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Related Concept Videos

Types of Toxins01:36

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Humans continually engage with an environment rich in potentially harmful chemicals. These are introduced to our bodies through inhalation, ingestion, or skin contact. These chemicals exist in various forms, such as air and environmental pollutants, agricultural chemicals, organic solvents, and heavy metals.
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Diseases of the Liver and Gallbladder01:26

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Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
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Lipids are an essential component of a balanced human diet. Triglycerides, which make up the majority of dietary lipids, are found in both saturated fats—commonly present in meat, dairy products, and certain tropical plants like coconut, and hydrogenated oils such as margarine and baking shortenings (trans fats)—and unsaturated fats, which are abundant in seeds, nuts, olive oil, and most vegetable oils. The main sources of cholesterol include egg yolks, various meats and organ...
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Updated: Jun 24, 2025

The Murine Choline-Deficient, Ethionine-Supplemented CDE Diet Model of Chronic Liver Injury
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Cholestasis Linked to Bodybuilding Supplements: Exploring the Risks of Contamination.

Mark Matusak1, Jihad Aljabban2, Mark Wirtz1

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Bodybuilding supplements can cause drug-induced liver injury, often due to unlabeled anabolic-androgenic steroids. Healthcare providers should screen for supplement use to identify and manage this condition.

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Area of Science:

  • Hepatology
  • Sports Medicine
  • Toxicology

Background:

  • Drug-induced liver injury (DILI) from herbal and dietary supplements is a growing concern.
  • Anabolic-androgenic steroids (AAS) are frequently misused in bodybuilding for performance enhancement.

Observation:

  • A 34-year-old male bodybuilder presented with symptoms including fatigue, itching, and muscle cramps.
  • Laboratory tests revealed cholestatic liver injury, and liver biopsy showed bland cholestasis and sinusoidal dilation.

Findings:

  • The patient was diagnosed with anabolic-androgenic steroid-induced liver injury (AAS-DILI).
  • Symptomatic treatment included plasmapheresis for severe itching (pruritus).

Implications:

  • This case underscores the risk of DILI from bodybuilding supplements containing undeclared AAS.
  • Clinicians should actively inquire about supplement use and remain vigilant for potential liver injury complications.