I recently discovered helpful information that I'm sharing in case it might be useful for anyone here. After learning that other thal members of my family (all non-drinkers and of reasonable weight) had been diagnosed with either fatty liver disease or cirrhosis of the liver, I started looking into liver health and discovered a correlation; many of the symptoms mentioned by members of this site are signs of a stressed liver. Some of these are poor digestion, skin rashes, itching skin, exacerbation of allergy symptoms and chemical sensitivities, muscle weakness, fatigue, foggy thinking, feelings of despair, hormone imbalances, thyroid imbalances. I also discovered that the liver is responsible for breaking down protein into individual amino acids, and was especially intrigued because Andy has given helpful information here about thals often being deficient in certain amino acids (I'm thinking of l-carnitine and l-arginine). I learned that the liver requires the highest volume of blood circulation of any organ in our bodies; this alone would cause liver stress and possibly compromise liver function for thals.
I encourage those who are interested to look into signs and symptoms of liver stress, which often is not revealed in liver function blood tests, and ways of improving liver health. Most, if not all, of the supplements recommended on this site are things that directly support the liver. In addition, there are many over-the-counter liver support products which contain combinations of common herbs proven to improve/restore liver health. Ingredients to look for are milk thistle and dandelion root, among others. I have added Liver Rescue 4+ by HealthForce Nutritionals along with lecithin (another product known to support liver function) to my routine for the past two months and think it has made a marked improvement in how well I feel. I am encouraged by relief of specific symptoms of poor digestion, rashes on my hands and mood fluctuations. I am also able to be helped by caffeine when necessary, which had completely lost any effectiveness for me.
It is helpful to know that the recommended diet for a stressed liver is higher in carbs and somewhat lower in protein, which is notably contrary to the current trend towards paleo nutrition (not a lot of grains). While I'm reasonably convinced sticking to lean proteins, vegetables, nuts and seeds, and moderate amounts of fruits is a healthy goal for most people, trying to eat this way over the years has made me feel worse. By applying the principal of more carbs and less protein and using the additional supplements I feel I am gaining more control over my body, instead of being controlled by it. When I have had a particularly weak day, I have increased my carb intake, cut out all protein (animal products), doubled up on some supplements, and had amazing improvement by the next day. One bad day here and there is a long way from the years I spent being nonfunctional for days or weeks at a time, not know how to fix it.
I hope this is helpful,
Katrina