the hey there, i'm david, and this is the climate change, brags it happiness in 3 books for you. you'll get smarter for free. you got unusual? a the me hello and welcome to in good shape. one of the many miss at the beginning of the corona crisis was that alcohol could kill the virus. could that be the reason that the consumption of alcohol is increased many regions of the world since a kronos break? if that is so this could be very dangerous development, especially for liver. our liver is our main metabolic organ that gets rid of

many toxins. one of the most frequent diseases is fatty liver and it's not only due to alco consumption. software specialist, philip hecker is 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 who's given to me cuz i'm swimming in. obviously i try to eat healthy dias and freshly cook things like chicken or other me guys or a solace things. but unfortunately, it often doesn't work out. i just have to stop all for the fast food place for burger and fries. so we can see the header is one meter, 81 tall, and weighs 93 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 miss watson. i've no pain, no dizziness. no, there's nothing. all completely normal done from a still the test results bother. so we got an appointment with hepatologist. christophe is our team. he says it's no small matter if blood tests show. liver enzymes are seriously elevated. as insular packers case, they now need to investigate what's causing it. most of the lima lighted laser. zach and we have, we have to tell a just, sol would say that the liver suffers quietly to begin with. you notice little if anything might feel a bit of a twinge in your liver and that's it. if it goes uncheck years or even decades,

you eventually end up with a live cirrhosis and then it can be too late and kind of he 1st conduction ultrasound and immediately it becomes clear that philip hackers liver isn't in great condition in the office. so you can see that the liver tissue is slightly lighter in color on the kidney tissue. and that indicates the beginning of fatty liver disease. a so called fibrous 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. the shod was damaged in the liver is only one aspect. fatty liver disease also means you have greater risk of cardiovascular disease. well, 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 like phillip peca deliver, serves many vital functions such as filtering the blood coming from the digestive tract. but when we eat too much of the wrong kinds of foods, it starts to store fat and can no longer work properly. it begins to swell and can reach twice it size that can lead to liver cirrhosis and eventually organ failure. really packer 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. to avoid eating too much faster, sugar, least sugar is contained in many food st. james is a one example. part of the things that have been sweet and terrible, and often it's fructose being used, which is especially bad like pure alcohol for the liberal effect of the pool. i was me, 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 almost normal as teeth and stuff. fixed capitalism is always active. so you can reverse things very quickly, but only if you're disciplined. and i think mr. heck is certainly been disciplined . he was highly motivated. have a super good luck. phillip 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 me and who knows everything about it. and they asked them from the german red cross width and clinic in berlin. thanks having me today. we just saw a patient who was in his prime healthy was not an alcoholic, but he hadn't fatty liver cuz it's be fed store in the liver. in most cases it's

a distance between too much fact or too much sugar and, and decreased use of it. so when this is in balance, deliver is there to store fat for beth times, which usually do not come in the western world. but could that mean that a lot of people have a fatty liver without even knowing it? yes, indeed, the prevalence of fat liver is more than 30 percent in the western world. and even though kids have a high incidence of fatty liver was up to 20 to 30 percent of kids who do have an increase in pet a logic storage effect in the liver. not long ago as healthy liver was considered as something quite trivial. but it's not as if the opposite is the case. so when the liver does not function anymore, we haven't decrease production of proteins which means decreased muscle production . it is good for cutting a lot. it's important for a lot of functions. without a liver, we cannot live. so when they're crease, starch are fed,

then deliver in flames, and it comes to carrying us live urban con cerros. so when this is rose is a functional liver decreases in patient to 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 a fatty liver is aka consumption. just under liter of beer, o, approximately $300.00 milliliters of wine can be dangerous for men. for women, it's even less at any how many people drink alcohol on a regular basis. when diagnosing alcohol addiction, doctors often start with the so called page 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,

isn't 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 less every day? no, i'm not into alcohol. i don't really drink that much. sometimes i think be better to drink glass. nice. yeah, i will just, i think about how to fix my health. what was the next letter is a as an annoyed, have you ever been annoyed by people criticizing your drinking habits like this? no, it's never been that bad, but i didn't criticize myself and trying to observe my own drinking. how could this that's actually know. people have to disguise themselves where they have me criticize. yes. in the front point, yet no, my friends never say anything because we're all drinking together. that's all

special. then there's g as in guilty. have your drinking habits ever made you feel guilty? i know, well actually yes, i do feel bad from my body because i know that it's not the healthiest activity. so then i feel a bit guilty. no, i don't. no, not really. i'm not, i'm not roll. i know my limit to some other one. occasionally. if i've overdone it, then i do feel guilty about drinking. and finally, there's e as an eye opener. have you ever needed alcohol 1st thing in the morning to stabilize your nerves or make the start of the day easier? no, definitely not. i never mornings almost never was nice almost maybe around christmas, but other than that, no. 9, no way. more in the month on the morning. no. i just have a regular breakfast. i got 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 the drinking is very much part of my day and that i drink too much. doesn't i call it will be, but he will know. i don't think i have an alcohol problem, but i think it's a good idea to monitor how much you drink up like wonderful, useful enough. i know some of those who took our tests were surprised that these innocent questions can indicated possible dependence on alcohol. all of them seem to have their own definition. the whole thing. i think if you lose your ability to see what's happening to you in them, you might get to the point that you think it's normal to drink in the morning model for them to drink. i think if you drink every day you've a problem, but it depends on the reasons and the glass of wine you're drinking for pleasure.

you really needed to wind up with the image. but clearly it's not always apparent from the outside, whether someone has a problem with alcohol. a lot of people drink some alcohol over the day, like a lot of flying over lunch or some beer to dinner. is this risk for developing a fatty liver? unfortunately, the individual risks to develop fat 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 mine or a bottle of beer containing what $500.00 him else. so how could i as a patient know that i have a problem? unfortunately, symptoms are fat, liver developed very, very late. in some cases, even at that time and it's too late already. so when you think you might have a fatty liver, when you consume too much, i call or eat or drink too much, go to your doctor. he can use the sound and check if you haven't deliver and then

it's up to you everything with the name fruit in it. so it's healthy at 1st trip to, for example, it gets its name from his natural sauce fruits for a long time for the toes was even recommended from doctors to diabetics. today the industry uses it on a massive scale and prostitutes 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 going to be especially unhealthy and in higher doses over long periods it can be very harmful fruit toast. folk toy funding, traditional problems related to fructose have come to life in recent years. meal 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 toast is being produced on an industrial scale. and there's one reason for that. it's the most powerful sweetener of all the sugars and very cheap to produce. for a long time, for us was even considered healthy. it used to be recommended for diabetics because it doesn't raise blood sugar levels. fruit toast 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 sales and provide them with energy fruit. jose takes longer than glucose to enter the bloodstream 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 richard has studied the effect of fruit toast. he conducted an experiment to find out human body, breaks it down, jet get a number of test subjects with varying amounts of fruit dose. under this plastic could, he was able to gauge how much energy that test subjects use during the experiment. the blood samples were taken every 5 minutes to test the sugar levels, missed and you measure how much sugar level is used, how much facet produce and how much of the sugar was stored. it took a spice of the results of the test show that too much fruit toast leads to weight gain. but what's even worse is the damage that fruit does does to the liver. it basically as the same effect that's consuming too much alcohol. when i'm able to

feel too happy, labor has too much to do breaking down the photos than it can't metabolize it properly. as fat for fatal stores. the liver turns the fruit jose into that part of which is transported throughout the body and store it 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 toast influences the hormones that regulate our appetite spending. this makes us feel full, stay hungry as a fascinating subject, and fructose clearly plays a role in that function. when we consume too much fruit toast, the hormone green is produced in the stomach. mucous membrane, this hunger hormone signals to the brain that we haven't had enough to eat yet,

so that we eat more. often, the main problem isn't even solid food. we get especially large amounts of fruit dose in our beverages, whether in soft drinks or fruit juice, the women here. so in the flesh, you take a bottle like this, contains a leisure of apple juice. it took a same sugar content as the apples himself. but if i drink the whole leisure, it's like eating 8 apples to apples. i get sick of them quickly, but i can drink the whole bottle easily from the flesh, initialize to consumers who want to reduce their fruit. jose intake should check the labels of soft drinks and process foods. but what about the food 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 tweets to have to quit them. no, you don't, but it depends how mature your body's tolerating. usually you should not even more

than 25 grams of sugar, which is about 6 tubes of sugar. but what if i eat sweets and then start for a jog or run? if you burn the sugars for treating this is not a problem. but usually people who are not doing sports enough or not exercising, eating too much sugar, and then they're storing it in the liver, which then produces or causes for liver. where do we find sugar trips in daily life? short trips are called traps because you don't think about that. a couple of couple of gina usually is about $400.00 killer calories. apples, yours are orange juice contains as many calories as coca cola, so smoothly, for example, they contain a lot of calories for 2 pi from killer calories. so if you eat or drink 3 of them, you have enough calories for the full day. children love ready to go food. pizza. tough drink sweets. can they develop fatty liver? yes,

they can. and about 30 percent of the kids to have fed liver. we all love ready to go food because it's easy to eat and tastes well. however, the contain a lot of sugar, which is actually then not used and store and deliver with. this is fed liver. so you need to balance diet containing sugars. but more importantly, proteins and i mean acid to grow. well, that's the honest, what would be the easiest thing you could give up, the 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 please step on the scale. let's see how heavy you are. cash, your total would eating less sugar and make a healthier $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 month. song qu, grass and dog through the dr. specialized in nutrition will monitor them throughout the kids. i say it's 57 i'm sufferings from joint pain, hopkins, and i have a lot of inflammation in my body, which could be down to my sugar in the doctors aren't so sure that i'm one of these 3 months or readjust. and the idea is to get through it and then continue on a lower sugar intake. that's what i'm aiming for. it's now or never know, martin kim has already had a heart bypass his blood pressure, and collateral levels are too high. so he's on medication for the whole thing, does it done? i'm hoping at some stage to come up these less drill tablets because of the side effect. lindsey happening if you lose weight by changing your diet,

it's possible we might be able to stop all the medication. unlimited coming to upsets. samples are 1st taken from all of the participants. to doctors want to monitor has reduced sugar intake effects their with metabolism, songs, and off we'll 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 here not a lender. husband are noticing some changes on the table, too. we used to have a plate of cookies now we have flowers from the participants are allowed to each a maximum of 25 grams of added sugar a day. that's 8246 teaspoons. that's the limit recommended by the world health organization. antique fail is starting to notice the difference can be

from after 5 days on this new diet. my heartburn is gone. it has an effect on your body's partners of the doctor has summoned martin cumulative 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 toll and ways just under a $105.00 kilos. this ultra sound image shows very clearly that you have a fatty liver, but that's reversible. we can work on that to look at each month. we jump forward 7 weeks now. the group are having a party to celebrate reaching the halfway point, 2 thirds participants that managed to stay in the program. but until fail is really missing, the sugar is part of jittery and the patient. i feel like i'm constantly on the edge. she's come to discuss her progress with the doctor. although she's lost for

kilos in way. she's still not satisfied. because instead of using suff, liz, she's now started knocking on potato chips instead of the tv commercials don't help them. i've noticed that when you're watching tv in the evening, you're constantly getting ads for something sweet or food in general. as completion or not, but i think losing for kilos and just under 8 weeks is a lot dotted. after all, the only thing we've changed is reducing the amount of free sugars on i think that's a huge achievement. martin. kimberly, it's on the other hand to surprise hope easy. it's been to reduced his sugar intake . he's also been exercising a last and last 7 kilos. she says, you've done brilliantly with changing your diet, your top fit, and you're losing weight. and what about the other participants? the 3 months are now passed and the final blood test is about to reveal all

more than 40 participants have held out to the end. as joint pain is much better and she no longer needs to take courses own for me from i'm it's been a huge success, especially if it carries on like this. i saw my orthopedic yesterday and he was very impressed. it says i have to keep it up in her lab results also look promising her classroom level of liver. i'm thyroid values have all improved. that means she's now less at risk of developing diabetes. you have the quote you've managed to make the change soon. it would be great if you could now keep that upside for math in terms that has lost nearly 9 kilos on the blood test, shows that it's collateral levels have sunk to level your blood results have improved across the board. i'm very pleased if he continues to lose weight, he might soon be able to come off the collateral topless 3 months with

a radically reduced sugar intake, have paid, or nearly all the participants have lost weight and feel better for us. and most of them want to continue on a low sugar dyess. so if i would keep away from sugar completely, my liver would heal. so what's your job as a specialist? unfortunately, there are no effective drugs against the liver. so our job as physicians is to convince our patients to make your lifestyle change. also, we should treat hypertension efficiently. we should treat your sugar efficiently. both are risk factors for developing fatty liver. 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 exercise. and usually you cannot start with 2 a 5 limit of walk. but you should start slowly, you know, to burn more calories than you eat as

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

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