school. students are. training successful. starstruck transept. hello and welcome to in good shape one of the many myths at the beginning of the corona crisis was that alcohol could kill the virus. could that be the reason that the consumption of alcohol has increased in many regions of the world since the break if that is so this could be a very dangerous development especially for liver. our liver is our main

metabolic organ that gets rid of many toxins one of the most frequent disease is the liver and it's not only due to alcohol consumption. or specialist philip heading to his next appointment with a customer the 37 year old often drives long distances for his work he usually doesn't have much time to eat and must settle for something quick typically he'll stop at a roadside restaurant for some fast food. and obviously i try to eat a healthy diet freshly cooked things like chicken or other meat or a salad. but unfortunately it often doesn't work out i just have to stop off at a fast food place for a burger and fries. for the pecker is one meter 81 tall and weighs $93.00 kilos that's

a little above the ideal weight like many people every 2 years he goes to his g.p. for a general checkup including a blood test but his last visit to the doctor showed his liver values were 5 times what they should be he was surprised because he feels absolutely fine. i've no pain no dizziness nothing all completely normal. still the test results bothered him so we got an appointment with hepatologist kristoff zealots and. he says it's no small matter if blood tests showed liver enzymes are seriously elevated as in for the packers case they now need to investigate what's causing it. to leave my lighted license we have a toddler just always say that the liver suffers quietly to begin with you know it is little if anything you might feel a bit of a twinge in your liver and that's it if it goes unchecked for you. years or even

decades. with a liver cirrhosis. and then it can be too late. he 1st conducts an ultrasound and immediately it becomes clear that philip peckers liver isn't in great condition. you can see that the liver tissue is slightly lighter in color than the kidney tissue and that indicates the beginning of fatty liver disease. a so-called fibro scan is used to measure how much fat has been deposited in the liver in the past patients had to undergo a painful biopsy but these days it's a lot easier for cases like this one the test shows that our patient needs to be treated with damage to the liver is only one aspect fatty liver disease also means you're at greater risk of cardiovascular disease where you may get a hardening of the arteries or even a heart attack so it's twice as important to do something about it. more and more

patients are developing problems for the ppaca the liver serves many vital functions such as filtering the blood coming from the digestive tract. of the wrong kinds of foods to store fat and can no longer work properly begins to swell and can reach twice its size. liver cirrhosis and eventually organ failure. is nowhere near that stage the good news for him is that his liver can still make a complete recovery but only if he makes some changes to his lifestyle and diet. avoid eating too much fat or sugar at least a circle is contained in many foods fruit juices are one example of the things that have been sweetened and often it's fructose that's been used which is especially bad it's like pure alcohol for the little. it's been a healthy shock for the patient since the diagnosis he started exercising regularly

. he goes jogging 3 times a week for 30 minutes and he's also changed his diet introducing a lot more salads and healthy snacks and his efforts have paid off just one month later the liver enzyme levels in his blood have dropped significantly and his test results are now almost normal. stuff explicit travel ism is always active so you can reverse things very quickly but only if you're disciplined and i think mr head is certainly being disciplined he was highly motivated. plans to keep up the good work it may not always be easy but the benefits are great . as a g.p. i certainly know a lot about the liver but now i'm sitting next to a man who knows everything about it. from the german red cross western clinic in berlin thanks for having me today you just saw a patient who was in his prime healthy he was not an alcoholic but he hadn't had

a liver how could this be fed to store in the liver in most cases there's a dispute between too much fat or too much sugar and in decreased use of it so when this is in balance the liver is there to store fat for bad times which usually do not come in the western world but could that mean that a lot of people have had liver without even knowing it yes indeed it's a prevalence of affect liver is more than 30 percent in the western world and even though kids have a high incidence of fatty liver with up to 20 to 30 percent of kids who do have an increase in pathologic storage in the liver not long ago if the liver was considered something quite trivial but it's not is it the opposite is the case so when the liver does not function anymore we haven't decreased production of proteins which means decreased muscle production it is good for cutting off it's important for a lot of functions without a liver we cannot live so when this thing. priests' storage of fat then the liver

in flames and it comes to scarring of the liver surfaces so when this is cirrhosis the functional for the or decreases in patients do die from liver cirrhosis also the prevalence of liver cancer is enhanced by a fat storage the most common reason for liver cancer in the western world is liver so it is not a trivial disease it's an important and life threatening disease. one of the causes for setting liver is alcohol consumption just under lead to the beer approximately $300.00 millimeters of wine can be dangerous for men or women it's even less that any how many people drink alcohol on a regular basis. when diagnosing alcohol addiction doctors often start with the so-called cage test it's a series of questions that require a yes or no answer anyone who answers 2 or more of the questions with

a yes is in danger of becoming dependent on alcohol we conducted the test on a few people without telling them what it was about to start with the letter c. as in cut down drinking have they ever considered drinking laughs. here every day. no i'm not into alcohol. i don't really drink that much sometimes i think it is better to drink less. yes i think about how to fix my health because. the next letter is 8 as in annoyed if you ever been annoyed by people criticizing your drinking habits the right is not you know it's never been that bad but i do criticize myself in trying to observe my own drinking habits. actually know people have to decide for themselves but i have many criticized yes. no my friends never say anything because we're all drinking together. then there's g. as in p.l.t.

as your drinking habits ever made you feel guilty. and i know that well actually yes i do feel bad for my body because i know that it's not the healthiest activity so then i feel a bit guilty. no i don't. know not really. not all i know my limits and my heart i'm sure most of them yes occasionally if i've overdone it then i do feel guilty about drinking this in. and finally there's an easy as an eye opener if you ever needed alcohol 1st thing in the morning to stabilize your nerves or make the start of the day easier. no definitely not no never mornings almost never cost me. almost maybe around christmas but other than that no night no way morgan's in the mornings and the morning. i just have a regular breakfast or going on some. of the 30 people we asked 5 of them answered

at least 2 questions with a yes according to the cage test those subjects have a heightened risk of alcohol addiction dismissal i'm aware that drinking is very much part of my day and that i drink too much if it doesn't i call it will be but it's going like this well no i don't think i have an alcohol problem. but i think it's a good idea to monitor how much you drink. some of those who took our test were surprised that these innocent questions can indicate a possible dependence on alcohol all of them seem to have their own definition but most behold i think if you lose your ability to see what's happening to you. you might get to the point that you think it's more able to drink in the morning. or to stink and i want to just think i think if you drink every day you have a problem but it depends on the reason this is a glass of wine you're drinking for pleasure. really needed to unwind. but clearly

it's not always apparent from the outside whether someone has a problem with alcohol. a lot of people drink some over the day like a glass of wine over lunch or some beer or dinner is this the risk for developing a fatty liver unfortunately the individual risk to develop fatty liver is very different in humans you can say that you're on the safe side if you do not consume more than one on maximum of 2 units per day so one unit would be a glass of wine or or a bottle of beer or contain you want fire front of him else so how could i as a patient knew that i have another problem unfortunately symptoms are fed live earth developed very very late in some cases even at that time when it's too late already so when you think you might have a fatty liver when you consume too much other color eat or drink too much go to your doctor he can use ya just sound and check if you have had

a liver and then it's up to you. everything with the names in it sounds healthy at 1st for example it gets its name from is that chilled sauce fruits. for a long time fotos was even recommended from doctors to diabetics today the industry uses it on the message in processed foods sweets and soft drinks that leads to obesity heart and intestinal diseases and fatty liver. we can't get enough of the stuff although we know how unhealthy sugar is we can stop eating it but one particular sugar is thought to be especially unhealthy and in higher doses over long periods it can be very harmful fruit shows. funny missional problems related to fructose have come to light in recent years it is sugar that has a significant impact on the liver if you eat fructose in large amounts it can lead

to fatty liver disease. and our fruit toast consumption is on the rise many processed foods contain it as do all sorts of sweet treats highly concentrated fruit towse is being produced on an industrial scale and there is one reason for that it's the most powerful sweetener of all the sugars and ferry cheap to produce . for a long time fruit was even considered healthy it used to be recommended for diabetics because it doesn't raise blood sugar levels through toes behaves differently in the body than glucose for example. glucose reaches the bloodstream directly via the small intestine and in doing so raises the sugar levels in the blood with the help of the hormone insulin glucose is transported to the cells and provides them with energy. through joe's takes longer than glucose to enter the blood stream from the small intestine the cells can process it so it's sent to the liver to be broken

down and turned into fat. nutritional scientist andreas for richer has studied the effect of fruit dose he conducted an experiment to find out how the. human body breaks it down. given a number of test subjects with varying amounts of fruit those under this plastic could he was able to gauge how much energy the test subjects used during the experiment. blood samples were taken every 5 minutes to test the sugar levels by mist and you measure how much sugar live a pretty used how much facet produced and how much of the sugar was stored despite . the results of the tests show that too much fruit leads to wake again but what's even worse is the damage that fruit dose does to the liver it basically has the same effect as consuming too much alcohol. then i'm talking if it's

a few if there's a has too much to do breaking down the front toes then it comes metabolize it properly and stores it as fats fit from. the liver turns the fruit into fact part of which is transported throughout the body and stored as fat deposits but the liver itself begins to store the fat to that leads to a fatty liver just like consuming too much alcohol does. what's more fruit those influences the hormones that regulate appetite. since finding this what makes us feel full stay hungry is a fascinating subject and fructose clearly plays a role in that function. when we consume too much fruit toast the hormone grayling is produced in the stomachs mucous membrane this hunger hormone signals to the brain that we haven't had enough to get so we eat more.

often the main problem isn't even solid food we get especially large amounts of fruit in our beverages whether in soft drinks or. or fruit juice. women so in a flash if you take a bottle like this it contains a leisure of apple juice it's just the same sugar content as the apples themselves but if i drink the whole easier it's like eating 8 apples when try to eat 8 apples i get sick of them quickly but i can drink the whole bottle easily in the flesh and it's like think consumers who want to reduce their food chose intake should check the labels of soft drinks and processed food but what about fruit itself don't worry fruit is still healthy it contains less fruit toast and provides fiber and vitamins i have to admit i do love sweets to have to keep them i know you don't but it depends how much oil your body is tolerating usually you should not eat more

than 25 grams of sugar which is about 6 troops of sugar but what if i eat sweets and then start for a jog or run if you burn the sugars which are eating this is not a problem but usually people who are not doing sports enough or not exercising eating too much sugar and then they are storing it in the liver which then produces or causes for liver where do we find so good in daily life sure traps are called traps because you don't think about that a cup of cappuccino usually is about 400 kilo careens appoggiaturas or orange juice contains asked many calories as coca-cola so smoothies for example they contain a lot of calories 4 to 500 kilo calories so if you eat or drink 3 of them you have enough calories for the full day children ready to go food pizza soft drinks sweets can they develop at 30 liver yes they can and about 30 percent of the kids

do have fed liver we all love ready to go food because it is easy to eat and tastes well however the container lot of sugar which is actually not used and stored in the liver which produce. this is for the liver so you need a balanced diet containing sugars but more importantly proteins and i mean that to grow well let's be honest what would be the easiest thing you could give up money the internet your partner we humans find it difficult to eliminate the familiar things from our lives for me personally i could not do without the show and without sugar the people in our next report tried to give up sugar and took part in an exciting experiment. so it's all to please step on the scale let's see how heavy you are and. what eating less sugar make us healthier so. the group of $65.00 people are about to find out they're going to

exclude all sweets and added sugar from their diet for the next 3 months sun group laughing dog who is a doctor specialized in nutrition will monitor them through ios. and he is not fail it's 57 am suffering from joint pain and so you have a lot of inflammation in my body which could be down to my sugar intake but the doctors aren't so sure that i'm one of these 3 months for readjustment the idea is to get through it and then continue on a lower sugar intake and that's what i'm aiming for it's now or never martin kim edwards has already had a heart bypass his blood pressure and cholesterol levels are too high so he's on medication for the. hope for those hoping at some stage to come off these cholesterol tablets because of the side effects. if you lose weight by

changing your diet it's possible we might be able to stop all the medication i got upset some. blood samples are 1st taken from all of the participants the doctors want to monitor how to reduce sugar intake affect their patients. metabolism. so on who graph and off will check their blood values again at the end of the program. so from now on our test participants will need to be disciplined. it's week one and i'm here off a ladder husband are noticing some changes on the table. we used to have a plate of cookies now we have flowers for. the participants our light isa maximum of 25 grams of added sugar a day that ate q 6. that's the limit recommended by the world health organization. and he had half a list starting to notice the difference. 5 days on this new diet my heart burn is

gone it has an effect on. the doctor has summoned martin gets to the surgery to discuss the results of his blood test despite the medication he's on his blood pressure is too high. and he's overweight he's one meter 80 tall and weighs just under 105 kilos. fund this ultrasound image shows very clearly that you have a fatty liver but that's reversible we can work on that. we jump forward 7 weeks now. the group are having a party to celebrate reaching the halfway point 2 thirds of the participants of managed to stay in the program. but and here are fairly is really missing the sugar . patient i feel like i'm constantly on the edge. she's come to discuss her progress with the doctor although she's lost 40 loads in

weight she's still not satisfied because instead of eating chocolate she's now started snacking on potato chips instead. the t.v. commercials don't help i've noticed that when you're watching t.v. in the evening you're constantly getting ads for something sweet or food in general . but i think losing 4 kilos in just under 8 weeks is a lot after all the only thing we've changed is reducing the amount of free sugars i think that's a huge achievement martin kim it's on the other hand is surprised how easy it's been to reduce his sugar intake. he's also been exercising a lost and has lost 7 kilos isn't brilliantly with changing your diet your top and you're losing weight and what about the other participants the 3 months are not passed and the final blood test is about to reveal all. more than

40 participants have held out to the end. joint pain is much better and she no longer needs to take courses on. this for me from it's been a huge success especially if it carries on like this i saw my orthopedist yesterday and he was very impressed he says i have to keep it up to. her lab results also look promising her cholesterol level of liver and fibroid values have all improved that means she's now less at risk of developing diabetes. you've managed to make the change it would be great if you could now keep that up. martin kim gets has lost nearly 9 kilos the blood tests shows that his cholesterol levels have sunk to . your blood results of improved across the board i'm very pleased. if he continues to lose weight he might soon be able to come off

the cholesterol top let's. 3 months with a radically reduce sugar intake have paid off nearly all the participants have lost weight and feel better for us and most of them want to continue on a low sugar diet. so if i would keep away from sugar completely my liver would heal so what's your job as a specialist unfortunately the drugs against liver so often. patients . also. pension efficiently treat your sugar efficiently both are risk factors for developing for so long. what should the patient do the human being is weak so what you have to do you have to change your diet you have to eat more proteins more amino acid less sugar you have to start with exercising usually you cannot start with a 2 or 5 kilometers walk but you should start slowly you know to burn more calories than you eat as a g.p.

and know that it's very difficult for my patients to go for a complete lifestyle change so how could it work yes indeed it's takes a lot of times and effort to convince a patient to change your life it's convenient to go on as you already did for 20 or 30 years to enjoy a red wine or to enjoy a good food however sometimes the patients has to experience a trauma or or problem you to think about his own health and changed his life thanks so much for this very interesting talk it was a pleasure thank you very much so exercise is good against a threat to liver and when i exercise i get my best ideas what about you and if you're a bit like me send me your best ideas. good shape for your weekly health show one g.w. covers many aspects of health care look at what's new in medical treatments nutrition fitness and beauty. we discuss these topics in depth with specialist and give you the chance to pose your own questions so do get

in touch. you may ask yourself is today so over yet no it's not it's over in 3 to. absolutely.

justice for the victims of this river in the genocide that's catherine bond because he should. be human rights advocate wants to identify each of. the ones. her. this huge undertaking is still under way 25 years after the infamous massacre of bosnia herzegovina focused on the us. and 30 minutes on w. . are they friends some longer living within the fascists i see here the boy he was

a muslim in a bull fight among the figures stimulation or are they enemies will be an issue of the feast fueling of the real push joe the goal is to misuse religious he's going to go to find them or follow jeff dahmer trauma and flooding or i were to park a mentoring analyzes the difficult relationship between russia and the us and between the presidents how does their rivalry and their dangerous mutual admiration affect the rest of the world. some bullies trump and putin starts august 3rd on d w. this is a 15 year old girl. being gang raped. the teacher is beating a boy for talking back and class. for the rest of the class watches.

told her that by his mother. breaking up to last. a child sleeps in the streets because her family threw her. here. online only. pushes a teenager over the edge. just because you can see violence against children doesn't mean others and there are make them visible visible opus might violence against children to secure.

this is deja vu news life for a land thousands of employees tens of millions of viewers but the biggest t.v. network in the philippines is silenced lawmakers have voted against renewing the network which frankly clashed with the president but we go to check to one human rights group calls it a black day for media freedom. also coming up thousands of fire.