Lifestyle changes, nutrition, and supplements for hep b

Hola receptor,
Te aconsejo dieta mediterránea

Hi @catcher.007,

Welcome to the forum and thanks for your question.

It is difficult to say whether short-term fasting is good or not for Hep B as there haven’t been that many studies on it.

The hepatitis B foundation has some resources on fasting and how it can be harmful in some circumstances: Is Fasting Safe for People Living with Hepatitis B? - Hepatitis B Foundation

It is best to talk to your doctor about this first.

Cheers,
Thomas

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Hi SK, just an FYI, your cholesterol levels could also be increasing due to Vemlidy. That’s a known side effect some patients experience. My liver specialist wants to put me on a statin since I can’t get my cholesterol level down to 200 even though I eat healthfully and am not overweight. So your cholesterol may not actually be diet related. With that said, however, eating healthfully is always good for your overall longevity and well-being. And I agree with Thomas about the intermittent/fasting diets. Talk to you doctor. Do your research on credible medical websites. Always, Joan

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Hi Kinoti,
I hope you doing well. sorry for the late reply. Catching up on the old threads.
I regularly take black Coffee. No milk, no sugar. It took me a few weeks to get adjusted when I started coffee without sugar and now I love it.
Occasionally, with milk/creamer and no sugar.

I think if you are taking with sugar, as long as you control your total sugar intake you will be fine. Totally depends on your taste and overall your diet management.

Thanks,
PM

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@ThomasTu @NeptuneJ
On the other hand, I found an information that whey protein can be beneficial for the liver. Now I don’t know…

https://www.hepatitiscentral.com/news/why_whey_for_he/

Hi @Arb,

Nutrition is a very complicated subject, but also one that a lot of people seem to think is simple or they have a secret trick for. You can find an article online supporting any argument you want to put forward. The important thing is to read carefully and provide reasonable scientific references.

I had a look at that article and the only scientific study they reference is one that is quite old (2006) and was carried out in rats that have their livers injured by injecting them with a compound called D-galactosamine. So there is not any supporting evidence in humans or clinical trials, or even in any hepatitis B models.

Hope this clears up some things for you,
Thomas

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I read something like that as well.

I have couple flavors of whey protein I ll drink when dieting. I don’t drink more than 2 serving a day and don’t drink them more than a week straight.

I guess you have weigh the risk. I wouldn’t take it as a miracle benefit to the liver, but would take it as source of protein. Just my opinion and nothing more.

I ve read egg yolks have something that benefits the liver. So if your unsure or don’t want risk taking processed protein source, I would eat like 4-5 eggs a day.

Thank you ThomasTu, for always so generous with your time and knowledge.

What would you say what phase of infection I am in based on HBeAg (-) and HBeAb (+). I have been in this stage since I had been diagnosed 20 years ago?

I had my Fibroscan done last week.
Both Fibro score and CAP score increased from two years ago;
Fibro score 4.2 from 2.9kPa and CAP score 246 from 215.
It is so frustrating that even though I am eating healthily, have a normal weight and exercise regularly, I still develop fatty liver. Does being CHB carrier put one in high risk to have fatty liver? Does reducing intake of complex carbohydrates helps to reverse fatty liver?

Thanks for any inputs or sharing experiences.

Happy New Year to you all!

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Dear @westrong,

This depends on other test results, particularly your ALT and HBV DNA levels.

The changes in these lab values are slight and for the fibroscan score is still within normal range. This can be affected by many factors (such as the person doing the scan) as with the tests mentioned above. It is worth keeping under monitoring to see if this is a consistent trend.

People with CHB are actually less likely to get fatty liver, but probably more likely to pick it up as we are recommended to stay under constant monitoring. This means we actually can do something about it (changing lifestyles and diet) before it gets too out of hand.

I think nutrition is not as easy as this. You really need to talk to a certified nutritionist to see what works best for you and your context. I am not trained to provide this sort of medical advice. Simple sugars and saturated fats have been linked to greater levels of liver fat though (recent review talking about all of this here: Dietary carbohydrates and fats in nonalcoholic fatty liver disease | Nature Reviews Gastroenterology & Hepatology)

Hope this helps,
Thomas

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Thank you Thomas, as always.

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I can totally relate to that. I weigh 57kg at 61 years old. I weighed 55 kgs at 39 weeks pregnant for 3 of of my children. And have fatty liver.!! I eat healthy and exercise, indulge but all in moderation. I can’t remember the last time I had a can of soda or fried takeout. Frustrating
Blessings
Caraline

My CAP score was 240 dB/m last year; this year it is 194, almost the same as my first scan (2019) : 193. My fibrosis was 6.6 kPa last year; this year 4.1 kPa, compared with 6.0 of the first scan (2019). It seems that my stiffness has improved over time. I read in the forum that scores fluctuate and the stages of stiffness aren’t linear but recursive. My own results seem to bear that out. But the person administering the scan and the scanner may also have something to do with the results. The PA used a different machine this time.

Best,
TM

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Hi All,

I like to know. Is it beneficial to take D3 supplement. Anyone taking it ? How it will be with or without D3 supplement.

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Hi @HopeForCure, vitamin D is definitely a worthwhile supplement to take, especially for those who do not work regularly outdoors. Most of us are “sunshine deprived” and thus, have low vitamin D levels. With the Covid pandemic, even Dr. Anthony Fauci revealed that he takes vit D supplements. I take D3 with my calcium pills every day to prevent my osteoporosis from progressing. It’s making a difference. But if you’re asking whether it will help with your hep b, then the answer is probably not. You can ask your health care provider to request a simple vit D blood test to see whether your levels are “normal” if you want to be certain it’s worthwhile or necessary. Hope this helps. Always, Joan

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Hi HopeForCure,

About 6 months ago, my GP tested my Vitamin D and it was low, so she put me on 1000 unit supplement. Then, about a month or so ago, she found that it was still low, so she doubled the dose to 2000 units. (Don’t know if that’s milligrams, it just says units on the bottle.)

I don’t know if it is doing anything or not, nothing noticeable enough to be able to point out. Hopefully it’s doing something beneficial that just doesn’t show outwardly. I also don’t notice that it’s doing anything negative either.

-Paul

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Hi Both,
thank you for inputs

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Regarding the last link you provided. Does it mean that only protein from animals should be consumed with caution?

I know that people who work out and want to gain muscles should consume 2g of proteins per 1kg weight.

But there are also vegan proteins. Do you think they’re safer?

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For the most part, once you eat proteins, it doesn’t matter where they came from you get amino acids and it all looks the same.

Regarding the last link, which was about fats, you can’t really divide them among animal vs. plant. You can have saturated fats from both animals (e.g. butter) and plants (e.g. coconut oil).

Thomas

Hi @joan_block - I’m female mid 30s trying to understand more if iron deficiency can be related to a Hep B diagnosis. The GP assumed it was heavy periods and now perhaps the inability to absorb iron or related to the chronic medical condition.

Results currently have eroded back to 1 year ago since the first and only iron infusion. It was handled by a GP so I wasn’t able to make the connection to ask the specialist. I am on daily medication, so the viral load should be undetectable. My fatigue levels at the moment is not in a good place.

What are the risks / implications of taking regular iron infusions. I did read that a large boost of iron can also damage the liver, which is not great for Hep B. Can @HealthExperts shed some light?

Sorry to hear about your iron levels. I’m 60, been chronic HBV 40 years, on treatment about 5 years.
There was only one time a few years ago that my iron levels were low so I had a course of iron tablets. I remember my energy levels were very low, feeling tired all day. Not very nice.
Unfortunately I can’t answer your question but know from experience, someone will soon.
There are great professional people here.
Welcome

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