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| Gilbert's Syndrome |
Last updated: May 05, 2008 |
Signs, symptoms and indicators | Conditions that suggest it | Contributing risk factors | Recommendations
Signs, symptoms & indicators of Gilbert's Syndrome: | |  | | | | Lab Values - Chemistries | High indirect bilirubin level
High total bilirubin | Symptoms - Food - General |
Weak appetite | Symptoms - General |
Fatigue on light exertion |
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Conditions that suggest Gilbert's Syndrome:
Risk factors for Gilbert's Syndrome: | |  | | | | Symptoms - Metabolic | History of Gilbert's syndrome |
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Recommendations for Gilbert's Syndrome: | |  | | | | Diet | Vegetarian/Vegan Diet | Chemicals that tax Phase II liver detoxification pathways tend to be found in higher concentrations in animal products than in fruits, vegetables, whole grains and legumes. |
Not recommended:
Therapeutic Fasting | Those with Gilbert's syndrome are poor candidates for water fasting, a process that stresses the liver's detoxification systems and can lead to the development of significant jaundice. |
| Habits |
Fluoride Reduction/Avoidance | It has been suggested that Gilbert's syndrome is due to a partial deficiency of the hepatic enzyme glucuronyl transferase. Fluoride, being an enzyme inhibitor, reduces the enzyme's activity even further.
John Lee, MD a physician in private practice has stated that elevated bilirubin levels can be reduced in Gilbert's syndrome by avoiding fluoridated water and other sources of fluoride. This physician has seen bilirubin levels rise again when fluoride has been reintroduced. Gilbert's syndrome may be due to a partial deficiency of the hepatic enzyme glucuronyl transferase. Fluoride, being an enzyme inhibitor, reduces the enzymes' activity even further. ["Fluoride Linked to Gilbert's Syndrome", Lee, John R., M.D., Cortlandt Forum, September 1990;101: pp.31-33]
In some cases, complete elimination of fluroide can reverse the jaundice of Gilbert's syndrome. |
| Nutrient |
TMG (Tri-methyl-glycine) / SAMe | Methionine, administered as SAM, resulted in a significant decreases in serum bilirubin in patients with Gilbert's syndrome in a clinical study. SAM has been used with favorable results in a variety of other chronic liver diseases. TMG converts to SAMe while being considerably less expensive. TMG can be helpful in treating Gilbert's syndrome because it activates several Phase II pathways. |
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KEY |  | Weak or unproven link |  |  | Strong or generally accepted link |  |  | Proven definite or direct link |  |  | May do some good |  |  | Likely to help |  |  | Highly recommended |  |  | May have adverse consequences |
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