Hepatitis C
What is Hepatitis
C?
When
cells in the body are injured by such things as chemicals or
infection,the area that is hurt becomes inflamed. Hepatitis is
inflammation of the liver,which in turn causes damage to
individual liver cells.
Hepatitis
C is caused by a virus (medically abbreviated as HCV). This
type of viral hepatitis is different from the others in an
important way. All patients with hepatitis A and most with
hepatitis B develop an acute infection, recover completely, and
develop antibodies that protect them from ever getting the
disease again. However, the hepatitis C virus is a
"quick-change" artist. Once inside the body,it changes its form
to evade discovery and attack by the immune system. Scientists
have already identified many forms of HCV, and patients
infected with one type are not necessarily safe from other
types. Hepatitis C patients do develop antibodies, but they are
not curative or protective as in hepatitis A or B. Hepatitis C
antibodies may not completely rid the body of the virus.
Therefore, most people infected with the HCV virus will develop
chronic hepatitis.
Current
estimates are that 3.5 million Americans carry the virus that
causes hepatitis C, and 150,000 people become infected with HCV
each year. This virus is known to be spread through infected
blood, blood products, and needles. Prior to the late 1980s,
people were most at risk for contracting the disease through
blood transfusions. However, a blood test was developed at that
time to detect the virus, and the blood supply is now always
tested to prevent spread of the disease in this way. Even so,
there is a very slight risk for those who must receive blood
products on a regular basis, such as hemophiliacs and patients
on hemodialysis. Health care workers are also at risk. At this
time, the people most at risk for getting hepatitis C are IV
drug users who share needles. There are also a larger number of
cases among east Asians. In about 40% of all cases of hepatitis
C, it is unknown how the patient was infected with the virus.
This situation is known as community acquired
disease.
What are the
symptoms and
diagnosis?
Many
people with hepatitis C don't have symptoms. This is especially
true early in the disease. However, some people with hepatitis
C feel like they have the flu.
So, you
might
-
feel
tired
-
feel
sick to your stomach
-
have a
fever
-
not
want to eat
-
have
stomach pain
-
have
diarrhea
Some
people have
-
dark
yellow urine
-
light-colored
stools
-
yellowish eyes and
skin
It can
take from 2 to 26 weeks for the disease to develop once the
patient is infected with HCV. Routine blood tests will show an
elevation in certain liver enzymes, especially one called the
ALT. The physician can then order a specific blood test to
determine if the patient has hepatitis C.
Hepatitis
C is a cause for concern for two reasons. First, most cases
become chronic. Second, patients seldom become acutely ill, so
it is possible for them to have the disease for some time
before it is diagnosed. Late in the disease, fatigue may become
increasingly severe. If cirrhosis has developed, other more
serious symptoms may occur. However, the elevation in the blood
ALT may not correlate with the degree of liver inflammation. In
other words, a high ALT may not necessarily mean there is a
serious degree of inflammation. Conversely, a low or
normal blood ALT level may be present even though there is
chronic liver damage. For this reason, a liver biopsy is almost
always required to determine how serious the disease may be.
Under local anesthesia, a slender needle is inserted into the
right lower chest. A small piece of liver tissue is taken out
with the needle and examined under a microscope. A biopsy can
show if cirrhosis is present and how far it has progressed. It
is believed that about 20% of the patients with chronic
hepatitis C will develop cirrhosis, and a few of those will go
on to develop liver cancer. It may take from 10 to 40 years for
serious liver damage to occur.
Certain
people infected with HCV have a positive HCV blood test, but a
normal liver enzyme test. These individuals are often called
HCV carriers, and they can pass the virus on to others.
Although they appear not to be seriously ill, there is recent
evidence that even these people may have chronic hepatitis.
Therefore, each should be evaluated by a liver
specialist.
What causes
it?
Hepatitis
C is caused by a virus. A virus is a germ that causes sickness.
(For example, the flu is caused by a virus.) People can pass
viruses to each other.The virus that causes hepatitis C is
called the hepatitis C virus.
Hepatitis
C is spread by contact with an infected person's
blood.
You could
get Hepatitis C by
-
sharing
drug needles
-
getting
pricked with a needle that has infected blood on it
(hospital workers can get hepatitis C this
way)
-
having
sex with an infected person, especially if you or your
partner has other sexually transmitted
diseases
-
being
born to a mother with hepatitis C
In rare
cases, you could get Hepatitis C by
-
getting
a tattoo or body piercing with unsterilized, dirty
tools
You can
NOT get hepatitis C by
-
shaking
hands with an infected person
-
hugging
an infected person
-
kissing
an infected person
-
sitting
next to an infected person
If you
had a blood transfusion or organ transplant before 1992, you
might have hepatitis C. Before 1992, doctors could not check
blood for hepatitis C, and some people received infected blood.
If you had a blood transfusion or organ transplant before 1992,
ask a doctor to test you for hepatitis C.
How do I know I have
it?
You may
not have any symptoms at all. Or you may have flu-like
symptoms, or other symptoms similar to those described above.
However, the only way to know if you are infected is to see
your doctor and get a blood test for HCV
antibodies.
What are the treatments for this
disease?
As of
1999, there are two programs available to treat HCV. One is the
use ofi nterferon (IFN) by itself. IFN is a synthetic form of a
substance the body naturally produces to fight infections and
strengthen the immune system. There are some bothersome side
effects with the drug, such as fatigue and flu-like symptoms
following each injection. Usually,interferon is injected three
times a week for at least six months and often for a year. The
second treatment is to combine IFN with an oral medication
called ribavirin. This is particularly helpful in treating
those patients who have not responded to IFN alone. A side
effect of ribavirin is a mild anemia or low red cell count in
the blood.
Both the
patient and physician have a role in treating hepatitis C. It
is now known that alcohol use,even in socially accepted
amounts, makes the liver disease worse. So while the virus is
present in the body, it is best to avoid alcohol altogether.
Patients should also discuss the use of over-the-counter
medicines with the physician. Some drugs such as acetaminophen
(Tylenol) that may not be normally toxic can worsen liver
damage in HCV. Of course, a healthy diet is always important.
The patient will also want to discuss vaccination against
hepatitis viruses A and B. If a person with HCV becomes
infected with either of these other viruses, the outcome could
be quite severe. The patient should be careful to avoid the
possibility of getting these other diseases. This means no IV
drugs or unprotected sex with a new partner with unknown sexual
activity history.
You may
need surgery if you have hepatitis C for many years. Over time,
hepatitis C can cause your liver to stop working. If that
happens, you will need a new liver. The surgery is called a
liver transplant. It involves taking out the old, damaged liver
and putting in a new, healthy one from a
donor.
-
Alternative/Complementary
Treatments
Fighting
disease is a battle. Some turn to strictly alternative
approaches in anguish when conventional treatments are
exhausted. However, “alternative” treatments when used in
addition to conventional medicine are often referred to as
“complementary”. Complementary medicine is a
more balanced approach in the effort to treat disease and is
recommended because it allows one to take advantage of all
options that are available.
It should
be noted that because alternative or natural remedies are not
regulated, many medical professionals advise against them
because of the lack of pier studies and uncertainty of the
level of quality control. In addition, they advise that any
substance that can affect the body's chemistry can, like any
drug, produce side effects that may be harmful. In other words,
herbal remedies should be viewed as symptom treating aids, just
as pharmaceutical drugs are.
However,
there is hope. A relatively new science, called
Glycobiology, now offers revolutionary and
exciting options. Rather than taking the approach of treating a
disease or even a symptom, Glycobiology addresses the
nutritional requirement at the cellular level.
It is believed that:
"Glycobiology
is the last scientific frontier to be conquered. It is now
understood that there is a 'sugar code' in biological
structures that relates to both health and disease. Our
ability to define the factors that regulate normal
glycosylation of proteins and lipids, resulting in normal
structures and functions, and those that cause disruption of
normal sugar attachments will be important in understanding
disease processes and their management.
Many
investigative approaches are being used to study these
structure-function relationships and their biological
consequences. These include novel analytical techniques to
investigate chemical and 3-dimensional structures, proteomics
to understand the relationship between glycosylation change and
disease, model living systems in which to study the impact of
glycosylation, and new enzyme and glycotherapeutic techniques
to alter abnormal structures.
Most
major diseases that afflict mankind (e.g., cancer, rheumatoid
arthritis, heart disease, diabetes, infectious diseases and
neurodegenerative diseases) directly involve glycoconjugates.
The ultimate goal is to develop the science of glycobiology so
that it can have a significant impact on our ability to define
and support health, and to diagnose and manage
disease."
John S. Axford, BS, MD, FRCP
In 1994,
legislation was passed that enabled millions of Americans to
enjoy access to safe, effective and affordable dietary
supplements. The Dietary Supplement Health and Education Act of
1994 (Enrolled as Agreed to or Passed by Both House and Senate)
revealed the following:
Congress
finds that:
-
The
importance of nutrition and the benefits of dietary
supplements to health promotion and disease prevention have
been documented increasingly in scientific
studies;
-
There
is a link between the ingestion of certain nutrients or
dietary supplements and the prevention of chronic diseases
such as cancer, heart disease, and osteoporosis;
and
-
Clinical research
has shown that several chronic diseases can be prevented
simply with a healthful diet, such as a diet that is low in
fat, saturated fat, cholesterol, and sodium, with a high
proportion of plant-based foods;
I have
seen first hand the power and benefits of Glycobiology as it
relates to my wife LaDonna and her battle and victory against
liver disease. Her turn around validates the findings that
Congress and many scientists in the field of Glycobiology have
determined; we must not underestimate the importance of
nutrition. A category of specific nutrients led us to
find a specific nutritional therapy, which proved very
positive. These particularnutrients are called
glyconutrients. More specific information on
these and other nutritional building blocks
associated with this science may be found
here.
What would
happen if left
untreated?
Recent
data suggests that among untreated patients, roughly 1/3
progress to liver cirrhosis in less than 20 years. Another 1/3
progress to cirrhosis within 30 years. The remainder of
patients appear to progress so slowly that they are unlikely to
develop cirrhosis within their lifetime. Factors that have been
reported to influence the rate of HCV disease progression
include age (increasing age associated with more rapid
progression), gender (males have more rapid disease progression
than females), alcohol consumption (associated with an
increased rate of disease progression), HIV coinfection
(associated with a markedly increased rate of disease
progression), and fatty liver (the presence of fat in liver
cells has been associated with an increased rate of disease
progression).
What would happen if I have this disease and
become
pregnant?
There is
no hard evidence that women with hepatitis C infection are at
significantly increased risk for having complications during
pregnancy. Women with hepatitis C infection usually have
healthy babies. Transmission of hepatitis C from mother to baby
can happen, but appears to be relatively rare.
Women with advanced liver disease are at increased risk of
suffering complications during pregnancy.
For
disease to start and then worsen, it must outmaneuver the
many mechanisms of one of the most highly advanced
systems ever designed....
the human immune
system.
The immune system remains as both your first and last defense
against disease
On
a more personal note...
In June
of 2004, my wife LaDonna was diagnosed with autoimmune
hepatitis after blood tests,liver scan, and a liver
biopsy revealed 85% damage. Her doctor recommended that she
should consider a liver transplant as soon as
possible.
In March
of 2005, we were introduced to some new information
that changed our lives forever. This information led
to a safe, and effective treatment plan for LaDonna. This
treatment plan led to a complete reversal of her
autoimmune hepatitis as indicated by a more recent
biopsy.
Her liver is
now 90% normal and she is no longer in need of a
transplant.
The
success of her treatment came as a result depending less and
less on drugs and more and more on nutrition.
The specific category of nutrition that brought about this
success is glyconutrients.
It is
clear that autoimmune hepatitis and hepatitis C are completely
distinct conditions, and there is no evidence of a link between
infection with the HCV and autoimmune hepatitis. However, just
as autoimmune hepatitis presents chronic fatigue (as my wife
LaDonna can attest), many with HCV begin to feel a similar
chronic fatigue that is commonly associated with this
particular disease. Sometimes the symptoms with HCV can reach
the point where one must consider the required months of weekly
interferon injections along with the Ribavarin pills. Some
undesirable side effects may include hair that falls out and
terrible depression. With the cure rate not much better than
30%-40% for genotype 1A Hep C, it could be said, just as with
chemo and cancer, that the attempts to cure can be worse than
the disease.
While
there are no guarantees, it is possible that LaDonna's
treatment plan that led to a complete reversal of her
autoimmune hepatitis could possibly offer similar hope
for those suffering with HCV. The same glyconutrient therapy
that brought about a reduction of chronic fatigue and a return
of her energy level could conceivably bring about improved
energy levels and improved liver enzymes levels in those
afflicted with HCV.
In fact,
in a Clinical Study of 8 HCV-Positive Patients who were given
natural Glyconutrient supplements, published in the
peer-reviewed Medical Journal "Proceedings of the Fisher
Institute For Medical Research", 88% showed improvements in ALT
and/or AST, the Liver Enzyme markers which characteristically
test abnormal for HCV patients. In addition, 50% of the
patients showed marked improvement in fatigue.
Since
this study was run, a higher potency Glyconutrient formulation
has been developed and is the one that LaDonna used.
We invite you to stay and browse through the other information
found on our site. Or perhaps you'd like to speak with us right
away, to learn more about glyconutrients and the specifics of
LaDonna's nutritritional therapy. Maybe you would like to
explore if this therapy might be useful for other disease
concerns. If so, please provide an e-mail
address in the form below and we would be happy to get
back to you with contact information so that we could make
arrangements to speak privately with you at your convenience.
Important: Please be sure that there are no typos in
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