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HBV & Liver Enzymes etc.

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Glutathione (GSH) is the main repair enzyme in the liver. The amino acid N-acetylcysteine (NAC) is the limiting amino acid in GSH production. Taking 2 - 3 grams of NAC per day, plus 5 - 10 grams per day of L-glutamine would be a good initial step in trying to lower liver enzymes. These two amino acids do not interfere with anti-HIV meds.

I would also be taking 200-400 micrograms per day of selenium to help immune cells fight HBV in the liver and reduce risk of liver cancer.

There are a number of papers by the Herzenbergs at Stanford describing the use of NAC in HIV care, see Eur J Clinical Invest 2000 Oct; 30(10):915-29. N-acetylcysteine replenishes glutathione in HIV infection.

The Wilmore and Shabert paper on NAC and Glutamine and antioxidants in reversing HIV-related wasting was a medallion-winning paper. Nutrition. 1999 Nov-Dec;15(11-12):860-4. Glutamine-antioxidant supplementation increases body cell mass in AIDS patients with weight loss: a randomized, double-blind controlled trial.

See also Biol Trace Elem Res 1991 Jun;29(3):289-94.

A preliminary report on the intervention trials of primary liver cancer in high-risk populations with nutritional supplementation of selenium in China.

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