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Liver Disease could be in your DNA. Learn more about genetic liver diseases in our blog.

Liver Disease: It Can Run in the Family

Genetic liver diseases are rapidly becoming a more prevalent cause of liver disease, showing us that more than just good looks can run in the family. Learn more about genetic liver diseases, the most common kinds, and why maintaining good liver health remains important. About Genetic Liver Diseases  Genetic liver diseases are a group of metabolic and genetic defects that are known to cause chronic liver disease. Unlike a liver condition such as NASH that’s typically caused by environmental and lifestyle factors, genetic liver conditions are hereditary and are likely to be found in close relatives or family members. The most common and critical genetic liver conditions are Alpha-1 Antitrypsin deficiency, hereditary hemochromatosis (HHC), and Wilson’s disease. However, various inheritable liver conditions exist but are rarer, such as Alagille syndrome and Crigler-Najjar syndrome. These inherited liver conditions can lead to various health complications and over time can manifest into liver scarring, cirrhosis and in some cases, liver failure. Alpha-1 Antitrypsin Deficiency  Alpha-1 antitrypsin is a protein made by the liver that serves to protect the lungs. An alpha-1 antitrypsin (AAT) deficiency is a hereditary condition classified by the lack of a distinct enzyme. As a result, excess alpha-1 antitrypsin can accumulate in the liver. It’s not uncommon for adults afflicted by AAT deficiency to be asymptomatic until it advances into cirrhosis. Symptoms may be chronic or occur with acute respiratory infections and may include: Chest pain that escalates when breathing in Continuous exhaustion and low energy Decreased ability to exercise Excessive coughing with phlegm Lack of appetite Shortness of breath and wheezing Initial symptoms of AAT deficiency typically occur between the ages of 20-50 but affect some as early as infancy. If the lung disease associated with the Alpha-1 antitrypsin is not severe, those who develop cirrhosis and liver failure might be eligible for a liver transplant. Hereditary Hemochromatosis  Hereditary hemochromatosis (HH) occurs when a surplus amount of iron gathers in the body. Excess iron in the body is toxic, and if left untreated, iron levels rise over time, and organ damage can cause cirrhosis and liver cancer. Hemochromatosis patients are revealed mainly through abnormal iron levels via bloodwork but can also be detected through genetic testing, and some may require a liver biopsy. Symptoms include abdominal pain, bronze or grey clear skin, joint pain, lethargy, loss of sex drive, and weight loss. The leading cause of death for HH patients is liver-related complications. The earlier you can achieve a diagnosis, the increased likelihood of avoiding these complications. Wilson’s Disease  Approximately one in 30,000 people have Wilson’s disease. This genetic disorder doesn’t allow the body to discard extra copper, which causes a build-up in the liver and other organs. Like most things in life, moderation is essential, and the same can be applied to copper within our body. A person with a family history of Wilson’s disease is highly susceptible to also having it, with symptoms manifesting between the ages of 5-40. However, some diagnoses have been made as early as nine months and in adults seventy and up. It’s important to note that symptoms often remain undetected until it is too late but can be treated with appropriate medication if targeted appropriately. Importance of Liver Health   Liver health maintenance is vital especially for those who are living with genetic liver diseases or those who are genetically predisposed to developing one. Through a balanced diet, routine exercise, responsible alcohol use, and weight management, you can help maintain good overall health. In addition, regular liver scans and check-ups can help detect any issues sooner rather than later. Click here to request your FREE

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NASH and Cirrhosis

At their very root, non-alcoholic steatohepatitis (NASH) and cirrhosis are two medical conditions that affect the liver. However, this seemingly separate duo shares more in common than you may think. When NASH and cirrhosis get together, your liver is at the heart of their destruction. Knowing their similarities and how they differ is part of the ongoing education slowing a growing epidemic for our liver and overall health. What is NASH? NASH is the most severe form of non-alcoholic fatty liver disease (NAFLD). NAFLD is an umbrella term for various diseases that cause excess fat accumulation in the liver. Many individuals with NAFLD have a simple fatty liver without any complications. On the other hand, around 25% develop NASH. NASH is the chronic inflammation of the liver triggered by the immune system after enough fat accumulation. Over time, chronic inflammation starts to damage and scar the liver, leading to cirrhosis, liver cancer, and liver failure. What is Cirrhosis? Cirrhosis is a chronic, long-term condition where scar tissue replaces healthy liver tissue. Viruses like hepatitis, alcohol abuse and NAFLD like NASH are the most common causes of cirrhosis. In regards to NASH, the damage from chronic inflammation comes from the body’s healing response continuing when it’s meant to stop once repairs are complete. Instead of eliminating excess repair supplies like collagen, it continues depositing it. This results in fibrous scar tissue that spreads across and stiffens the liver. Without treatment, cirrhosis can lead to loss of liver function and progress to liver cancer and liver failure. A Growing Epidemic NAFLD is the most common chronic liver condition in the U.S. At the current rate, health experts expect NASH prevalence to increase 63% by 2030. Because most people don’t know they have NASH, we can only estimate how many individuals have it. While even the estimations can be scary, it’s never too late to get your liver health back on track. Many factors fuel NASH. However, obesity, diabetes, and other conditions caused by unhealthy lifestyle choices are among the most common causes. By knowing your risk for NASH, you and your provider can begin regularly monitoring your liver, and you can make healthier lifestyle changes. Together, these can significantly positively impact the progression and prevention of liver disease. Prioritizing Your Liver Health May be Easier Thank You Think! Prioritizing your liver health doesn’t have to be overwhelming. Arizona Liver Health has options to help you get started. Do you know you’re at risk for liver disease but haven’t gotten checked out? No problem! We offer a FREE fibroscan for adults at risk of liver disease that can quickly and painlessly determine your liver health. We also conduct clinical research studies to help expand care options for individuals living with liver disease. So, if your fibroscan results indicate the presence of a liver condition, our team will talk with you about enrolling study options that may help! Click on the links above to learn more, or call us today at (480) 470-4000. Sources: https://www.the-nash-education-program.com/what-is-nash/how-prevalent-is-nash/ https://www.niddk.nih.gov/health-information/liver-disease/nafld-nash/definition-facts https://www.hopkinsmedicine.org/health/conditions-and-diseases/chronic-liver-disease-cirrhosis#:~:text=The%20most%20common%20causes%20of,triglycerides%2C%20and%20high%20blood%20pressure) https://www.niddk.nih.gov/health-information/liver-disease/cirrhosis/symptoms-causes

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Increasing diversity in liver research

Why Minority Participation in Liver Research Matters

April is National Minority Health Month (NMHM), a time to raise awareness about health disparities that affect people from racial and ethnic minority groups. Liver disease is growing in prevalence in the Hispanic population. It is also a leading cause of death in the U.S. Through education, we can lower the risk. Through participation, we can expand treatment options. These are some of the reasons minority participation in liver research matters. Why Minorities Should Participate in Research Diversity is vital in research because understanding how a condition affects different populations helps design safe, more effective treatments. Diversity is not just race and ethnicity but also gender, age, etc. Participants in clinical trials should represent the patient populations that will use the medical products. The reason is that people of different ages, races, and ethnicities may react differently to medical treatments. Hispanics and Liver Disease The most prevalent liver diseases in Hispanics are non-alcoholic fatty liver disease (NAFLD), chronic hepatitis C, alcoholic liver disease, cirrhosis, and liver cancer. The risk factors for these conditions include: Obesity Inactive lifestyle Poor diet Metabolic syndrome When you look at the prevalence of these risk factors in Hispanics in the U.S., the results are: 43% of Hispanics are considered obese 35% of Hispanics have metabolic syndrome Hispanic diets are traditionally high in carbohydrates and added sugars In addition, many Hispanics in the U.S. possess a gene variation, PNPLA3, which has an association with a heightened risk for NAFLD and non-alcoholic steatohepatitis (NASH). Liver Health is in Our Name! Implementing the best education practices toward healthy lifestyle changes will help address the risks associated with cultural aspects. However, we need to do more work regarding the genetic predisposition and expanding treatments for individuals already living with liver disease. Why not trust the experts with “liver health” in their name when it comes to liver disease? For NMHM, consider giving back through research. Arizona Liver Health offers FREE fibroscans to adults at risk of liver disease and a chance to help advance care options for liver diseases through our studies. Get involved today! Contact us at (480) 470-4000 to learn more about your liver and options for treatment of liver disease, or visit our website. Sources: https://txliver.com/media/hispanics-and-liver-disease/ https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=62#:~:text=Both%20Hispanic%20men%20and%20women,their%20non%2DHispanic%20white%20counterparts. https://www.census.gov/quickfacts/AZ

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Liver Disease in Women

March is Women’s History Month, and it commemorates women’s contributions to history, culture, and society. The 2022 theme is “Women Providing Healing, Promoting Hope.” It is a tribute to the countless ways women of all cultures provide healing and hope now and throughout history. In honor of Women’s History Month, we want to share how liver disease impacts women and how we can help prioritize your liver health. Common Types of Liver Disease Liver disease is a term that encompasses a variety of conditions that affect the functioning of the liver. However, there are more than 100 types, most progress in the same way. In the U.S., fatty liver diseases, both alcohol and non-alcohol-related, are most common. Non-alcoholic fatty liver disease (NAFLD) and Alcohol-related fatty liver disease (ALD) occurs when the liver accumulates an unhealthy amount of fat. Chronic excessive alcohol consumption causes ALD. Obesity, insulin resistance, and unhealthy lifestyles are risk factors for NAFLD. Both conditions trigger chronic inflammation of the liver and progressively damage it over several years without noticeable symptoms. As a result, scarring of the liver ensues. Without treatment, the damage to the liver becomes severe and can cause cirrhosis, liver cancer, and liver failure. How Liver Disease Affects Women Hormonal changes and genetic makeup not only differentiate women from men, but they also influence: Their response to medications and other things they consume How diseases develop and progress Why conditions are more prevalent in women versus men These influences affect both forms of fatty liver disease in women by making them more susceptible to it. For example, women are more sensitive to drug or alcohol-related liver disease than men. Because females are smaller on average and have more body fat, both can cause them to metabolize drugs and alcohol at a slower rate than men. As a result, they are more sensitive to drug or alcohol-related liver disease and NAFLD. Checking Your Liver Health Can Change Everything In 1966, James Brown and Betty Jean Newsome wrote It’s a Man’s Man’s Man’s World. The lyrics say, “This is a man’s world,…. But it wouldn’t be nothing,… without a woman or a girl.” To continue making history, women must also advocate and prioritize their health. Fatty liver disease is on the rise in epidemic proportions. Arizona Liver Health offers a FREE fibroscan for adults at risk of liver disease. The fibroscan is a painless, quick procedure that checks the health of your liver. Schedule your appointment today! Call us at (480) 470-4000 or submit a request through our website. Other Source: https://www.merckmanuals.com/home/liver-and-gallbladder-disorders/alcohol-related-liver-disease/alcohol-related-liver-disease

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Know the stages of cirrhosis

From Liver Disease to Cirrhosis

Cirrhosis is when the permanent scarring of the liver has replaced the healthy tissue. While cirrhosis is most often associated with chronic alcohol consumption, it is brought about by many types of liver disease. Here’s how you get from liver disease to cirrhosis. Inflammation to Fibrosis When you have liver disease, the liver enters into a perilous cycle to heal itself. The immune system sends the signal to repair cells triggering chronic inflammation and to continue depositing collagen. In a healthy liver, the collagen stiffens around the tissue, and any extra is discarded. However, with liver disease, there is no signal to stop the inflammation discarding the excess collagen. So, the inflammation and more deposits of collagen continues. This leads to more liver stiffening and the development of fibrosis. Fibrosis is when collagen and other proteins build up between the cells. This forms scar tissue which can block or limit blood flow within the liver, eventually starving and killing healthy liver cells. More scar tissue forms, and unlike healthy liver cells, it cannot function or repair itself. Fibrosis to Cirrhosis While fibrosis is reversible even into the later stages of liver disease, there is a point where the damage is too significant, and the liver can’t fix itself. No treatment can cure cirrhosis; by staying away from things that could harm your liver further, like liquor, certain drugs, and fatty food, you can help improve some of the scarrings. Treatment for individuals with cirrhosis includes managing its symptoms and treating the underlying cause to prevent liver function from worsening or liver failure. Those with cirrhosis have a high risk of developing liver cancer and eventually needing a transplant. Our livers are versatile, continuing to work even when they’ve become seriously scarred. Most individuals with liver disease do not know it until routine blood work picks it up or symptoms become present in the later stages. Talk with your doctor about preventative measures you can take if you’re at risk of liver disease. Arizona Liver Health offers FREE fibroscans for adults at risk of liver disease. A fibroscan is a quick way to determine the health of your liver and the presence of liver disease. Should your results indicate fatty liver or other liver conditions, our staff will talk with you about enrolling studies that may be an option. To learn more, call us at (480) 470-4000, or fill out a request form online today! Sources: https://www.webmd.com/digestive-disorders/understanding-cirrhosis-basic-information https://liverfoundation.org/for-patients/about-the-liver/the-progression-of-liver-disease/#cirrhosis-severe-scarring

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Calling all caregivers! Read our latest blog on tips for being a caregiver of someone with liver disease

Tips for Caregivers

Having liver disease affects the person with it but also loved ones around them. Often a family member or friend fills the role of meeting a variety of physical and emotional needs. If you are a caregiver for someone with liver disease, here are some tips to help you feel better prepared to handle your loved ones’ needs. Caregivers Help When Necessary Most who care for a loved one with liver disease don’t consider themselves a “caregiver” initially. In reality, you play an essential role in your loved one’s life by lending a hand with the following. Daily Tasks Feeding, bathing, grooming, and dressing. Cleaning, cooking/meal preparation, and running errands. Manage finances/provide financial support Emotional support and companionship Medical Tasks Keeping medication schedules on time. Examples are giving reminders of dose times. Also, keeping track of supply and need for refills. Recognizing signs and symptoms of worsening liver disease, as well as medication side effects. Manage medical records and schedule their medical appointments. Provide transportation to appointments, shopping, and other events. Helpful Tips for Managing Caregiver Demands A caregiver manages their loved one’s daily life. Likewise, you are also managing your own family and personal needs. Here are some tips developed from expert advice and others who have cared for those with liver disease: Daily Ask for help from other family members or friends to help avoid caregiver burnout. Take care of your physical and emotional health too. Take time daily to break away and do something that brings you joy. The better you care for yourself, the better you can care for your loved one. Learn as much as you can about their condition. This way, you become informed of the best ways to help them thrive. Emotions Take one day at a time and learn ways to manage stress better. Understand that frustration from your loved one isn’t purposeful or personal. Contact your benefits advisor at your workplace to verify what support resources are available. Including free counseling sessions, legal aid, etc. Build a support network to connect with others who are going through the same experiences that you are. Medical Ensure your healthcare provider has given you a complete understanding of the information provided in each appointment. Talk to your healthcare provider about arranging home care services if needed. Finances Check with your bank or financial advisor to review any short-term solutions to help with any financial changes causing strain. Meet with other family members to involve everyone in future planning, more importantly, to better allocate financial responsibilities. Having liver disease and needing the help of a caregiver can be challenging. Your loved one may feel defeated and a burden on you and other loved ones. Participating in clinical research studies can help them give back by advancing medicine for liver disease. Volunteering has been shown to counteract symptoms of anxiety, depression and boost confidence. If your loved one has liver disease, enrolling liver disease research studies here at Arizona Liver Health may be an option. For more information, call us at (480) 470-4000, or visit our website. Sources: https://www.liver.ca/patients-caregivers/for-caregivers/ https://liverfoundation.org/caregivers/tips-for-caregivers/

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Hispanic adults may be at risk

Liver Disease and the Hispanic Population

The number of U.S. adults with non-alcoholic fatty liver disease (NAFLD) currently sits around 25%. Approximately 2-3% of them will go on to develop non-alcoholic steatohepatitis (NASH). NASH is a more severe form of NAFLD and can lead to fibrosis, cirrhosis, and liver failure. By 2030, it is estimated this number will increase from 2-3% to up to 63%. Among the ethnic groups affected, Hispanic populations face the most significant risk of liver disease. Here’s why. Dangers of NASH and Prevalence in Hispanics NASH often stems from high-sugar, high-fat diets. To compensate, our livers begin storing excess fat. If nothing changes, inflammation occurs over time. Eventually, the inflammation progresses to cirrhosis, liver failure, liver cancer, the need for a liver transplant, and even death. NASH also has a close association with other conditions such as heart disease, which is the leading cause of death in patients. Thirty million Americans have NASH. The problem is most don’t know it because there typically aren’t any symptoms. Liver disease is a top cause of death among Hispanics, with NAFLD being among the most prevalent type. Hispanics are more often diagnosed in more advanced stages of liver disease and less likely to get help. Hispanic mortality rates are double that of other races. Risk Factors Multiple factors are contributing to the disproportionate effects of liver disease on Hispanics. Each element is also a top cause of fatty liver disease. These include: 43% of Hispanics in the U.S. are considered obese 35% of Hispanics in the U.S. have metabolic syndrome Diets high in carbohydrates and sugar Many Hispanics possess the gene variation PNPLA3, which is associated with a heightened risk of NAFLD and NASH The predisposition of Hispanics to these multiple risk factors further increases their risk higher than other ethnicities. Be Proactive with Your Liver Health By knowing the risk, Hispanic individuals can take steps to protect their liver health proactively. You can work with your doctor to routinely check your liver for any changes. Those with NAFLD or NASH can slow, stop, or reverse disease progression through healthier lifestyle changes. Prevention is also possible for at-risk individuals. Here are three lifestyle changes you can start immediately: Maintaining a healthy weight Eating a well-balanced, sensible diet Exercising moderately at least five days a week for 30 minutes or longer Lifestyle changes are the basis of liver disease treatment and prevention. By reversing the same behaviors that contribute to this condition, you can make a big impact on a healthier, better-functioning liver. The liver is a regenerative organ and can heal itself if caught in time. Don’t wait! Arizona Liver Health offers FREE fibroscans for adults at risk of liver disease. A fibroscan is a test that detects the stiffness in a liver to determine fatty liver disease or other conditions. It’s a quick, painless way to evaluate the health of your liver, and the results are immediate. There’s no cure for NASH. As a result, potential treatment options are under investigation in clinical research studies. If your results show the presence of liver disease, our team with review enrolling study options that may help. Schedule your FREE fibroscan today! Call us at (480) 470-4000, or request an appointment online. Sources: https://txliver.com/media/hispanics-and-liver-disease/ https://salud-america.org/the-silent-liver-disease-epidemic-among-latinos/

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