of one central, if us at one level to give them i had serious problems on a personal level. and i was unable to live there, but it wasn't good of it. you want to know their story info, migrant clarified and reliable information for my grants. where is the live m either on the right or left side, but it's here at the bottom of the woods for sure. yet one dog i here man. put up a bit of a lot of your good. some of this bid for with it. yeah, it doesn't in you. yeah, i don't involve. okay, lucy, that's just

a small survey of our colleagues at d. w on one of the human body is made to organs. give us the oath cover the dba. i mcmillan cup of his visa to the guns cooling. this is guys do like it cleansed the body and cabbage the mortar pulpit in z, math to you the be a do wound has on the, on the elf grove in evolve. i did some perfume of gobby, which ones. and how can you suppose a healthy liver now on in good shape? with the brain thinks the heart pumps blood through the body, the stomach and intestines take care of digestion. what exactly does the liver?

ah, it's a bit like that employee, the one who, nobody really knows what they do. but when they're out sick, everything falls apart. ah. the liver acts a bit like a cross between a sewage treatment plants, a factory, and the logistic center. it's connected to the digestive tract via the portal vein, which means that pretty much all of the nutrients we ingest, but also any harmful substances end up in the liver. at some point, hormones and vitamins are recycled. intestinal bacteria, as well as old blood cells are disposed of. when these are broken down, billy reuben is formed, which is responsible for the yellowish color of urine. the liver has quite a few tricks to neutralize harmful substances. it gradually converts alcohol into acetic acid to and finally into water and c o 2. additionally,

the liver produces up to a liter of bio every day, which then flows to the gallbladder and intestines and is critical for digesting fats. bob, the liver can store minerals, vitamins and blood, and pass them on to the bloodstream as needed. that's how it helps regulate blood sugar levels of the meals. it stores excess sugar as glycogen. and when the body needs energy, the liver sends that like house out on top of all that the liver can regenerate like no other organ as long as the disease tissue is removed and more than half of the liver is still healthy. it can heal completely without leaving any visible scars but it's the liver has too much to do.

it can quickly become overwhelmed. that's why we should give it a little rest now and then said that it can do all of its important jobs. miss blue, there are quite a few pathogens that affect organs. hepatitis an infectious liver disease can be caused by bacteria or funky, but most often viruses are the culprits. 5 types can cause classical viral, hepatitis a, b, c, d, or eat. depending on the type, there are various transmission vectors such as blood or seamen, but also contaminated water or rule meat. screening is aimed at early detection. it's just a pinprick and a drop of blood used to test for hepatitis viruses even where there are no obvious symptoms. but it can lead to an early diagnosis. that makes all the difference.

do this cleaning is an mileage. screening is a milestone vehicle because it enables me to discover people who are at risk of dying from a viral liver disease over the long term effect. so on the liver, lung fussy, to fetched album, people like susanna, she, boy, 2 years ago she was diagnosed with hepatitis c quite by chance during a medical at her workplace. having me august the like a doctor. so i didn't think for a moment than anything would come of it. i just went along for the check up as normal. when i got the call telling me that i had hepatitis c, it was a huge shock. and additional reason shaken. hepatitis viruses enter the cells of the liver, harnessing the cells metabolism to reproduce themselves. each infected cell produces a string of new viruses. the illness spreads gradually and for a long time goes unnoticed. o, deliberate light,

liver suffers in silence. occasions, display no symptoms act. they simply don't know that their liver is gradually getting worse, vote as the let it scarring on an ice eisley. this lack of symptoms that makes green. i'm so important. he does. he does a screening harbor, susanna she bore, felt no discomfort either. no tiredness, no itching her condition was discovered before screening was introduced. she just had the good fortune that her work medical included a test for hepatitis. otherwise, it would have been much later before the disease was discovered, captain huskily isn't, doesn't he, patty to saigon? read that in a worst case scenario. hepatitis c can lead to cancer on liver cirrhosis, ian, and that's when it all hit me. and of course, i was worried that something might have happened already and wanted to know how advanced the disease was. so it's from this past year it would have invite us for lunch, little and infected liver can continue to function with the virus for quite

a long time. but at some stage, more and more liver cells begin to die. scoring develops, leading to full blown liver. cirrhosis once it gets to that stage, there's very little the doctors can do have a hard to mug of z to them. i did my rounds this morning, muncie i saw 20 patients with the d compensated cirrhosis who are waiting for a trans plan transplant. that's the one where we're having to treat liver cell cancer spun, where we're trying to deal to somehow with other cirrhosis complications. was a fuzzy. but it's frustrating, of course, because it's basically too late. this is natalie philosophy end. why does i need to spend this? that's the natural course of hepatitis without medical intervention. and up until a few years ago, there was no real remedy. it would have been, susanna, she bars fate as well. but nowadays, the disease can be brought to

a halt if it's diagnosed early enough. that's because medication is now available that can actually cure hepatitis c. after 12 weeks of treatment, the virus disappeared from her liver completely. from time to time, her liver is still checked for elasticity of former liver is a symptom of cirrhosis. susanna she bars, test results remain consistently good. is it behind linda that had that it is separate tight? a c treatments are genuinely revolutionary, quoted. you start off with a chronic disease, but by the end of these treatments the virus is gone was um, it's not just that it prevents the virus reproducing itself. if the patient is actually free of the infection, hired him in a day and fix, all erica klein has chronic hepatitis b, which can also lead to cirrhosis and cancer of the liver. she was diagnosed a long time ago. does not know that him for nuances,

but if i went to my g p for a standard checkup back in 1995 and he noticed that my liver function values were too high, but of it hurts in hot fish for a long time. now she's been receiving regular treatment from dr. stephanie han, unfurnished. no, my won't. oh, he can. yeah. but it is fable, man, we can't cure hepatitis b yet. hopefully that will change in a few years. it's a matter of intensive research and we're right now we can only treat it with tablets that need to be taken regularly. legal methods can, on vandalism, also apply. but this therapy is also very effective. i was erica client is responded to it so well that she doesn't need to take any pills at the moment. fema, it's a momentous. the so i haven't needed to take any tablets since the beginning of january . okay. and up to holland tells me that i will say free of the virus on products at all. treatment can rarely be stopped completely,

but most patients tolerate the medication well, and it provides reliable protection for the liver. the thing is, so that's why it's so important to find the patient sees the ones who get treated don't need to worry. that's all foolish, effective screening early diagnosis and highly effective therapies. mean, hepatitis no longer needs to spark the dread it once did all hepatitis e pathogens like to slumber and meet in industrialized countries. the virus is usually transmitted by meat that is not fully cooked. the problem is that most people don't notice their infected many people come down with hepatitis e without knowing it. and worst case scenario, this liver disease can lead to death. but there are symptoms. any one who notices them should take action,

like michelle king that it is general practitioner sent him straight to obese button hospital. there professor christ, upside scene, examined his symptoms more closely. he specializes in intestinal disorders. oh, on the phone it started when i suddenly noticed that i had a massive inch. it was mostly on my hands and feet, but it got worse every day and i couldn't for the life of me explain what it was for kim, if i 1st thought it was psychosomatic since i had no idea where it could have come from in until my family also told me i gone yellow was kind of good. that was just in the nick of time. his liver function values were very bad. it took 5 more days until the lab test provided a firm diagnosis. yeah, i can look on the other. yes, mr. clinger came to us view the emergency room with completely yellow skin, and naturally we thought it was actors, which is the medical term for jaundice on the back and also hippa top a thing which is liver disease by me. then we did a biopsy to check to see what the cause was and that involves doing lots of

laboratory work as well. gemacht fib. in germany, the hepatitis e virus is primarily found in raul pork, but also in deer or bore meat and raw sausage and minced pork. the virus can survive for up to 3 months. it gets into the bloodstream via the intestines. if the immune system doesn't stop at the virus gets into the liquor where it can spread, causing inflammation and destroying liver cells. in recent years, the number of new infections reported has increased drastically. not so much because the virus is new, but because doctors are paying more attention and because they are required to report acute pathogens. miss young king that was lucky. his liver recovered completely from hepatitis e. okay. he never wants to catch something like that again. back. okay, okay, so chris smiled and i choose my foods differently now than i used to do when i go shopping, i dont just pick up things randomly. when i buy mean i want to know where it came

from for its income. both hair combed quality is extremely important now should have canceled quality in hygiene are crucial with any meat. although pregnant women and those who are immunocompromised should avoid raw meat altogether and in general, it's better to let any meet cook a little longer than needed. ah, sweet foods, fatty foods, a so called fatty liver is not due to infection but to an unhealthy dies in germany . it's the number one liver disease people of all weights can get is even those who eat a healthy diet. ah, recent study blades, this fact on to genetic mutations that obesity is the most common cause. an uncomfortable fact in the face of increasing obesity rates around the world. but the good news is that if a fatty liver is detected in time, it can be cured in looking at old photos reminds be

a good book of difficult times involved to think even by health. if i'm honest, i felt quite depressed at times. no one can feel great in a condition like that, not of your honest with yourself. and it was always terrible for me to see pictures of myself. funny about my my eventually more back then she weighed 130 kilos. the fact that she also had a fatty liver seemed like less of an issue at the time. mm hm. could often, i thought i'm fat and so my liver is fat too. and that's that pool. the glass. now she knows that a fatty liver is a diseased liver. the essence, hyatt, we eat the wrong things, coiling at most of us eat way too many fast carbohydrates and too much of the wrong kind of fat went to leave us. and the liver is the oregon that then tries to take

care of it all. mommy asked my daughter, but at some point, it's too much fun. come the ultimate manage. the theater specialized clinic deals with advanced cases where there is already inflammation of the liver or advanced scoring and hardening of the liver novel for how many big box liver is now healthy. again, this is definitely life. i feel so light and healthy, and i'm so grateful that it's something that i can influence myself. big book has come a long way. in 2 years, she lost more than 30 kilos. today, she knows what her liver needs to stay healthy. as a result, she also has more energy in the lever, the surefix of when your liver and metabolism are working well. the rest works too, and then you get your old energy back. that was taken from you as a result of the fatty liver on this pressure. she managed this transformation with the help of her family doctor who she went to specifically for help with losing

weight public. yet, celia schafer is also a dietician today. big box, blood values are all normal as well before it was a very different story. what a lack of exercise was another problem, but she's changed that to the liver is in charge of breaking down toxins in the body and distributing energy. but if we keep feeding our liver more energy than it can use, it begins to store that energy in the form of fat. the result is fatty liver disease, which impacts the entire body was mistaken today. big bulk knows that a fatty liver can also lead to diabetes because the liver becomes less responsive to the insulin secreted by the body of water. and losing weight also becomes more difficult to stay the main effect, lima having an ins williams as if you have a fatty liver, you develop insulin resistance that, that causes your blood sugar level to rise once the body can't process that sugar

properly. so it's stored as fat in the liver and then you might star converting glucose to fat more quickly. now even at the 11th hour, many patients don't notice anything. busy a disease liver isn't painful, those who fail to act could end up at a place like this. busy heiner gucho is a hepatologist at the university medical center slays mc holstein and northern germany. he deals with cases where the liver has become inflamed, then deliver from if the livers inflamed because of the increased fat duncan's a, she can lead to hardening and scoring. and even cirrhosis, what so, which is the final stage of liver disease or, or in some cases only a liver transplant can help you got tons. blunt, holds one host, the magnet, the doctor can diagnose a fatty liver with a use of ultrasound outdoor. the good news is that in the early stages of fatty liver disease is reversible, most of the liver can be restored to health december hodge. but with that level of

fat, there's no evidence of any liver hardening yet. it would be enough to lose 5 to 7 percent of your body weight. what are you weigh 90 kilos? ok. so you should set yourself a goal of losing between 5 and 6 kilos. theater. ok name will have to this tell us as a ministers francisport send big box out the help of a nutrition adviser. oh yeah, blah, losing weight in a healthy way and removing fat from the liver. both take time vegetables should make up half of every meal that helps to remove fat from the liver. in between meals, the liver needs a break. this it was then felt was interesting, was that in the past, you always used to hear that to lose weight. you should have lots of small meals in mind if i had done that. my liver would have been in an even worse state that the fish market vaughn could buy the lever. if she finds herself starting to gain weight again, she just cuts out food for

a few days and drinks protein shakes with less than a 1000 calories. she wants to lower. her weight further is having that side. i've made the decision before. i didn't know how to lose weight, and now i do. and she's highly motivated. she knows that her liver does a vital job, but it can quietly start to go, if not care for properly. if you want to take care of your liver, you should avoid drinking alcohol whenever possible. not only because of the next days hang over. can a health campaign held people give up alcohol? the slogan in western european countries in recent years has been by, by alcohol. after the putting that comes with december festive season and new year's celebrations, january is will many people now it dry? january the trend of not drinking alcohol in january originally comes from the u. k

. with dry january ad campaigns like this one. researchers at the university of suffix have been studying whether it's really effective ah, the participants did actually sleep better. generally had more energy. their skin was better, and they lost weight. dimension for i'm puzzled. no fire when people go without alcohol for a couple of weeks. they definitely lose weights because they saved the calories under. and we all know when you drink alcohol, you get hungry at some point when who you want to have a snack? you go to the refrigerator again at 10 on that drops off when you're abstinent. for a while, i've seen them clean. abstinence from alcohol, even for a brief period, generally leads to a healthier fitter body. for alcohol, research or helmet designs that make sense because alcohol is a poison,

i wound up the concave. there are 200 diseases that are caused by alcohol. you likely shift that in itself is a really fascinating group. but on the, on her hand, what's surprising is that when you stop drinking many organs can regenerate themselves akin lilian could. from the 1st sim, alcohol puts demands on the body. in the stomach, it stimulates gastric acids. if that happens, continually it and flames the stomach lining but even after a long drinking career, the stomach is able to recover after only one or 2 months of abstinence even one month of not drinking can help liver specialist hine are good to is a fan of an alcohol free january or the fever he, i caught the liver. most certainly benefits from a 4 week break. often, both because alcohol itself is damaging to the liver and because the liver also generates the toxic substances that breakdown the alcohol. the litter is responsible for detoxification and energy distribution. if it continually has to

break down alcohol, it will store it in the form of fat, which can become a fatty liver. but a 4 week break can help. civil malott happens in 4 wins. on the one hand, the when fewer toxic substances are produced, deliver to sure can recover when that means it can grow healthier new cells. and without the high caloric content of the alcohol, the liver can lose the fat again enough to the bottom you did in the heart benefits as well. because alcohol strains are heart beat, a study of $3000.00 beer drinkers who had a blood alcohol level of 0.8 percent, showed that every 3rd had cardiac arrhythmias. every 4th suffered from taki cardia, or rapid heartbeat. but after her recovery period of just half a day, the heart beat returned to normal cod mentioned leon. i definitely recommend that people who suffer from cardiac arrhythmias take a break from alcohol. the end of because particularly impatience with atrial

fibrillation, even just one glass of wine or champagne can trigger an attack. so it makes sense to find out whether you belong to this group of patients. and if so completely give up alcohol done as consequence. gonzo fibers to physician abstinence over time makes sense for everyone. according to this addiction specialist, one to says the bug water. it's always good to think about your alcohol consumption, but i'm like that. it's a good idea to not drink for a month, but then maybe noticed that it was easy enough or maybe that it was harder. well, you thought like, good luck. because drinking is often a habit. many people have no insight into how much or how often is too much. most considered their alcohol consumption to be normal in the lives in modesto. what is i'm for normal is always what you drink within your circle of friends, but whether that amount corresponds to the scientific view that's anyone's guess. for women, doctors recommend not drinking more than 12 grams of pure alcohol per day. that

means a small beer or $100.00 milliliters of wine for men, it's double that and a maximum of 5 days per week. drinking less alcohol over time gets even easier after one month. but it's worth accepting the challenge at any time of the year. and finally, we have another sports round for you, but any i joins us with a new fitness exercise. high end workup today we do, caesar kicks. this is a lower ad, texas life. you need a med and lead scope lay on the meds. and here it's really important that you lower back is on the med,

take your hands as controlled, and then you raise our legs. first, they're banded. one leg is going to the floor, patch the floor, and then go back. are the leg. if that's too easy. you can extend the legs with and do them with straight legs. it's really important that your lower back is always on the met. this exercise you can do the leg by leg tail. 20 reps so meaning 1234 and so on. then do a little break and we do for this

exercise is perfect for your lower apps. the lower ads are really high to tray, so this exercise is perfectly for those lower ab. have fun with that and will be back with more tips for your health. now next episode up in good shape until then stay with

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ah. ah ah . this is d w. news coming to live from berlin. the united states in europe are wrapping up sanctions on russia as evidence mounts of atrocities in the ukrainian town of poacher. residents tell d. w of the horrors they endured during 4 weeks of occupation by russian forces living in fear that they could be next to die. also coming up and i witness account of the bombardment of murray you pull from a doctor who managed to escape the besieged city. call it when the.