https://www.youtube.com/watch?v=zilbl_aPPk8

Tuesday, December 10th, 2024

20:00

Testimonial #2 Jo Jo

episode 71 https://www.youtube.com/watch?v=JTdfRu_OFv0

Toxic Bile Theroy Basics, Fibrocystic/Cysts Are Bile Storage!

https://www.youtube.com/watch?v=gqbelhIdg1Q

https://x.com/MicroBerto/status/1865397854174400955

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Could these be gallstones?

https://www.thelancet.com/journals/lancet/article/PIIS0140673605663738/fulltext

1 cm instead of 1 mm as imaged by ultrasound.

Flushing stones? “Liver purging” and “gallbladder lavage”

https://pubmed.ncbi.nlm.nih.gov/19718602/
https://www.thieme-connect.de/media/dmw/200936/lookinside/10.1055-s-0029-1234016-1.jpg 

Introduction

In the age of the ever-increasing availability of medical information via the Internet, we are increasingly observing in our daily practice self-diagnosis and self-treatment based on knowledge acquired by patients through Internet research. The treating doctor is often confronted with a diagnosis and treatment expectation made using Internet knowledge. It is often difficult for a layperson to separate serious and objective medical information from the personal opinions of individual Internet authors or even from charlatanism. Often, the providers’ economic interests are hidden behind supposed medical information, such as the sale of questionable therapeutic agents.

Case report

In this context, we present the case of a 50-year-old patient who was referred to us by his family doctor to clarify a massive, recurrent gallstone formation. During the detailed anamnesis [complete history recalled and recounted by a patient], the patient stated that since the sonographic diagnosis of asymptomatic cholelithiasis by his family doctor, he had been meticulously carrying out a liver cleansing program every 4 weeks to remove his gallstones. He had obtained the information on liver cleansing from the Internet. There, he found the procedure advertised several times while searching for treatment options for gallstones. The procedure that the patient uses for liver cleansing is described in more detail here: 

• After a 12-hour fast, he took 400 ml of olive oil and 100 ml of grapefruit juice.
• This was followed by the application of 100 g magnesium sulfate (Epsom salts) in 800 ml of water, distributed over an intake period of 12 hours.
• The application should be carried out in the supine position.

The result of the “cleansing program” was the painless passage of multiple (approx. 100) greenish, yellowish stone-like structures in the early hours of the next morning.

The impressive result convinced the patient of the sense of his approach and was repeated every 4 weeks. He photographed the structures and presented them to his family doctor (Fig. 1). The patient was then referred to our hospital to clarify the massive tendency to form gallstones.

The initial ultrasound diagnosis in our outpatient clinic showed the gallstones described by the family doctor in the same size, shape and number – despite the liver cleansing program.

Discussion

As the liver cleansing program was initially unfamiliar to us, we carried out an Internet search on it, which yielded well over 500,000 hits for the praise of such methods. Even some alternative practitioners personally interviewed by the authors praised this method. In the specialist literature, with the exception of a single case report in the renowned specialist journal The Lancet [1], there is no evidence-based data on such a procedure.

Fig. 1 Stone-like formations excreted by the patient after liver cleansing.

The patient was therefore asked to bring the stones to our laboratory for further analysis after further cleansing. There, further microscopic processing revealed that the structures did not have a crystalline structure. Chemical analyses could not detect cholesterol, Neither bilirubin nor calcium could be detected in these structures. Fatty acids were identified as the main components.

The structures can therefore be explained biochemically as saponification products after ingestion and metabolization of the components of the cleansing program.

Under the impression of artificially induced stone formation, 3 employees of our clinic declared themselves willing to clean their livers using the procedure described. Cholelithiasis was previously ruled out in all 3 employees by sonomorphology. There was also no clinical or laboratory evidence of cholelithiasis. In all cases, the cleansing program also resulted in a massive passage of the products described above.

Consequences for clinic and practice

This case report shows that the procedure described does not contribute to the passage of real gallstones.

The case report may offer clinical colleagues confronted with this problem a help against the overwhelming power of Internet information.

Authors’ declaration: The authors declare that they have no financial connections with a company whose product plays an important role in the article (or with a company that sells a competing product)

https://www.youtube.com/watch?v=JUMC4oXQxyM