Avatar universal

Fasting in Ramadan.

Dear Sirs,

As you know this is a holy month (Ramadan) for Muslims. In this month muslims fast everyday. That means  primarily reduction from all food, drink, or both, for a 16-18 hours in a day. No eat, no drink anything.

What I want to ask is that I am Muslim and on entecavir treatment for 7 months, is fasting damage my liver and/or treatment? Should I fast or not?

Thanks and happy Ramadan.
15 Responses
Avatar universal
my sentiments as well, i have had to found myself the whole day thinking whether to fast or not. if u get a possible answer to it, don't hesitate to update me.
Avatar universal
NO FEASTING and No FASTING, Medically for HBVer, the rest is your call!
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Avatar universal
thanks for your advices, lessons are well taken
Avatar universal
hapy ramadan and we ask god for forgivness and peace and a cure for all patients
1 ask your doc since you take anticavir
2ask a religious man(immam)
3 I had seen a tv programme where a woman has a liver desease and take tt and want to know if she fasts or not,immam said to her that all patient suffer from liver desease and take tt shouldn t fast(this was his opinion)
4i think with antivirals we should drink 2 litters water to elimonate toxins and don t make kidny domaged
And you cant drink 2 litter after sunset
At the end ask immam i think he is the apropriate person

Avatar universal
fasting is not good for HBVers since is stats neoglucogenesis that stimulates hbv replication.

As far as I know for travellers, pregnant or sick fasting is not necessary. Religion must have sense.
Avatar universal
Hello again,

I asked to my doctor. She told me that it does not have a negative effect both on the treatment and the liver. However, I do not trust because she does not even know the Vit D issue and qHBSAG issue relating to HBV. So I need your advices.
Avatar universal
No you are wrong fasting is improved by scientists that is very good for health because all degestiv system take a rest and our body take a rest also , ,sure there are cases Where it is dangerous like diabet ,kidny dialis also   for a person who takes a lot of drugs a day
and for pregnant woman
so you can read about the benifits
For us hepatants i think those who take drugs there is a doubt,but the others is safeful also is Good
Avatar universal
You are right most of the doctors know more or less only their guidelines.


Avatar universal
fasting is never good even for obese, you just alter all body balance and nutrients, you can t do anything more harmful to human body even for healthy people

the gut does not exsist to rest
Avatar universal
Losing weight
Losing weight is, for many of us, one of the greatest benefits of fasting. Due to differences in metabolism and/or body chemistry (or mental patterns), exact results will vary from person to person.

Using fasting to lose weight can create many opportunities to gain insights into your patterns with food and for making changes to your habits and lifestyle much easier to accomplish.

Professionally supervised fasts may be the best for serious obesity. They offer both medical and psychological support during the process and guidance toward healthier eating habits after the fast.

Those who have the best luck "going it alone" are usually fasting to "get healthy" rather than to "lose weight". The change in mentality can be the trick.

Sometimes a short 3-day fast is used to "jump start" a new healthy diet plan, because fasting will change your tastes toward more natural and wholesome foods. It will also give you a new perspective on your relationship to food; why and when you eat what you do, what your mental and emotional attachments are, and offer an opportunity for you to heal these issues.

Fasting can give you more energy
When you've progressed past the stage of dealing with detox symptoms, a fast will have you feeling lighter, more energetic, more enthusiastic, and requiring less sleep.

Mental and emotional benefits of fasting
Because fasting improves mental clarity and focus, it can become a tool in your life to give you greater freedom, flexibility, and energy to get done the things and projects that are important to you.

Many experienced fasters find it helpful to fast whenever they need an additional boost for a major project or deadline, e.g. writing a paper, preparing for a big presentation, getting ready for a long trip. Artists and writers often talk of foregoing food during great creative inspiration; that it helps to keep the momentum going. (Although, beginners must be warned that this won't be the case at first. Don't fast for a big event until you are more knowledgeable about your fasting reactions, and you're sure you won't get a "detox headache" or such.)

Emotionally, you will feel calmer, clearer and happier. Fasters often report that depression lifts, goals begin to feel more obtainable as obstacles are put into proper focus. Doctors have reported patients experiencing improved concentration, less anxiety, sleeping better and waking more refreshed.

Sometimes it's hard to tell the difference between our emotional and mental aspects, where one begins and the other ends . Am I sad because I had this thought? Or did I have the thought because I've been feeling sad? Fasting has a way of clarifying those issues. Your awareness can focus in more accurately and determine the source of some unpleasantness, that then snowballed into a mess. Once the source is identified, it's easy to see how overblown everything else was that came after.

In other words, you see things from a clearer, more appropriate perspective. See Emotional Benefits of Fasting for more details on the emotional cleansing that can occur.

Spiritual benefits of fasting
And let's not forget the powerful effects of fasting on our spiritual connection. Another one of the benefits of fasting is that it promotes we take our attention inward, that we listen, become quiet. And that quiet quality time, you with you, will also allow, if you are willing, a greater sense of kinship with your Inner Being.

Without the continual addition of heavy foods into the system (and after any major detox symptoms have passed), the body takes on a lighter, less dense, feeling. This helps to create a subtle separation from ordinary physical reality and all its worldly things, and instead you begin to sense the presense and power of things beyond this world.

Meditation or prayer become clearer, higher states easier to attain, messages or guidance from higher realms clearer. Knowing you are loved and supported every minute of your day and of your life is something you begin to intuitively feel. Recognition that there truly is a higher plan or purpose will become more real as it is intuitively experienced rather than just intellectually understood.

Your experiences will be deeply personal and unique. Sometimes, subtle too. You have to pay attention to the little things, you have to be quiet enough internally to pick up the nuances in a changed attitude or perception.

Begin to experience the benefits of fasting
You can start with simple, short-term fasting (see here for a one day apple fast). Even short fasts will help you enjoy the many benefits of fasting, allowing the body, digestive tract and organs a chance to rest and repair and heal, and you to begin the process of rebuilding your inner connection to your physical body, as well as your inner spirit.

The benefits of fasting reach into all areas of our lives. And whether you want to fast for increased health, or increased mental clarity, you will get them both--only maybe not all in the first day. Fasting is an ongoing practice, that grows and deepens over time, delivering more and more meaningful benefits.

Further information on the benefits of fasting...
Emotional Benefits of Fasting allow for the release and healing of long-held patterns and beliefs, with little effort on our part. Gain insight into this process.

Quotes on Fasting reveal the effects and benefits fasting promotes. Read what doctors, health professionals, and religious figures have to say.

The Benefit of Fasting toward Degenerative Diseases Understand the limitations of conventional medicine and when it is appropriate to pursue alternative therapies -- such as fasting.

Learn the Benefit of Fasting on Physical Conditions with this list of ailments that respond favorably to a fast.

Studies on Intermittent Fasting are showing many benefits can be derived from regular schedules of fasting.

Avatar universal
safi we are muslims ,and god never tell us to do something baad to our body
and he gave us permitions in cases of illnesses
i am fellowed by jewish doc and she told me it is very good for health if i can
and now i do it because i didn t start yet taking tonefovir ,but if i start i ask her about that if she told me to do not fating i will not
because god never ask us to do harm to our body because it is not our ts belong to him
Avatar universal
I agree with you 100% to prove that you are right i lived the experience last year when my HBV DNA droped if i remember from 200 iu/ml to 29. aftyer Ramadan ended i even posted it in medhelp. So Safi do your Ramadan and pray for allah for all of us and if you want a clear  answer take your HBV DNA +HBSag Quant at the start of Ramadan then at the End of Ramadan to prove to yourself and the other that fasting help that is only common sense less toxins to the liver during the day.
Avatar universal
Sure fasting helps. But avoid oily things as you'r avoiding in normal days and be lever friendly.
Avatar universal
Iam Muslim .. and fasting this Ramadan ..
first of all if you are hbv carriers does mean you have liver disease ..

i started entecavir 0.5 mg before two years .. fasting last Ramadn and this Ramadan and i hope to be able to fast all Ramadans ..

if some person has cirrhosis or advanced stage of fibrosis or any liver failure he has to dont fast even in Ramadan .. religion is easy and wise ..

my blood tests is always better thab previuos : alt around 30 .. hbsag quantitative 630 iu/ml .. fibroscan F1 .. last ultrasound was on May 2014 was ok ..

u can drink alot  of water and beverages during iftar time ..

the entecavir is oral treatment can be taken easy ..

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