8 tips for a healthy liver
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Your liver may not be functioning at its optimal level if you have  constant fatigue, nausea, abdominal pain, and yellowing of skin and  whites in the eyes. To improve the health of your liver, you need to  give your diet and lifestyle an overhaul.
A healthy liver keeps your body's regulatory, detoxification and  metabolic functions in tip top condition. Fortunately, most liver  problems are reversible if discovered early.
"The liver is an amazing organ which can rejuvenate itself. Liver  failure develops over time. You can stop a fatty liver condition from  deteriorating into more serious liver cirrhosis and liver cancer by  making significant changes to your diet and lifestyle," says Dr Victor Lee Tswen Wen, consultant, Department of General Surgery at Singapore General Hospital (SGH).
What does the liver do?
The liver is the body's major cleaning and clearing house.
A healthy liver regulates blood glucose levels and removes bilirubin  from the bloodstream. Bilirubin is a byproduct from the normal breakdown  of red blood cells.
In addition, the liver processes foods, extracting nutrients, and  produces bile to digest fatty foods. Any excess nutrients are stored in  the liver.
The liver also detoxifies. It removes toxins that are ingested  through alcohol, medications and contaminated food, from the  bloodstream.
8 tips for a healthy liver
1. Moderate your alcohol intake
The liver can only process or break down a small amount of alcohol  every hour. For this reason, men should limit their alcohol intake to  two drinks a day while women should only have one. A standard drink is  equivalent to one ordinary beer or one small glass of wine.
2. Cut down on fatty foods
Reduce the amount of saturated fats, trans fats and hydrogenated fats  in your diet. Saturated fats are found in deep fried foods, red meats  and dairy products. Trans and hydrogenated fats are found in processed  foods. The liver stores excess dietary fat, and fat buildup can  eventually bring on fatty liver disease.
Related article: Fatty liver is on the rise in young Singaporeans
3. Reduce body weight
Obesity, particularly, abdominal or central obesity, is a major risk  factor for developing fatty liver disease. Eat a balanced diet and  exercise regularly to maintain a healthy weight. A fatty liver slows  down the digestion of fats. Do aim for the ideal body mass index (BMI)  target. The healthy cut-off values recommended by MOH and HPB Singapore  are between 18.5 and 22.9.
4. Avoid over-supplementation with traditional medicine & remedies
Over-supplementation may cause liver inflammation. As the liver  detoxifies, supplementation with certain traditional medicine or  remedies can lead to liver damage or even failure. This is because some  of these remedies contain heavy metals, which taken in large quantities  can result in liver toxicity or affect the regular functioning of your  liver.
Related article: Could taking antioxidants actually increase your risk of cancer?
5. Eat more fibre 
Eat more high-fibre foods such as whole grains, fruits and  vegetables. For proteins, choose more fish, beans and nuts, and cut down  on red meats.
6. Get vaccinated
Get vaccinated against hepatitis A and B, both viral liver  infections. Hepatitis A is contracted from contaminated food or water  and hepatitis B, from sexual contact, contaminated blood and needles.
Related article: True or false? Hepatitis B carriers are 100 times more likely to develop liver cancer than non-carriers
7. Get regular exercise
Regular exercise is key to a healthy liver. Exercise increases energy  levels, decreases stress on the liver, and helps to prevent obesity — a  high risk factor for liver disease. Aim for a total of 150 minutes of  exercise, such as brisk walking, per week.
8. Be cautious of weight loss pills
Over-the-counter weight loss pills which are available without a prescription may contain ingredients such as Ephedra (ma huang in Chinese) which are harmful to the liver.
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