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   Lutein-6 and Lutein-20
  Lutein helps to protect your over-worked
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   Milk thistle
  Silymarin helps to protect your liver, an
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MILK THISTLE AND LIVER NUTRITION INFORMATION CENTER


Liver


Liver is like government: when it functions well, no one pays attention to it.

What is Liver ?
The largest solid organ in the body, situated on the right side below the diaphragm. The liver occupies the right hypochondrium (the epigastrium) and part of the left hypochondrium, and is level with the bottom of the sternum. Its undersurface is concave and covers the stomach, duodenum, hepatic flexure of colon, right kidney, and adrenal capsule. The liver secretes bile and is the site of numerous metabolic functions.

Anatomy of Liver
The liver consists of four lobes, five ligaments, and five fissures, and is covered by a tough fibrous membrane called Glisson's capsule, which is thickest at the transverse fissure. At this point the capsule carries the blood vessels and hepatic duct, which enter the organ at the hilus. Strands of connective tissue originating from the capsule enter the liver parenchyma and form the supporting network of the organ and separate the functional units of the liver, the hepatic lobules.
The many intrahepatic bile ducts converge and anastomose, finally forming the secretory duct of the liver, the hepatic duct, which joins the cystic duct from the gallbladder to form the common bile duct or the ductus choledochus, which enters the duodenum at the papilla of Vater. A ring of smooth muscle at the terminal portion of the choledochus, the sphincter of Oddi, permits the passage of bile into the duodenum by relaxing. The bile leaving the liver enters the gallbladder, where it undergoes concentration principally through loss of water absorbed by the gallbladder mucosa. When bile is needed in the small intestine for digestive purposes, the gallbladder contracts and the sphincter relaxes, thus permitting escape of the viscid gallbladder bile. Ordinarily, the sphincter of Oddi is contracted, shutting off the duodenal entrance and forcing the bile to enter the gallbladder after leaving the liver.
The functional units of the liver are the liver lobules, six-sided aggregations of hepatocytes permeated by capillaries called sinusoids. Lining these sinusoids are Kupffer cells, the macrophages of the liver.

Blood circulation in Liver
The liver is supplied with oxygenated blood from the hepatic artery, a branch of the celiac artery, and blood from all the digestive organs and spleen by way of the portal vein. The end products of digestion and other materials thus pass through the liver before entering general circulation.

Innervation to Liver
The nerve supply consists of parasympathetic fibers from the vagi and sympathetic fibers from the celiac plexus via the hepatic nerve.

The function of Liver
The liver is the most metabolically active organ of the body.

  • Amino acid metabolism: It synthesizes nonessential amino acids, deaminates excess amino acids for use in energy production, and forms urea, which the kidneys excrete.
  • Bile production: The liver is responsible for the production of bile salts, which emulsify fats in the small intestine; 800 to 1000 ml of bile is secreted in 24 hr, and the secretion rate is increased greatly during digestion of meals rich in fats.
  • Carbohydrate metabolism: It converts monosaccharides other than glucose to glucose, and stores excess glucose as the starch glycogen, until such energy is needed.
  • Detoxification: It produces enzymes to metabolize potentially harmful substances found in the portal circulation (e.g., alcohol, ammonia, indole, many medications, and skatole) into less toxic ones.
  • Endocrine functions: It facilitates the conversion of levothyroxine to the more metabolically active thyroid hormone, triiodothyronine.
  • Execretion: It discharges the breakdown products of hemoglobin (bilirubin and biliverdin) into the bile; these are eliminated in feces.
  • Fat metabolism: It synthesizes cholesterol as well as lipoproteins for the transport of fat to other body tissues; it converts fatty acids to acetyl groups or ketones, so they may be used as energy sources.
  • Phagocytosis: Its macrophages (Kupffer cells) scavenge bacteria, other pathogens, and senescent red blood cells from the portal circulation.
  • Protein syntheses: It manufactures albumin, alpha-globulins and beta-globulins, complement components, and clotting factors, some of which are dependent on vitamin K.
  • Storage: It stores copper, iron, vitamin B12, and the fat-soluble vitamins A, D, E, and K.


  • Liver Examination
    The liver is examined by inspection, auscultation, percussion, and palpation. Inspection of the organ includes indirect assessments (e.g., for jaundice (skin color), palmar erythema, and spider telangiectasias and other signs of chronic liver disease. Auscultation of the liver may reveal bruits associated with liver cancer; auscultation also is used to make a crude estimate of organ size. Percussion of the liver, which is performed in the right midclavicular line, provides another method for roughly estimating size. Palpation of the organ may reveal tenderness, irregular edges, masses, or tumors.

    Liver Diseases

  • abscess of liver: A localized collection of pus in the liver caused by pathogens such as those of Streptococcus species; Staphylococcus; or Entamoeba histolytica. Symptoms include high fevers; sweats and chills; and an enlarged, painful, tender liver, which may be bulging and fluctuating. Pus may be evident by aspiration. Embolic (multiple) abscesses are generally fatal. Traumatic abscesses, or those due to an amebic dysentery, may terminate favorably after spontaneous or induced evacuation.
  • amyloid liver (or lardaceous liver): An enlargement of the liver caused by the deposition of amyloid proteins. The liver is enlarged, smooth, firm, and painless. Infiltration of other organs may cause kidney failure, intercerebral bleeding, heart failure, anemia, and other diseases and conditions.
  • biliary cirrhotic liver: Cirrhosis of the liver caused by fibrous tissue formed, as a result of infection or obstruction of the bile ducts.
  • cysts of liver: Simple cysts, usually small and single; hydatid cysts; or cysts associated with cystic disease of the liver, a rare condition usually associated with congenital cystic kidneys.
  • fatty liver: Degenerative changes in liver cells owing to fat deposits in the cells.
  • hepatoma (liver cancer): Malignancy of the liver that results either from spread from a primary source or from primary tumor of the liver itself.The former is the more frequent cause. Male sex, hepatitis B or C, cirrhosis, and other liver diseases are predisposing factors. The liver is the most common site of metastatic spread of tumors that disseminate through the bloodstream. The prognosis for survival is from a few months to 1 yr. Symptoms may include severe pain and tenderness; cachexia (i.e., loss of weight); and encephalopathy. Jaundice is common. The liver is enlarged, its surface is nodular, and a central depression or umbilications can often be detected.
  • floating liver (wandering liver): An easily displaced liver.
  • foamy liver: The presence of gas bubbles in the liver as a result of infection with anaerobic bacteria. This produces a honeycomb appearance in the liver tissue.
  • hobnail liver: Degeneration of the liver characterized by fatty changes, fibrous scarring, nodular degeneration, and atrophy of the liver with the surface covered with brown or yellow nodules. This condition is seen in chronic alcoholism and malnutrition.
  • hepatitis: Inflammation of liver.
  • nutmeg liver: Chronic passive congestion of the liver, which produces a reddened central portal area and a yellowish periportal zone.
  • liver spots: Lentigo senilis.


  • Milk Thistle and Liver Nutrition Center: About Milk Thistle
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  • Milk Thistle and Liver Nutrition Center: What is Milk Thistle Silymarin ?
  • Milk Thistle and Liver Nutrition Center: What does Milk Thistle Silymarin do for us ?
  • Milk Thistle and Liver Nutrition Center: Are we taking enough Milk Thistle Silymarin ?
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  • Milk Thistle and Liver Nutrition Center: Milk Thistle and Cancer - Animal Study
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  • Milk Thistle and Liver Nutrition Center: About Hepatitis C
  • Milk Thistle and Liver Nutrition Center: Hepatitis Links
  • Milk thistle silymarin inhibits colon cancer.
  • Benefit of milk thistle silymarin and glycyrrhizin for hepatitis C.
  • Benefit of milk thistle silymarin on nerve cell growth.


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