Lifestyle changes, nutrition, and supplements for hep b

Hi @Suresh786 ,

I can share with you what my husband’s doctor advised him regarding use of supplements. He said that it is best for chronic hep b patients to refrain from using supplements as they might contain certain ingredients that can prove harmful to the liver. Many medicines and supplements are processed via the liver and that can lead to added burden on an organ that is already fighting.
The doctor has asked my husband to take vit d and probiotic, so he takes those two. I will suggest you to consult your doctor once before consuming the supplements.

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hello,
is one tablespoon of spermidine per day safe to take for chronic hbv?

My hep doctor does not recommend taking any supplements including protein powders and other so he most likely will say no to this one too. I do see some articles saying that this supplement is good for hbv. I wanted to try a tablespoon per day. Any comments on this supplement?
Thank you!

Hi @catcher.007,

I am not aware of spermidine leading to any benefits in chronic Hep B and there are no guarantees with any of these supplements that they contain what they say they do. I would definitely be wary taking them.

TT

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Hi,
so here is the article that I saw on spermidine

and yes, the supplements are not regulated so it’s hard to tell. I figured I ask here in case somebody had an experience that they can share with taking spermidine as hbv patient.

Thank you for your comments.

Hi @catcher.007,

Thanks for providing this paper. This is a very different system to a person with a chronic HBV infection - this study:

  • gives spermidine in combination with an experimental therapeutic vaccination
  • is in a pre-clinical mouse model in which all cells have the HBV genome, which doesn’t necessarily represent what is happening in a chronic HBV infection in a person (particularly later on when only 1 in 100-1000 cells have cccDNA).
  • does not provide data on whether increasing inflammation this way is good for your health - inflammation can be good (clears the infected cells) or bad (causes liver damage).

Hope this helps contextualise the study,
Thomas

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Thank you for pointing out the context of this study. I did not know that.

what about this one? this is for hbv patients, no?

sorry for keeping asking.

Hi @catcher.007,

This study is in mice or cells in a petri dish with no mention of Hepatitis B. From this data, it’s hard to know how much spermidine would help people with Hep B.

Thomas

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I just wanted to give everyone an update on a recent paper (available free as open access) that emphasises the importance of excercise:

This study looked at ~100,000 people living in the UK from the huge UK Biobank program, where 500,000 (deidentified) people are recruited to link up many aspects of their diet, genetics, health data, physical activity, etc. over time to work out linkages between what we do and how that affects our health. Some of these people work fit-bit type devices to track their physical activity during the day.

The study found that for every 2,500 steps people took a day, they reduced their risk of chronic liver disease by 38%, development of fatty liver by 47%, and liver disease progression by 44%.

Essentially, this is a free liver therapy that many of us can implement right now into our daily lives. No big pharma, no supplements, just good old walking.

TT

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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?