just one week how much was going to really get we still have time to go. i'm going to subscribe to a movie is like ah, this is d w news and these are top stories. the un security council has welcome to cease fire between israel and her mask and cold for immediate humanitarian assistance for palestinian civilians. thousands of his place families are returning to their homes. if they still have them. the ones that at least 6000 people had been made homeless mostly in gaza. german chancellor, uncle america has issued a warning against anti medic or races behavior during pro god's rallies in germany

this weekend. medical said that anyone who shows hatred towards jews or attempts to incite racial hatred or breaking the law. several german cities are pro palestinian demonstrations on saturday, following the ceasefire between israel and m. c. also in the democratic republic of congo, mountaineer gone, go, has erupt. it for the 1st time in nearly 2 decades, many residents of the nearby city of goma fled in panic towards the border with rwanda. the last direction in 2000 to killed around 250, and left 120000 more people homeless. this is dw news from berlin. you can find out much more in our website, but steve w dot com ah, ah,

the me hello and welcome to in good shape. one of the many moves 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 crone outbreak, 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 heckler 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. is given to me cuz i'm sweating in. obviously i tried to eat healthy dias and freshly cooked things like chicken or other meat or a salad. 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 that hector 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 checked up 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. kindness madsen, i've no pain, no dizziness, nothing. all completely normal. them from a still the test results back in. 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 in the packers case, they now need to investigate what's causing it was gonna be lima lighted. lasers are going to have, we have to tell a just so i 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 liver, cirrhosis, and then it can be too late, comes in to pe, he 1st conduction ultrasound and immediately it becomes clear that philip heck, his liver isn't in great condition. after that, 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 fibre oh 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 then the body shop is damaged in the liver is only one aspect. fatty liver disease also means you have greater risk of cardiovascular disease where you may get a hardening of the arteries or even a heart attack. and 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 its size that can lead to liver cirrhosis and eventually organ failure . packet 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, need to avoid eating too much fast or sugar least sugar is contained in many foods . fruit juices of one example are the things that have been sweet and terrible. and often it's fructose being used, which is especially bad like pure alcohol for the little pool with 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 your teeth. but i don't think so if metabolism is always active, so you can reverse things very quickly, but only if you're disciplined and i think mr. heck has certainly been disciplined

. he was highly motivated. have a super good luck with 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 him and who knows everything about it. and i asked him from the german red cross with the 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 credit store in the liver. in most cases, it's a distance between too much fact or too much sugar and, and decrease the 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. that 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, with up to 20 to 30 percent of kids who do have an increase in pet logic storage affect the liver not long ago as had to live. it was considered a something quite trivial, but it's not as it's the opposite. it's a 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 off. blood is important for a lot of functions without a liver, we cannot live. so when they're freeze star or fed then deliver in flames. and it comes to carrying us live content cerros. so when this is rose is a functional sort of decreases in patient to die from liver throws us. also, the prevalence of liver cancer isn't hands by a fast storage. the most common reason for a liver cancer in the western world is had liver. so it is not a trivial disease, it's an important and life threatening disease. one of the causes for

a fatty liver, it's alcohol 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 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, isn't danger of becoming dependent on alcohol. we conducted the test on a few people without telling them what it was about. it starts with the letter c as in cut down drinking. have they ever considered drinking less every day? you know, i'm not into alcohol. i don't really drink that much. yeah. sometimes i think it be better to drink glass. yes,

i think about how to fix my health when 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 do criticize myself. i'm trying to observe my own drinking habit from me. that's actually know. people have to disguise themselves where they have me criticize. yes, nathan pointing, you know, my friends never say anything because we're all drinking together 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 for 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 may not have not roll. i know my limit. jones. you had done some muslim occasionally. if i've ever done this, 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. no, never mornings, almost never. plus need. 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 on some of the 30 people we ask 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. who doesn't? i call it will be, you know, i don't think i have an alcohol problem, but i think it's a good idea to monitor how much you drink. one doesn't useful enough and would undermine some of those who took our tests were surprised at these innocent

questions can indicated possible dependence on alcohol. all of them seem to have their own definition of the whole story. 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 was so much for them to drink. i think if you drink every day you've a problem, but it depends on the reasons a glass of wine you're drinking for pleasure. you really needed to wind up with the images. 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 glass of flying over lunch or some beer to dinner. is this risk for developing a fatty liver? unfortunately, the individual risk 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 maximum of 2

units i called per day. so one unit would be a glass of mine or a bottle of beer containing what $500.00 m else. so how could i as a patient know that i have the problem? unfortunately, symptoms are fed 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 i trust sound and check if you haven't deliver and then it's up to you everything with the name fruit in it sounds healthy at 1st crypto for example. it gets its name from its natural sauce food. for a long time, photos was even recommended from doctors to diabetics today the to see use of it on a massive scale and prostitutes suites 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 toast. talk to the it's funny, traditional problems related to fructose have come to light in recent years, meal sugar that has a significant impact on deliver. when 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 has to all sorts of sweet dreams, highly concentrated fruit toast has been 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, fruit toast 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 fisher, has studied the effect of fruit toast. he conducted an experiment to find out human body, breaks it down, gene, check it a number of test subjects with varying amounts of fruit dose. under this plastic could, he was able to gauge how much energy that chests objects 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 fat it produced, and how much of the sugar was stored. it took a spice up 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 as consuming too much alcohol. when i talk to you able to feel too happy, labor has too much to do breaking down the photos than it can't metabolize it, probably towards it. as fat fit stores in the liver turns the dose into fat, 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 toast influences the hormones that regulate our appetite binding . 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 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, me women here, flash and you take a bottle like this. it 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 and it's nice clean. consumers who want to reduce their fruit chosen take should check the labels of soft drinks and processed foods. but what about the food itself? don't worry through is still healthy, it contains less fruit toast and provides fiber and vitamins. i have to admit, i do love tweets to have to keep them. no, you don't. but it depends how mature your body's tolerating. usually you should not eat more than 25 grams of sugar, which is about 6 tubes of sugar. but what if i eat sweets and then start for a joke or run if you burn the sugars which are eating? this is not a problem, but usually people who are not doing sports enough are 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 and daily life? show trucks are called traps because you don't think about that. a couple of couple

of gina. usually it's about $400.00 killer calories. apples, yours or 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 reading to go food. pizza, soft drinks swedes. 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 stored and deliver when this is fed liver. so you need a balance, diet containing sugars, but more importantly, proteins, and i mean acid to grow. well, let's be honest. what would be the easiest thing you could give up? money, the internet, your partner with 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. please step on the scale. let's see how heavy you are. you got your total would eating less sugar make of how fear $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 on the glass and off who the dr. specialized in nutrition will monitor them throughout the kids. i say it's 57, i'm suffering from joint pain hopkins, and i have a lot of inflammation in my body, which could be down to my sugar into a 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. that's what i'm aiming for now or never know, martin kim has already had a heart bypass. his blood pressure on 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 drilled tablets because of the side effects. when the if you lose weight by changing your diet, it's possible we might be able to stop all the medication. i want me to come in to upset blood samples are 1st taken from all of the participants to doctors want to monitor how the reduced sugar intake effects their metabolism of the songs in class and off we'll check their blood values again at the end of the program from now on our test participants will need to be disciplined. it's week one and he

has a lender. husband are noticing some changes on the table too. when you have a plate of cookies, now we have flowers from the participants are likely each a maximum of 25 grams of added sugar a day. that's 8 q or 16 doings. that's the limit recommended by the world health organization. and i fail is starting to notice the difference after 5 days on this new diet. my heartburn is gone, it has an effect on your body's part of the doctor has summoned much income, gets to the surgery to discuss the results of his blood test. despite the medication he's on, his blood pressure is too high. 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,

don't look at each month. we jump forward 7 weeks now. the group are having a party to celebrate reaching the halfway point to start the participants that managed to stay in the program. but until fail is really missing the sugar. it started with me, she's been jittery and patient. i feel like i'm constantly on edge and 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 suck, liz, she's now started knocking on potato chips instead of the tv commercials don't help . i've noticed that when you're watching tv in the evening, you're constantly getting ads for something sweet or food in general. huffman, as she is 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 cumulus, on the other hand, is surprised how easy it's been to reduce 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 fits and you're losing weight. and what about the other participants? the 3 months are and i passed on, 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 cautious own formation. it's been a huge success, especially if it carries on like this. i saw my orthopedist yesterday and he was very impressed. it says i have to keep it up in her lab results also look promising her cluster level of liver. i'm thyroid values have all improved. that means she's

now less at risk of developing diabetes that have the quote you've managed to make the change. and it would be great if you could now keep that upside martin terms that has lost nearly 9 kilos on the blood test, shows that it's collateral levels have sunk to your level. your blood results have improved across the board. i'm very pleased. i've been treated if he continues to lose weight, he might soon be able to come off the collateral hapless 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 dias. 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, again for liver. so our job, this edition 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 a to 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. and takes a lot of times and effort to convince a patient to change the lives. it's convenient to gone, already did for 20 to 30 years to enjoy your red wine or to enjoy your good food. however, sometimes the 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 others.

very interesting talk was a pleasure. thank you very much. so exercise is good against the said he liver, and when i exercise i get my best ideas. what about you? and if you a 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 treatments, nutrition, fitness and beauty. we discuss these topics in depth with specialists 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 one. the news . the

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