Unlocking the Power of Lemon Water for Fatty Liver

author avatar Dr. Eric Berg 08/31/2023

A fatty liver causes metabolic imbalances and inflammation and can develop into chronic liver disease, cirrhosis, or liver cancer.


Taking apple cider vinegar (ACV) and lemon water may help reduce liver fat, protect liver cells from oxidative damage, and improve liver function. 


Discover how a daily glass of fresh lemon juice mixed with ACV and water can support your liver health.

ACV and lemon drink

What is fatty liver disease?


Fatty liver disease is characterized by excessive fat accumulation in the liver, which impairs normal liver function and can cause serious metabolic and hormonal imbalances, weight gain, and inflammation.


If left untreated, fatty liver can result in liver cirrhosis and hepatic steatosis, a serious liver disease linked to liver failure.


Alcoholic fatty liver disease is caused by chronic alcohol abuse leading to liver cell damage, inflammation, and excessive liver fat accumulation. Alcoholic-induced fatty liver disease greatly increases the risk of liver cancer and cirrhosis.  

 

Nonalcoholic fatty liver disease (NAFLD) is linked to dietary and lifestyle factors, and having a metabolic disorder, including obesity, insulin resistance, and type 2 diabetes, greatly increases the risk of developing fatty liver disease.  


Although it may sound counterintuitive, a fatty liver isn’t caused by dietary fats. Research published in HepatoBiliary Surgery and Nutrition suggests that a high-carb diet causes metabolic imbalances that stimulate the accumulation of liver fat.    


Experts agree that “Ingested carbohydrates are a major stimulus for hepatic de novo lipogenesis and are more likely to directly contribute to NAFLD than dietary fat.”


Regular carb and sugar intake can cause your cells to become less sensitive to insulin, leading to insulin resistance, a main risk factor for developing fatty liver disease.  


Consuming carbs and sugars combined with insulin resistance causes chronically elevated blood sugar, which has toxic effects on the body. To mitigate these harmful effects, the liver converts blood sugar into fatty acids, which are stored in liver cells, resulting in fatty liver. 


Fatty liver disease can have serious health consequences, and it’s important that you consult with your healthcare provider if you suspect that you may have developed liver fat. 


Watch the video below to learn about ACV and lemon water’s beneficial effects on liver health.


Can apple cider vinegar and lemon juice promote liver health?


Both ACV and lemons have powerful hepatoprotective effects that support liver cell function, eliminate liver fat, and potentially reduce the development of fatty liver. 


ACV and lemon juice are rich sources of nutrients that support liver health and lower the risk of fat depositions in liver cells. 


Acetic Acid 

ACV is a rich source of acetic acid, an organic acid that supports healthy blood sugar regulation and lowers the risk of metabolic syndrome and insulin resistance, two primary risk factors linked to the development of fatty liver disease. 


This study published in Clinical Nutrition suggests that acetic acid slows gastric emptying, which buffers the rise of blood sugar levels after a meal and increases your cell’s sensitivity to insulin, which supports effective blood sugar control and prevents fat depositions in the liver.   

  

Polyphenols 

Lemons are rich in polyphenols with potent antioxidant properties that protect the liver from the harmful effects of free radicals—highly volatile by-products generated during carbohydrate metabolism and the detoxification of harmful toxins. 


“The liver is the body's main metabolic and detoxification organ and is exposed to high amounts of free radicals,” says Dr. Berg. “Free radicals are unstable metabolic by-products that can damage liver cells, cause inflammation, and worsen fatty liver disease.”  


Eriocitrin, a polyphenol found in abundance in lemon juice, is a potent antioxidant that neutralizes free radicals, protects liver cells, and supports liver function. 


Vitamin C 

Fresh lemon juice is loaded with vitamin C, a powerful antioxidant that protects the liver from free radical damage. 


Vitamin C also increases the production of glutathione, a powerful cellular antioxidant that protects liver cells from free radicals and supports detoxification by binding to toxins, which renders them less harmful.  


Research published in BioMed Research International suggests that lemon juice may reverse fatty liver. Although this has been only studied in animals, lemon juice significantly improved alcohol-induced liver injury, lowered liver fat accumulations, and reduced elevated liver enzymes, a marker of liver damage.

Fatty liver vs. healthy liver

How to use ACV and lemon juice for fatty liver disease


Drinking apple cider vinegar and lemon water is the perfect choice to improve your liver health, promote blood sugar balance and support healthy digestion.  


Making ACV and lemon water is easy. Mix two ounces of fresh lemon juice with two tablespoons of organic ACV and top with 12 to 16 ounces of filtered water. 


It’s important to note that while many citrus fruits are rich in polyphenols and vitamin C, it’s not recommended to substitute lemon juice with apple or orange juice. Fruit juices are typically high in sugar and carbs and can cause elevated blood sugar levels linked to the development of fatty liver.   


While most people prefer to drink ACV and lemon water before or after a meal to support liver health and maximize the digestive benefits of acetic acid, taking apple cider vinegar before bed has been found to promote healthy blood sugar levels the following morning.   

Fresh lemon juiceKey takeaways


ACV and lemon juice support liver function and promote metabolic health linked to a reduced risk of developing fatty liver disease. 


Drinking ACV and lemon water daily as part of a healthy diet boosts acetic acid, vitamin C, and hepatoprotective polyphenols that protect your liver cells from the adverse effects of detoxification and carbohydrate metabolism and support your overall health and liver function. 



FAQ


1. Is ACV and lemon water good for fatty liver?

Yes, ACV and lemon water is an excellent choice for reducing liver fat and lowering the risk of developing fatty liver disease. Drinking ACV and lemon water daily supports liver function, protects liver cells from the harmful effects of detoxification, and may prevent fat accumulation in the liver. 


2. Can lemon juice repair the liver?

Although more research is needed to confirm the role of lemon juice in liver health, there is some evidence that lemon juice may reverse liver fat and improve liver damage caused by alcohol abuse. 


Lemon juice is rich in vitamin C, a potent antioxidant that protects the liver from damage and inflammation. Lemon juice also contains polyphenols and flavonoids that support metabolic health and lower the risk of insulin resistance, a significant risk factor for fatty liver disease. 


3. Can apple cider vinegar support liver health?

Yes, ACV is a rich source of acetic acid which has been found to slow gastric emptying and buffers blood sugar release linked to balanced insulin levels. Elevated blood sugar and insulin resistance trigger the conversion of blood sugar to fatty acids, which are stored in the liver and cause the development of fatty liver. 


4. What does lemon juice do for the liver?

Lemon juice is rich in polyphenols with potent antioxidant properties that protect the liver and increase the sensitivity of your cells to insulin, reducing fat accumulation in the liver. 


Fresh lemon juice also is rich in vitamin C, which supports liver function and may reduce liver fat. 


5. How do I use lemon juice and apple cider vinegar for my liver?

Making ACV and lemon water is easy. Mix two tablespoons of organic ACV with two ounces of fresh lemon juice and top with 12 to 16 ounces of water. Drink daily around mealtimes or before bed to improve liver health and support balanced blood sugar levels.

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