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What is a Functional Medicine Liver Detox and why is it important?


Functional Medicine Liver Detox

Many people invest heavily in terms of time and money on their prized assets like their cars, expensive watches, or branded bags. These items, as non-living machines or pieces, also require routine service and cleaning. Your car has to be sent to the workshop once a year to get its routine service, engine flush, battery, tire, and spare parts checked. Your watch gets sent for a battery change, gears oiled, and overall cleaning and touch-up.


So think about the most sophisticated and automatic machine that you own right now that is fully in your control and yours to own and take charge of. This wonderful body machine of yours is fully automated and makes you feel happy and confident (or sad and low). It helps to keep you safe from danger and it also maintains your survivability; it helps you to produce a way of living (income) for you to feed your family and enjoy this life. 


However, many of us do not understand that this body is also a machine that requires in-depth know-how to keep it functioning properly. It is unfortunate that much of this important knowledge has been misguided or lost in time. Through 6000 years of Eastern modalities of Ayurveda and Traditional Chinese Medicine (TCM), the liver has always been held as a critical organ. Why? This is because it has the ability to do detoxification work of removing metabolic waste, toxins, and “junk” from our bodies to keep them clean. 


Our liver is supposed to be able to detoxify itself; that is its job. However, today, due to the environment we live in, the air we breathe, the water we drink, and the type of food we eat, unfortunately, the amount of toxins we are faced with is way too much for the liver to detoxify. Moreover, our lifestyle today does not allow our liver to do its work properly. The liver is known to make the most of its functions from 10 pm to 2 am. How many of us are in bed before 10 pm to allow the liver to do its work optimally? Due to all these lifestyle habits plus the environmental onslaught of toxins, we need to provide assistance to the liver in order for it to do its work.




Functional Medicine Grade Liver Detox - Meaning And Significance


A "Functional Medicine Grade Liver Detox" uses the liver's natural detoxification abilities through targeted nutritional and lifestyle measures. Unlike general detox programs, this approach focuses on functional medicine principles. That means emphasizing individualized treatment and addressing the root causes of liver health issues. It can be environmental pollutants, poor diet, chronic stress, or chemical exposure. 


Functional medicine liver detox programs provide nutritional support to enhance liver function and support both phases of detoxification. These programs come with long-term benefits that are beyond detox, such as improved energy, immune function, and reduced disease risk. That is because they are more stressed about lifestyle modifications alongside dietary changes and supplements. With the guidance of healthcare professionals, this detox program offers complete safety and effectiveness. Traditional detox programs, on the other hand, often lack this individualized focus and comprehensive approach, potentially overlooking underlying issues and neglecting long-term health.


Phases of Liver Detox 

The primary function of our liver system is to filter the blood received from the large and small intestines. Liver cells are equipped with enzymes that detoxify any substances present in this blood. The body undergoes detoxification in two stages: Phase 1 and Phase 2.


Phase 1 

Phase 1 of liver detoxification is the initial stage in the body's defense against harmful substances. This phase primarily involves a group of enzymes known as the cytochrome P450 family, which are located in the liver cells (hepatocytes). These enzymes transform lipid-soluble toxins into water-soluble forms, making them easier to eliminate from the body. The primary reactions involved in this phase are: -


  • Oxidation

  • Reduction

  • Hydrolysis


These reactions break down complex toxins into simpler, less harmful compounds.

During Phase 1 detoxification, the cytochrome P450 enzymes metabolize various substances, including microorganisms, food additives, drugs, alcohol, insecticides, pesticides, pollutants, and metabolic end products. This process generates intermediate metabolites, some of which can be highly reactive and potentially harmful. These intermediates need to be processed in the right way by Phase 2 in order to prevent cellular damage.


The activity of the cytochrome P450 enzymes can be influenced by several factors, such as genetics, diet, exercise, and the presence of certain substances or supplements. For example, nutrients like magnesium, selenium, zinc, and B vitamins are essential for the proper functioning of these enzymes. And, antioxidants like vitamins E and C, along with various carotenoids, are necessary to neutralize the free radicals produced during Phase 1.


However, heavy metals and excessive exposure to toxic chemicals, such as pesticides, can disrupt the P450 enzyme system, leading to overactivity and an increase in damaging free radicals. If these reactive metabolites are not efficiently processed by Phase 2 detoxification, they can cause significant damage to proteins, RNA, and DNA within the cells, increasing the risk of toxicity and disease.


Phase 2

Phase 2 detoxification in the liver is a critical process that transforms potentially harmful substances into less toxic, water-soluble compounds, allowing their excretion from the body. This phase follows Phase 1 detoxification, where toxins are initially modified but often rendered more reactive and potentially more harmful. The primary goal of Phase 2 detoxification is to neutralize these intermediates through a process known as conjugation.


Conjugation involves the attachment of specific molecules to the toxic intermediates produced in Phase 1. These molecules include amino acids (such as glycine, taurine, and glutamine), sulfur compounds (like those found in garlic and cruciferous vegetables), and other vital substances like glutathione, sulfate, and methyl groups. The result is the formation of water-soluble compounds that can be easily excreted via bile or urine.


There are seven major conjugation pathways in Phase 2 detoxification:

  • Glucuronidation: Uses glucuronic acid to neutralize toxins. This pathway requires nutrients such as carotenoids, magnesium, omega-3 and omega-6 fatty acids, and flavonoids like quercetin.

  • Sulfation: Involves the addition of sulfate groups to toxins. It depends on sulfur-rich foods and amino acids found in eggs, garlic, and cruciferous vegetables.

  • Taurine Pathway: In the liver, taurine, which is the final product in the pathway of sulfur-containing amino acids, undergoes conjugation with bile acids (BAs).

  • Glutathione Conjugation: Glutathione Conjugation utilizes glutathione and Glutathione S-transferases (GSTs) to neutralize toxins, including drugs, heavy metals, and carcinogens, making them water-soluble for elimination.

  • Methylation: Adds methyl groups to toxins. This process requires magnesium, B vitamins, choline, and methionine.

  • Acetylation: Acetylation, along with N-terminal acetyltransferases (NATs), uses acetyl CoA to neutralize carcinogens and remove excess folate. This pathway is crucial for detoxifying various drugs and environmental chemicals.

  • Amino Acid Conjugation: Involves binding toxins to amino acids, making them water-soluble for excretion.


Efficient Phase 2 detoxification requires significant energy and nutrient resources. This needed energy comes from ATP produced by mitochondria. The necessary nutrients, on the other hand, must come from a balanced diet rich in proteins, fruits, vegetables, and healthy fats. Foods like eggs, garlic, onions, and cruciferous vegetables are particularly beneficial due to their high sulfur content.


It is essential to support Phase 2 detoxification, especially during times of high toxic stress. What for? Well, to prevent the buildup of reactive intermediates that can lead to inflammation, tissue damage, and various diseases such as cancer, neurological dysfunction, and chronic fatigue. 


A balanced detoxification process requires a well-coordinated interaction between Phase 1 and Phase 2. Imbalances, where Phase 1 activity exceeds Phase 2 capacity, can lead to the accumulation of harmful intermediates. Therefore, a high-quality detox program should support both phases. This is to ensure the availability of essential nutrients and antioxidants to optimize detoxification and minimize potential harm from reactive metabolites.


Where to Start?


Initial Preparation Phases:


Hydration

Before you begin a detox, you must ensure your body is hydrated well, as it will help flush out the toxins, supporting kidney function. Aim for at least half your body weight in ounces of water daily.


Dietary Adjustments:

  • Gradually reduce the intake of alcohol, caffeine, processed foods, and sugar.

  • Add more fruits, vegetables, whole grains, legumes, and lean proteins to your diet. 


Lifestyle Changes:

  • Increase your regular physical activities to boost circulation and support the detoxification process.

  • Give your body enough sleep to support the regenerative processes of the liver.


Phase 1 of Liver Detox

  • Include food rich like cruciferous vegetables, alliums, and citrus fruits to help activate and enhance the detoxification enzymes and overall system. 

  • Supplements with milk thistle are known for their protective effects on phase 1 of detoxification. Turmeric supplements can further enhance the production of detoxification enzymes.


Phase 2 of Liver Detox (Conjugation):

  • Protein-rich foods like like chicken, fish, and legumes provide amino acids necessary for conjugation.

  • Leafy Greens like spinach, kale, and other greens are high in vitamins and minerals that support the overall phase 2 detox.

  • Tea rich in catechins is great for various detoxification pathways.

  • Supplements with N-acetyl cysteine (NAC) help boost glutathione, a key antioxidant in the liver. And the one with Alpha-lipoic acid helps in the elimination of heavy metals and also enhances glutathione production.


Conclusion

We often overlook one of our body's most indispensable components: the liver. The complexity of modern life can fill our bodies with toxins that challenge the liver's innate detoxification capabilities. However, by adopting holistic practices, functional medicine, and detoxification approaches we can assist our liver in working efficiently.



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