively “protected” from fatty liver.
Hence, I think the reason (as per that finding) why CHB patient are unlikely to develop fatty liver is known ie having reduced triglycerides and lower metabolic syndrome compared to general population…


Hi colleagues

It has been said that a cup of coffee is good for our liver. How is it prepared, with some little or no sugar?
Who will advise me.


Hi Thomas,
Please , is GAVISCON safe to take ?
Does it have any effect to the liver?

Hi @Kinoti,

Several large studies have shown that a moderate reduction in both liver disease progression and liver cancer is associated with drinking more than 2 cups of coffee a day. The reason behind this is still unknown, and actual clinical trials need to be done to make sure it is specifically due to the coffee (and not just another associated factor). There is some evidence showing that caffeinated is better than non-caffeinated. General reduction in refined sugar is probably a good thing, so my personal opinion is to have it without sugar.

All in all, coffee is a very safe and generally well-tolerated addition to your diet and could help protect your liver. I myself drink at least 2 shots of coffee a day.


That’s likely correct, but how Hepatitis B reduces triglycerides and lowers metabolic syndrome is still unknown. The association is there, but we don’t know how the virus infection actually does it.

I am not aware of any interactions, but please check with your doctor if you are unsure.

Hi Thomas
I salute you for coming at the right time.

HI Thomas,
It’s quite difficult to check on my Specialist Doctor unless on appointment. And most times, I usually have long time like 6months to check on him. I complained to him about it, he advised me to call on emergency services if there is any issue. But issues like medication to take or other advices concern my health is difficult to reach him. Like few days I had pain at lower right side abdomen which I suspect to be abdominals gas. That’s why I asked if GAVISCON is safe to take?

Hi Evans,

I understand your situation, it is hard to get specialist help. However, you can talk to your pharmacist or GP to confirm that Gaviscon won’t interact with anything else that you’re taking or any health conditions. They should be a bit more accessible than your specialist.


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I am a pharmacist and I fully agree with Thomas. Gaviscon is Aluminum Hydroxide and Magnesium Carbonate. These antacids are not known to damage the liver but there are quite a few meds that interact with them so please check with a pharmacist or physician who is familiar with all the meds you are on whether you can take it. Sometimes, you can take it but just need to take the 2 meds at different times like with some antibiotics but other times like if you have kidney damage, it may be better to take a different medication to treat heartburn if that is what is causing your pain. Hope you feel better.

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Thanks so much for your kind advice. I am currently on ENTECAVIR only.

Hello @ThomasTu,
That’s very interesting! For some reason I thought coffee is in the same category as alcohol. I stopped drinking after I was diagnosed. Happy to read these articles. Do all of those articles refer a specific kind of coffee (e.g. filtered)?

Btw I have a random question. Is there any correlation between alt levels and anxiety?


Hi Drew _rous.

I was also excited with coffee as a means to avert/slow liver disease from progression.This motivated me to go through page by page of the publications @Thomas as presented us.My understanding is one needs at least two cups of reach “protection”. Further,intake of four cups offer even a better protection.The researchers have not told the readers the type of coffee in consideration.We can therefore assume leaving the room open allude that,any type of coffee will work the same magic.



As far as I know, no specific preparation of coffee was defined. But the evidence seems to suggest that coffee is good for your liver, so I don’t think you should actively avoid it.

I think it’s hard to do these studies because (at least in my personal experience) flares of ALTs can lead to mood changes. So there might be an association, but you don’t know which is causing which. There is a small study in rats that seems to suggest that chronic mild stress can raise ALTs (Chronic unpredictive mild stress leads to altered hepatic metabolic profile and gene expression | Scientific Reports) but I can’t find anything more.

Stress can induce changes in your immune system, so it’s not unreasonable to think that this could drive ALTs going up. But I can’t find anything from a quick search to support this.


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Hello Members,

Anyone able to increase the weight and muscles. I lost almost 9kg over the one year period. It stopped now. However I am unable to gain weight. I feel my thighs and biceps are thin.
If anyone was able to gain it then can you please share the experience and diet which is followed.


Wow @HopeForCure, you’re the first person on this forum who is asking for advice on how to GAIN weight. Seems like most of our conversations are about how to lose weight!! Since several of us also have fatty liver disease (diagnosed with a constellation of blood test results - metabolic panel, that is) with hep b, our doctors are telling us we need to lose between 5-10% of our body weight. I’ll be interested in seeing what folks have to say in response to your question. Always, Joan

P.S. You didn’t mention WHY you lost weight and does your doctor know about this? Weight loss isn’t usual unless you’re trying to lose weight.


You are probably in caloric deficit. How much protein are you taking in daily over carbs. Carbs will also make you gain weight, but not in a good way since most eat bad processed carbs. Not saying it’s all terrible either.

But I feel you. I been getting stronger. Adding weight in my workouts and doing max reps of 4-6 and haven’t gained 5 lbs of muscles yet. Hopefully I been burning fat and gaining muscle so it doesn’t reflect in weight gain

I don’t know the reason. I was losing weight before treatment. I lost 1/7 th of total weight. It is stopped post antiviral.
I want to be in good shape.

I agree with NeptuneJ, avoid the processed foods! As long as you concentrate on eating whole, unprocessed foods with an emphasis on protein, you shouldn’t need to limit your carbs, especially if you’re trying to gain weight. I would lift weight 3 to 4 times a week and walk only for cardio. You want to send a signal to your body that you want to gain weight and build muscle, so lifting is key. Make sure you’re eating enough, too, but no more than 200 to 400 calories above your maintenance calories so you gain healthy weight and build muscle, not just fat.

Just my two cents…Good luck!



Hi HopeForCure,

I weighed around 185 lbs. before I started antiviral treatment. I have posted on the many different issues I had after first starting treatment, but one of those issues was unexplained weight loss. Within the first month or so, I lost 35 lbs. and in the following months continued to lose another 10 lbs. and eventually got down to 138 lbs. At this point it was so bad that I had to go to the ER. For a 5’9" male that averaged 185 for decades, 138 was WAY too much weight loss. The doctors could not figure out why it was happening and they just blamed cirrhosis even though this began right after starting antivirals.

I lost a lot of my muscle mass during that time frame and became very weak. This was back in 2017. In 2020, I was doing better and averaging about 150 and this year I am averaging 160. I don’t have definitive proof of what caused the weight loss nor what is allowing me to gain some back. I still have trouble gaining muscle mass but am glad to be back at a good weight. I would prefer that I had all the muscle I had when I was 185 but with all that cirrhosis has done to me, I’ll take what I can get.

Your previous post didn’t mention that your weight loss was prior to taking antivirals, so now I don’t know how my experience can shed any light for you. I feel for you though and I know what it is like to lose weight and muscle mass and feel weakened and breakable.

I wish you the best on conquering and overcoming this,