hello to all , and i hope my post finds u all in better health and spirit , could any of u pleaseeee advice or tell me if nicotine gum ( nicorette ) can elevate liver enzimes , my alt is 340 and ast 110 . i have been chewing the gum for over 6 months ( about 7-8 / 2mg gums ) a day , i do have hcv but have never had such high enzyimes for such a long period , i got infected 3 years ago .... i dont drink and am trying to quit smoking with the help of the gum .
i have also started shedding a LOT of hair , which is one of the side effects of the nicotine gum ...
I have tried to research if the nicotine gum can effect the liver in a bad manner ... but my search has not been succesfull and i just cant seem to pinpoint if it is the gum that could be doing this ....
i highly appreciate ure help
thanking u in advance
warm regards
pacman .
Pharmacokinetics
As nicotine enters the body, it is distributed quickly through the bloodstream and can cross the blood-brain barrier. On average it takes about seven seconds for the substance to reach the brain when inhaled.[citation needed] The half life of nicotine in the body is around two hours.[11]
The amount of nicotine absorbed by the body from smoking depends on many factors, including the type of tobacco, whether the smoke is inhaled, and whether a filter is used. For chewing tobacco, dipping tobacco, snus and snuff, which are held in the mouth between the lip and gum, or taken in the nose, the amount released into the body tends to be much greater than smoked tobacco. Nicotine is metabolized in the liver by cytochrome P450 enzymes (mostly CYP2A6, and also by CYP2B6). A major metabolite is cotinine.
Other primary metabolites include nicotine N'-oxide, nornicotine, nicotine isomethonium ion, 2-hydroxynicotine and nicotine glucuronide.[12]
Glucuronidation and oxidative metabolism of nicotine to cotinine are both inhibited by menthol, an additive to mentholated cigarettes, thus increasing the half-life of nicotine in vivo.[13]