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March 02, 2001
Issue # 36

LIVER DETOXIFICATION
Part I
“Maybe, It’s time to give your Liver a break!”

By: Bryan K Taunton, PFI
President: STA-FIT, Inc.

Scientifically, Technologically Advanced Fitness


Do you find yourself feeling tired, achy, have frequent headaches, dizzy spells, see sparkles, feeling foggy headed, experience frequent illness, dysfunctional or irritable bowel, occasional rashes, loss of vitality or stamina, irritable or moody, have a problem maintaining focus or mental acuity, experience sexual problems, lack motivation, and/or find it hard to remain calm under pressure?  If you have any or all of the above you may be experiencing signs of liver stress.   I’m sure most everyone has experienced a portion of these symptoms at some point and time, though hopefully not all at once.  A person experiencing even mild liver stress may exhibit any one or several of these symptoms or more at some point and time.  In fact, I could go as far to say that everyone reading this article is experiencing some form of undue liver stress. 

 

About The Liver


The liver is the largest organ in the human body.  Weighing in at approximately 3 lbs it serves as the body’s filtering plant.  Filtering out all sorts of impurities, toxic matter, chemicals, microorganisms (viruses, fungi, parasites, and bacteria), dead cells, and drugs on a daily basis the liver protects your life.  In this day and time of chemical warfare, food additives, livestock fed enhanced foods, genetically engineered foods, plant fertilizers and pesticides, food processing, antibiotics, and the hundreds/millions/billions of possible other contaminants the liver is pushed to its maximum efforts.  Within the Sinusoidal System (liver filter) special cells call Kupffer Cells are produced to ingest and  breakdown various contaminants or toxic matter which enter the body.  Absolutely every drug, chemical, hormone, pesticides, and numerous other toxins are broken down or metabolized inside detoxification pathways, which produce special enzymes within the liver.
There are two major pathways in which the liver goes about its work of detoxification.

 

Phase One:  Detoxification Pathway

The Oxidase Enzymic Cytochrome P-450 mixed function would be an example of this pathway.  This pathway operates by converting toxic chemicals into less harmful chemicals, through various chemical reactions such as oxidation, reduction, and hydrolysis.  This is a disruptive process during which time further damage may be done to the liver due to the free radicals produced during this action.  Numerous anti-oxidants of which we will discuss further will assist in reducing this damage.

 

Phase Two: Detoxification Pathway

The Conjugation Pathway during which time the liver cells add another substance such as cysteine, glycine, or sulpher to the toxin making it water-soluble, thereby enabling it to be excreted via bile or urine.  Supplementation of products containing these substances such as amino-acids containing sulpher, cruciferous vegetables (broccoli, cauliflower, cabbage, etc) will assist the liver in phase two detoxification.  During Phase Two detoxification both UDP-glucuronyl transferase (GT) and glutathione-S-transfrase (GSH-T) are needed.  Gluthaione is the most powerful of internal anti-oxidants in the liver.  It can be depleted by large amounts of toxins, drugs, stress, and fasting (a popular detoxification therapy and ritual).

If either one of these pathways become overloaded a build up of toxins will occur.  Many toxins are fat-soluble.  Meaning that they can only be dissolved in fatty or oily solutions and not water.  At the point and time at which toxin or chemical overload begins to occur these Fat-soluble Toxins will begin to incorporate themselves into fatty tissue where they could be harbored for years or even a lifetime.  Fatty tissue would include adipose tissue and fatty organs such as the Brain and Endocrine system.   Many of these toxins, being carcinogenic in nature, have been implicated in the rising increase of cancer.  As toxin overload occurs, these chemicals, agents, microorganisms, and etc. begin to spill over and build up in the blood stream thereby overloading the immune system.  As irritations begin to occur in this hyper-stimulated state, the body begins to produce corticoids (cortisol the enemy of muscle growth), depleting nitrogen stores, and producing autoantibodies.  Despite the immediate ramifications, long term left unchecked this could have all sorts of ramifications including auto immune disease, CFS, cancer, arthritis, cirrhosis, vasculitis, recurrent infections, lupus, and much more.

.
Why should you be concerned?

Naturally as athletes we are concerned about our health more so than the average man or woman.  Poor liver health not only affects your general health but as an athlete it affects your athletic performance.  Clarity of mind, readiness, complete exertion, preparedness, endurance, and more all come together when competition time arrives.  The condition of liver function will affect the outcome of your competition especially in that of the performance athlete when the pressure is on.  This also includes the high stress days of the competitive body builder who probably puts as much or more stress on his/ her liver than any other athlete.  When liver toxicity is high, performance will drop.  This means high levels of fatigue, stress, inability to recuperate, lack or loss of appetite, poor nitrogen retention, and catabolism.  These will definitely impair your success in achieving or how quickly you achieve your body building goals.

As athletes we tend to do many things which can be detrimental to the health of our livers.  Often our diets fluctuate dramatically and various points/times of the training year.  Additionally we place high stress on the liver through the various supplements and drugs we routinely use.  Not to mention the high level of stress placed on the liver in daily living alone.  I read somewhere recently that drinking water from a faucet alone can contain upwards to 600 or more toxins or contaminants, which could inhibit liver function.  Then there is the amount of prepared/processed foods we routinely put in the body containing pesticides, preservatives, collagens, dead cells, microorganisms, and the like.  In short daily living puts enough stress on the liver and by leading an active lifestyle we place more.  Intense exercise, while being overall good for the body, also produces chemical byproducts, which must be processed by the liver.

As of late the high protein/ high fat diets are used more and more to get that ripped look you are looking to achieve.  Rest assured when taken to excess the left over unassimilated or excreted fat and protein become toxins themselves.  The metabolism of fat results in the production of ketones, which are toxic to both the liver and the kidneys.  Many high fat diets do not specify a better selection of dietary fat.  These fats especially saturated fats contribute to high LDL cholesterol levels which again in turn places the liver in a more stressful environment and can lead to the build up of fatty tissue inside the liver itself resulting in poor liver circulation.  It results in similarly having a few blocked sections in your car air filter.  The car just doesn’t run as well and loses power.  This gives reason to believe that using more MCT’s would be more beneficial to the high fat diet.  By obtaining calories from these and similar sources at least they are metabolized immediately and not stored.  It should be understood using MCT’s exclusively would not be a good idea as it would prove to be expensive and the body does need some fat that is not immediately assimilated for energy such as flax seed, omega 3 fatty acids (fish oil), and others. 

Regarding Androgenic/Anabolic Steroid- Induced Hepatoxicity:

Performance enhancing drugs, AAS in particular, have been noted for their harmful effects on the liver.  In recent years with Cancer, Cardiac, and wasting diseases such as AIDS a new interest in AAS has risen in the medical community for their ability to assist in enhancing LBM, strength levels, and protein synthesis.   Much of this research has also given rise to a new attitude regarding the side effects of these products. 

Commonly injectable AAS are referred to as being the lesser of two evils the other being oral 17-alkylated complexes.   Injectable AAS are viewed by most as having little or no effect on the liver (Illustrated in a comment by Dr. Caroline Becker, endocrinologist in Mt. Kisco, NY saying, “Even with individuals with pre-existing liver disease I would have no compunction in giving them injectable testosterone.”) and have been the preferred method of treatment.

*The study below suggest the exercise alone may be enough to induce or offset normal AST (SGPT) or ALT (SGOT) levels while a GGT levels are left normal.  Testing for these levels is explained further in this article.

Anabolic steroid-induced hepatotoxicity: is it overstated?
Dickerman RD; Pertusi RM; Zachariah NY; Dufour DR; McConathy WJ.
Clin J Sport Med, 9(1):34-9 1999 Jan.

Abstract OBJECTIVE: There have been numerous reports of hepatic dysfunction secondary to anabolic steroid use based on elevated levels of serum aminotransferases. This study was conducted to distinguish between serum aminotransaminase elevations secondary to intense resistance training and anabolic steroid-induced hepatotoxicity in elite bodybuilders. DESIGN: This was a case-control study of serum chemistry profiles from bodybuilders using and not using anabolic steroids with comparisons to a cohort of medical students and patients with hepatitis. PARTICIPANTS: The participants were bodybuilders taking self-directed regimens of anabolic steroids (n = 15) and bodybuilders not taking steroids (n = 10). Blood chemistry profiles from patients with viral hepatitis (n = 49) and exercising and nonexercising medical students (592) were used as controls. MAIN OUTCOME MEASURES: The focus in blood chemistry profiles was aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma-glutamyltranspeptidase (GGT), and creatine kinase (CK) levels.

RESULTS: In both groups of bodybuilders, CK, AST, and ALT were elevated, whereas GGT remained in the normal range. In contrast, patients with hepatitis had elevations of all three enzymes: ALT, AST, and GGT. Creatine kinase (CK) was elevated in all exercising groups. Patients with hepatitis were the only group in which a correlation was found between aminotransferases and GGT.

CONCLUSION: Prior reports of anabolic steroid-induced hepatotoxicity based on elevated aminotransferase levels may have been overstated, because no exercising subjects, including steroid users, demonstrated hepatic dysfunction based on GGT levels. Such reports may have misled the medical community to emphasize steroid-induced hepatotoxicity when interpreting elevated aminotransferase levels and disregard muscle damage. For these reasons, when evaluating hepatic function in cases of anabolic steroid therapy or abuse, CK and GGT levels should be considered in addition to ALT and AST levels as essential elements of the assessment.

 

Next week we will conclude with:
Testing for Liver Problems:
Liver Detoxification Test, SGOT, SGHT, etc.
 

And

Methods of Detoxification

 

References: 

  1. Jekot WF, et al. Treating HIV/AIDS patients with anabolic steroids.  AIDS Patient Care, 1003 (April) 7; 2: 11-17

  2. Michael Mooney, et al. Commentary: Steroids and the Liver, Issue No. 1, (August) ‘99

  3. AIDS Treatment News, Jan.1, 1993:166:5

  4. Frank A. Mitros, M.D., et al. Atlas of Liver Pathology: Ch.6, ‘99

  5. Cabot, Sandra, M.D., et al Liver Detoxification, www.LiverDr.com

  6. Lark, Susan M, M.D. / Richards, James A., M.B.A., et al. Secrets of Peak Performance, circa 2000, ch. 5-8

 

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