Herbal tea for liver II

Scientists from Greece have reported a possible link between liver damage similar to that caused by hepatitis and the consumption of herbal tea.

Writing in the July issue of the European Journal of Gastroenterology and Hepatology, lead author Spyros P. Dourakis from the University of Athens related the case of a 62-year-old man who was hospitalised after consuming a herbal tea made from Teucrium capitatum.

The man was hoping that the tea would help reduce cholesterol and high blood sugar levels, and had been taking it on a daily basis for four months before coming down with symptoms of nausea and loss of appetite. He stopped drinking the tea, but then developed jaundice and went to the hospital.

Dourakis and his colleagues discovered that the man was suffering from liver toxicity, and that the jaundice was similar to that caused by hepatitis. The patient eventually recovered from the symptoms, but only after a nine-week period.

"To the best of our knowledge, this is the first description of acute hepatitis related to the use of T. capitatum," Dourakis wrote in the journal. "Some medicinal plants may not be as safe as they are widely considered," he concluded, although adding that more evidence would be needed before a definitive statement could be made about the safety of T. capitatum.

There is much evidence to show the efficacy of herbal products in treating a range of maladies, but scientists are now increasingly looking into the potential adverse effects of the products as well. All of which will, eventually, make it safer than ever to use herbal products, but might also mean that some products are withdrawn or restricted on safety grounds.

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HERB TEA AND LIVER

The liver is the body's primary antipollution organ, in charge of removing potential toxins from the bloodstream; it filters more than a liter of blood per minute. In today's world, the liver receives more than its share of insults, from things like auto exhaust, secondhand smoke, pesticides, heavy metals, industrial solvents and household cleaners, not to mention over-the-counter and prescription medications, food additives and various bacteria.

Hepatic veno-occlusive disease is a potentially fatal cause of liver failure, usually attributed to exposure to plants that contain toxic pyrrolizidine alkaloids.

Although it is commonly thought that ingestion of these alkaloids is not a problem in developed countries, cases of hepatic veno-occlusive disease have been reported from the United States, the United Kingdom, and Switzerland, and at least two of these cases have been linked to the consumption of the commercially-available herb comfrey.

A report in The Lancet notes that despite past warnings about toxicity, comfrey products continue to be marketed as herbal teas, herb root powders, and capsules. Toxic levels of alkaloid have been found in commercial preparations.

Pyrrolizidine alkaloid poisoning is difficult to diagnose; it may be necessary to obtain and analyze herbal preparations used by the patient in order to discover the cause of liver failure. "Physician and consumer awareness of herbal toxicities is extremely limited, and the incidence of hepatic veno-occlusive disease and of pyrrolizidine poisoning may be grossly underestimated."

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IS THERE AN OPTIMAL DIET FOR THOSE WITH HEPATITIS

Unfortunately, a person cannot expect to walk into the doctor’s office and request “a diet for liver disease.”

Such an across-the-board diet simply does not exist. Many factors account for the unfeasibility of a standardized liver diet, including variations among the different types of liver disease (for example, alcoholic liver disease versus primary biliary cirrhosis) and the stage of the liver disease (for example, stable liver disease without much damage versus unstable decompensated cirrhosis).

One’s other medical disorders even if unrelated to their liver disease, such as diabetes or heart disease, must also be factored into any diet.

Each person has her own individual nutritional requirements, and these requirements may change over time.

Most people with liver disease find that eating multiple small meals throughout the day is the best approach, as it maximizes energy levels and the ability to digest and absorb food. However, if one insists on eating three meals per day try to follow the saying – “ eat breakfast like a king, lunch like prince and dinner like a pauper”.

It is important to keep in mind the difference in calorie content among different food groups. While protein and carbohydrate each supply 4 calories per gram, fat supplies 9 calories per gram. It is also important to know that 1 gram of alcohol is equivalent to 7 calories.

So alcohol actually supplies more energy in the form of calories to the body than protein and carbohydrates, and just slightly less than that supplied by fat. However, while alcohol may provide a person with some degree of energy, it has absolutely no nutritional value. Therefore, alcohol has been said to provide “empty calories.”

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