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Dr. Patricia Fitzgerald

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Spring Cleaning: 10 Steps To Bring New Life To Your Liver

Posted: 03/20/09 09:12 AM ET

Spring is definitely in the air. Daylight Saving Time allows many of us to leave work to find the sun still shining. Here in Southern California, seeds are sprouting, birds are chirping, and flowers are blooming. People seem to have an extra swing in their step, and that "happy for no reason" feeling.

While winter can be a time for going inward and conserving energy (and probably eating too much over the holidays), spring often inspires regeneration, a renewal of spirit, and a fresh start.

In earlier times, giving special attention to liver health and detoxification was a springtime ritual in many cultures. Although it is, of course, important to take care of our liver (as well as our whole body) year-round, we can often draw inspiration from traditions that have been passed down from our ancestors. The thinking behind supporting the liver in this season is that spring brings new life, so it is time to shed what is no longer needed.

Traditional Chinese Medicine (also referred to as TCM) is a system of healing passed down through several thousand years. Treatments include herbs, acupuncture, nutritional therapy, massage, etc., and the care is based on the principles of living in harmony with nature and striving for balance. According to TCM, the liver is responsible for the smooth flow of qi (our vital energy) and blood.

When our qi is flowing well, we journey through life smoothly without a buildup of toxins, stress, and tension. This ideal scenario isn't always the case. In our 21st century fast-paced lifestyle, a pattern of liver disharmony observed in TCM called "liver qi stagnation" has become quite commonplace.

Some of the conditions traditionally associated with liver qi stagnation include fatigue, depression, mood swings, anger/irritability, feeling overwhelmed with stress, PMS and other hormonal imbalances, sluggish digestion/elimination, inflammation/pain in muscles and joints, headaches, allergies, bloating, gas, nausea, vomiting, constipation and/or diarrhea, a feeling of a lump in your throat, nausea, frequent colds and flu, and skin breakouts.

Some of the factors that can contribute to liver qi stagnation include environmental chemicals, coffee, alcohol, refined sugar, artificial sweeteners, food allergies, processed foods, emotional stress, lack of deep restful sleep, and excessive or inappropriate pharmaceutical drug and hormone use.

Our liver is an amazing organ with literally hundreds of functions, including detoxification, metabolic regulation, nutrient synthesis, hormone processing, and cholesterol and bile production. Liver qi stagnation would imply that some of the functions are not at optimal performance.

Here are 10 ways to increase your vitality and give your liver a little more TLC:

1. Drink plenty of water. Fereydoon Batmanghelidj, M.D. is one of the world's foremost experts on the therapeutic value of water. He suggests that half of your body's weight is the number of ounces of water to aim for each day. For example, if you weigh 120 pounds, 60 ounces of water is your goal. I have seen the beneficial effects of this formula in the clinic with many patients over the years. Also, drinking a glass of warm water with lemon first thing in the morning will support your liver's natural detoxification processes. By the way, dehydrating beverages such as coffee and alcohol don't count towards your total water intake.

2. Eat vegetables every day, especially greens. In TCM, the color green is associated with the liver. When choosing your salad fixings, go for the organic spring mix instead of the iceberg. Your liver will love a variety of greens such as kale, spinach, and collard greens. The color green in these vegetables comes from chlorophyll, a substance plants use to trap the energy of the sun. Go ahead--eat some sunshine!

3. Add sour-tasting foods to your diet. These include citrus fruits (sprinkle lemon in your water and on foods such as fish and vegetables), raw apple cider vinegar (good for balancing pH--try two tablespoons in a glass of water, or use with olive oil on your salad), and sauerkraut (which contains beneficial bacteria). With our over-sugared, over-salted palates, we often overlook sour-tasting foods. According to TCM, the sour flavor is associated with the liver, and it enhances bile flow.

4. Avoid toxic fats, eat beneficial ones. Decrease your consumption of trans fats and partially-hydrogenated oils. Toxic fats put an unnecessary burden on the liver, further stagnating qi flow. Emphasize organic, unprocessed oils (such as olive oil and flax oil) in your food preparation. Increase the use of fish that is low in mercury, avocados, nuts, and seeds in your diet. Consider supplementing your diet with an Omega-3 supplement to boost your essential fatty acid intake. Omega-3 supplementation has been shown to decrease cardiovascular disease risk, and it can reduce symptoms of arthritis, depression, cognitive decline, and a seemingly endless list of health challenges.

5. Reduce your sugar consumption. On average, Americans eat 137 pounds of sugar a year! It's the hidden sugars that often add up. Watch what you add to foods like cereal and coffee. Read food labels and avoid overly sugary choices. Know that "fat free" foods can be loaded with sugar, and actually increase triglycerides, a fat in your blood. Eat whole fruits rather than drinking fruit juice. If you find your cravings too strong to follow practical steps, you might find helpful hints in The Sugar Addict's Total Recovery Program by Kathleen Desmaisons.

6. Eat close to nature. Often simpler is better. Select the best of what comes from Mother Nature, and avoid artificial ingredients and toxic sweeteners by eating less packaged foods. Go organic as much as possible. The Environmental Working Group offers a free guide to pesticides found in common foods. You might be surprised that peaches, apples, and bell peppers top their list of the "dirty dozen"―foods recommended especially to be purchased in their organic version.

7. Incorporate more conscious breathing and exercise into your routine to boost circulation and enhance overall liver function. Choose a form of exercise that you enjoy, and remember to breathe. In traditional Chinese cultures, you can see people doing qi gong, which emphasizes breathing and movement specifically designed to promote the smooth flow of qi.

8. Choose to be joyful by cultivating a spirit of gratitude, and regularly forgive others as well as yourself. In TCM, the emotion that contributes to stagnant liver qi is anger, especially repressed anger. The virtues that free the liver qi are forgiveness and a release of judgment towards self and others. In China, when someone is angry, they are said to have a toxic liver. In fact, a morning greeting there translates to "How is your liver?"

9. Reduce or eliminate your use of alcohol, nicotine, and caffeine. These substances can become very addictive, masking a greater imbalance in our physical, emotional, and spiritual health. Taking these suggested steps to give our liver some TLC can be part of a comprehensive program to heal our reliance on potentially harmful chemicals.

10. Schedule time for self-care. Get a massage, take a yoga class, etc. I say schedule because I've noticed something in our 24/7 culture. This is that if we don't put taking care of ourselves on our own list, it often doesn't happen. Even Oprah, the woman who seems to have everything, admitted her health started to suffer as she didn't put self-care as a priority on her to-do list.

Hopefully this article gets you thinking about ways to be kind to your liver, during the spring and always. Because life is funny... You buy a car, you get a manual. You buy a toaster, you get a manual. You are born with a liver that you will have your entire life. No manual. Yet its care and maintenance is far more important than anything that you will every buy.

Detox is certainly a hot topic these days. People want to feel better, and it is natural to want a quick fix. Be wary of marketing claims that promise to detox your body with a "five-day cleanse." Extreme approaches do not cultivate a healthy lifestyle for the long term, and they promote the on-again, off-again "diet" mentality. Developing habits and choices that will reduce the toxic burden on your liver and your whole body is not going to change things overnight, in a week, or even a year. But you can start moving in the right direction by following the guidelines outlined above.

In the next article, we will explore the use of herbs and nutritional supplements that have been proven to be safe and effective to enhance the health of the liver, and consequently the whole body. We will also dispel some of the myths regarding detox.

Until next time, Happy Spring!

***

Patricia Fitzgerald is a licensed acupuncturist, certified clinical nutritionist and homeopath as well as the Medical Director of the Santa Monica Wellness Center. She is also the author of The Detox Solution: The Missing Link to Radiant Health, Abundant Energy, Ideal Weight, and Peace of Mind.

 
 
 

Follow Dr. Patricia Fitzgerald on Twitter: www.twitter.com/drpatriciafitz

Spring is definitely in the air. Daylight Saving Time allows many of us to leave work to find the sun still shining. Here in Southern California, seeds are sprouting, birds are chirping, and flowers a...
Spring is definitely in the air. Daylight Saving Time allows many of us to leave work to find the sun still shining. Here in Southern California, seeds are sprouting, birds are chirping, and flowers a...
 
 
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RTIII
Poster of over 0.0135% of all HufPost comments
10:53 PM on 03/25/2009
It turns out that, of all things, COFFEE is very beneficial to your liver!

Studies have proven that ONE cup of coffee, on average, per day, has a statistically significant beneficial effect. Two cups per day confer substantial benefit, while three cups per day lower a coffee consumer's statistical probability of having cirrhosis of the liver to "approaching zero."

Caffeine has nothing to do with it - decaf works fine.

Tea does not have this effect.

Studies are now under way to determine just what it is in coffee that confers the beneficial effect...

Coffee, however, has some negative effects of its own. In particular, its ph is a bit acidic and it can cause ulcers. Conveniently, use of chicory will solve that problem, and such is available nation wide in a product from New Orleans called "French Market Coffee & Chicory." And, milk or cream will also help with acidity...
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04:22 PM on 03/23/2009
Guess what. You are going to die. No matter what you do or dont do you are going to die. Eat deep fried bacon and banana sandwiches and you are going to die. Don''t eat deep fried bacon and banana sandwiches and you are going to die. I know fat people that are miserable and I know fat people who are happy. I know skinny people who are happy and I know skinny people who are miserable. but you know what? They are going to die. Years ago there were studies that said if you ate butter you were at risk of dying. The studies suggested butter substitutes. Then everyone started eating margarine. Guess what? The butter substitutes kill you. Remember red M&M''s? They were gone. Why? Because they killed you. Now they are back. Why? You are still going to die. Studies prove nothing. Studies are often biased anyway. They never tell you that do they? It''s all guess work and fear mongering. What goes on in your head has a far greater impact on your head then what goes in your mouth. But at the end of the day you are still going to die. 100 years after you are dead not only will no one remember you no one will care. Have a nice day.
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08:00 PM on 03/23/2009
Yeah, you know what? I know I'm going to die - maybe sooner, maybe later. But I also know that I'd rather feel good when I wake up in the morning, and have a body that works well. That way I can live my life and do the things I want to without being slowed down too often by illness and pain.

Taking care of your body is not the same thing as trying to deny death. Sheesh.
01:53 AM on 03/28/2009
i think your bacon grease is tainted.
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kendra
02:08 AM on 03/23/2009
Whenever the terms "toxic" or "detox" are used --beware. These are not legitimate terms by professionals.

Advice of eating less, eating close to nature & less processed food & exercise -- are time honored facts endorsed by all in the medical community.
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Montreaux1991
11:10 AM on 03/23/2009
Tell that to the millions of people that have used TCM successfully for myriads of illnesses.
The Chinese were on to something long before Hippocrates was in diapers.

As for your assertion that no "legitimate professional" would peddle out junk to their patients, explain why it's "appropriate" to force feed people test tube abominations called "modern medicines" with more side effects than benefits?

Who's really holding the stethoscope in the office, the MD, or the drug companies?
10:45 AM on 04/06/2009
You mean the millions of people who used TCM for thousands of years in China when the general age of life expectancy was about 33?

There is no qi and Italians have had a longer life expectancy than the Chinese for centuries but I'm not about to start slapping on leeches like they did in Tuscany in the 1600s.

You have a much better shot at living today because of good old-fashioned get-in-the-lab-and-get-it-done modern medicine. People are reaching 90 to 100 years of age with a pretty good quality of life nowadays and I guarantee you if we got rid of modern medicine and just focused on our "qi" all day we'd see those numbers cut in half.
08:45 PM on 03/22/2009
Great article! I've seen Dr. Fitzgerald for over 11 years now & ever word of wisdom in her article definitely rings true. Pick up her book as it's a fantastic, easy and very informative read. In there is a fantastic liver cleanse that rocks. I do it 2-3 times per year as needed and always feel so much better on every level after it.

She's awesome and with all her gifts, talents and various modalities, she will always lead you down the most perfect path for YOU for optimal health and wellness on every level!
05:13 PM on 03/22/2009
The coffee claim is not supported by research. In 2002, the International Journal of Sport Nutrition and Exercise Metabolism published a meta-analysis of ten studies and found that "consumption of a caffeinated beverage resulted in a 0-84 percent retention of the initial volume ingested, whereas consumption of water resulted in a 0-81% retention." The same journal reported in 2005 that caffeine consumption did not affect levels of excreted electrolytes or urine volume.

The claim re: alcohol is misleading. Alcohol suppresses the release of vasopressin, which means increased urine output and dehydration. But if it is combined in fluid such as beer, the loss of fluid is balanced out. The real issue - alcohol promotes the excretion of vitamins and minerals.

Water consumption comments are also misleading. Drinking too much water, especially a sudden increase, can cause water intoxication which can be fatal. It can also actually cause dehydration, since your kidneys will not have had time to adjust and will produce more diluted urine.

The example given cites weight, which is only one factor. Climate, activity level, the kinds of foods eaten, gender all figure into the equation. The reference daily intake recommendation is 2-3 liters for men and 1-2 liters for women (liter = 33.8 oz.). Tend to the lower end if the other factors don't exist, to the higher end if they do.
06:09 PM on 03/22/2009
One of the research studies on caffeine was sponsored by Coke. I'd love to know who sponsored the others. I am suspicious of studies that defy common sense or would lead people away from drinking water.

Alcohol has known to be dehydrating in the medical literature. Most people can feel it. I sure can.

I think I'll just follow some basic good advice - drink water! Reduce OR eliminate caffeine and alcohol. I notice the improvement in the texture and moisture of my skin when I have good water intake and less caffeine and alcohol. Seems like a hydration issue to me.
mollybeejay
"Can't we all just get along?" Rodney King
08:23 AM on 03/29/2009
The only time coffee is good for you is when used as an enema. it helps to draw the toxins out of your colon. Other than that, it raises blood pressure, causes dehydration and a host of other symptoms.
10:50 AM on 04/06/2009
No, no it doesn't. Please don't listen to this person - a coffee enema is just that - pouring scalding liquid in your colon. It does not draw "toxins" out and is actually incredibly dangerous, capable of perforating the colon, giving you diarrhea and causing you to lose control of your bowl movements.

So the next time you think about coffee enemas just think of the conversation you'll have with your date at dinner when you suddenly release a liquid stool in the middle of dinner without noticing and your response will have to be "Sorry I thought it was a good idea to pour scaldingly hot liquids up my rectum."
10:58 AM on 04/06/2009
No, no it's not, please do not listen to this person. Coffee enemas are just that - pouring hot scalding liquid into your colon. There are a myriad of dangers including but not limited to perforated colon, diarrhea, and loss of bowel function. If someone suggests you get a coffee enema, I suggest you tell them "You know where you can stick that idea?" It'll have a tinge of irony and it'll be cute. :)
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kapalabhati
Lokah Samasta Sukhino Bhavantu
10:57 AM on 03/22/2009
Excellent suggestions, all. Especially taking time out. Yoga classes can benefit you in immeasurable ways. Strength, pain management, stress relief, inner peace, if only for a short while.(And rockin' Michelle Obama arms are an extra, added benefit!)
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kapalabhati
Lokah Samasta Sukhino Bhavantu
11:22 AM on 03/22/2009
Isn't Qi Gong Obi Wan's Jedi Master?
10:52 AM on 04/06/2009
Yoga is actually nothing more than an ancient martial arts technique used to teach you how to breathe properly in times of stress, that's why they always tell you to keep up regular breathing while contorting your body into weird positions. Please do not think that yoga is actually helping you in any measurable medical way other than as a stress reliever and be sure to consult actual licensed medical doctors with actual medical issues.
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StephenJK
All your consciousness are belong to us
09:40 AM on 03/22/2009
Regarding number 1......Just make sure it isn't flouridated (poisonous) water.
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kapalabhati
Lokah Samasta Sukhino Bhavantu
10:50 AM on 03/22/2009
In FL, there was a movement to rid the water of fluoride, as it was "communistic" to fluoridate water, a "nanny state" invasion into parents' choice. It is not poisonous.

http://www.ada.org/prof/resources/positions/statements/fluoride_community_safety.asp

I hardly think the American Dental Association is in the pocket of "Big Fluoride."
05:26 PM on 03/22/2009
Flourides are found naturally in the water and soil of many areas of the country. That is how the association was made between flouride and a much lower incidence of tooth decay. The opitmal level is 1 pmm, and there is an abundance of responsible research that tried but was not able to connect that level with any illnesses or disorders.

Reduction in tooth decay actually prevents many other health problems associated with poor dental hygiene, including a reduction in the risk of bacterial endocarditis and a host of periodontal diseases.

The cost/benefit ratio of flouridating water is spectacular from a public health perspective, and given the fact that many Americans can't afford dental care any more, flouridated water is more important than ever. IMO, promoting the idea that flouride = poison is harmful and could seriously negatively impact the quality of life for many people.
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StephenJK
All your consciousness are belong to us
07:14 AM on 03/23/2009
"It is not poisonous."

This is the most ridiculous and dangerous statement I have ever read on here.
02:36 AM on 03/22/2009
I have been a patient of Patricia Fitzgerald's for over ten years now and I know her to be one of the most informative, balanced and holistic doctors I've ever been to.She's helped me, my husband, and my children, and It's such a pleasure to know she's sharing her in depth and intelligent information with so many more people than her practice can provide
(Now, I just hope i can still get an appointment)
01:42 AM on 03/22/2009
I know a man, bought a car for his wife who drove it over 100k miles, only changing the tires once, and then he traded it in for another new one. No oil changes or any other service. If only we could trade in our older bodies in the same way. And if only the bodies we use to transport ourselves through life with were all manufactured with the same built-in fortitude and perfection.

For someone living with liver disease, Dr. Pat's spring tune-up suggestions are more like the ten commandments, followed faithfully throughout the year(s). They merely represent the most basic of what is a far greater guide for survival. This is not witchcraft or voodoo, or the sense a horse has to get out of the rain, but the wisdom of the ages - a Tao of healing worth learning .
04:30 PM on 04/07/2009
No, it is not withcraft or voodoo, but funny you mention these terms. I have liver disease and I won't go near this crap because my life depends on it.
'The wisdom of the ages', you mean likedrilling holes in the skull to let demons out?
You mean that odours cause infection? You mean that swallowing belladonna prevents pregnancy? You mean that lobotamies cure mental illness? You mean that torturing people scares the demons from their bodies?

If you got the merest, slightest bit of evidence that any of this dangerous shaet increases odds for survival, bring it on.

You don't, no one ever does.
12:24 AM on 03/22/2009
Great advice!
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Patriot68
11:31 PM on 03/21/2009
I wonder if drinking home made iced tea counts towards water consumption? I mean it's made with water so why not right? I drink plenty of it too.
mollybeejay
"Can't we all just get along?" Rodney King
08:34 AM on 03/29/2009
The best thing for you is water. Tea has caffeine and sugar, so drink sparingly, anything other than water and you liver has to work harder to filter out the crud.
07:03 PM on 03/21/2009
Traditional Chinese Medicine is not just effective because it is "traditional" or "ancient." That is one aspect to it that can be appealing. Western medicine as we know it is still relatively new. People throughout the world have used natural forms of healing long before Western medicine. That is not to say any form of medicine is perfect, Eastern or Western. We are still learning. I will say, however, that I have benefited tremendously from Chinese medicine and acupuncture. I was on lot of pain medication that had side effects and my digestion was terrible. Thanks to my acupuncturist (who was referred to me by my Western doctor!) I am out of pain and not on medication. And my acupuncturist consulted with my medical doctor every step of the way. I felt like I had the best of both worlds, doctors without egos who had my health not their pockets in mind. Now I rarely have to go to any type of doctor, just for checkups. And my insurance paid for my acupuncture treatments. It's good to be cautious, but not to the point where you close your mind to something that can help.
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arachne646
No more hurting people--Peace
05:43 PM on 03/21/2009
Just because some health practice is "traditional" "ancient" or from an exotic culture does not mean it is effective or promotes good health. After all, TCM has some traditional medications which are pretty icky, and none of what you are saying has any evidence behind it.

Except for the green veg and water, can't go wrong with that. But, what are you detoxing, how do you know it's gone? And do you have any way other than feelings and belief to convince me to do it?
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deepintheheartoftejas
Middle o/t Road = Yellow stripes & dead armadillos
05:02 PM on 03/21/2009
I prefer to punish my liver as often as possible with plenty of good, bitter ale. It has learned better than to complain, and has never given me much trouble despite over 4 decades of strict alcoholic discipline.
12:35 PM on 03/21/2009
Dear Patricia,

I read your article, it was great. I get a lot of those symptoms, so I will try to follow your suggestions. I have changed my diet for the better and lost 62 pounds. Hopefully things will correct themselves now.

Diza