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They do know that by losing weight, liver enzymes may normalize and liver inflammation may improve. Studies show that losing 10 percent of your weight causes the liver enzymes to improve, which correlates with a reduction in the liver inflammation caused by the extra fat.


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Fatty liver disease should not make it harder for you to lose weight. However, you will have to follow a strict eating and exercise plan in order to lose weight. The doctors at Johns Hopkins may need to treat your fatty liver disease with a combination of medications in order to achieve adequate glucose control and normal cholesterol levels.

Request your next appointment through My Chart! Whether you're crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins. Contact us or find a patient care location.

Case Reports in Hepatology

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More studies are needed to look at the relationships between energy drinks and liver damage. The supplement contains herbal extract with 60 percent flavoids, caffeine and cacao. The following case report illustrates drug-induced liver injury secondary to its use. A year old female with history of depression and no prior liver disease was seen after having one week of abdominal pain, anorexia and nausea. On physical examination, she had scleral icterus and mild jaundice.

She denied use of other herbal medicine, supplements or acetaminophen. There had been no recent changes in her depression medication. Flavonoids have been thought to cause significant liver injury in several case reports. Treatment after development of drug-induced liver injury has been poorly defined, besides discontinuing the triggering substance. Previously, steroids have been studied to prevent tissue damage from inflammatory response, which failed to show beneficial effects. Jhun adds, "The usage of ursodeoxycholic acid UDCA has been shown to be favorable, due to protection of hepatocytes against cytotoxic effects of bile acids and stimulating hepatobiliary secretion.

Recently, the combination of steroids and UDCA proved to benefit the outcome of patients with severe drug-induced liver injury. Note: Content may be edited for style and length.

'Fat-burning' supplement linked to liver failure

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