Could taking the wrong daily supplement be life-threatening in a doctor’s exclusive a Texas woman says she suffered dire consequences that could have cost her life I have show the most weird acne for years whenever I hurt one with my friend suggested something that I’m excited to be able to try it out my life seemed pretty normal for the next two months and then around Thanksgiving I had abdominal pain I felt super fatigued and then the following week my eyes turned yellow that’s when I knew something serious was going on primary care physician decided to refer me to a specialist he wanted me to get an ultrasound off my liver and then get admitted to the ER once I was there the specialist wanted to airlift me to Dallas for the possibility of a liver transplant they were watching my blood and my liver enzymes very closely they would tell me that I’m a very very sick girl on the inside after a few nights I was diagnosed with acute liver failure after being placed on the liver transplant list I received a potential donor match within eight hours on Christmas Eve in Iowa, and that came out on Christmas Day with the new liver and a new life. Emily, I am just so very sorry for everything that you’ve been through, and yet I’m looking at you smiling How are you doing today? I’m doing so good I’m just happy to be alive and I’m so thankful to be on the show So how did the doctors determine what they believed to be the cause of your acute liver failure? I went to my primary care physician, and he took roughly 28 vials of blood. We were testing for jaundice because of my autoimmune hepatitis, and the doctor ruled all of that out and said it was drug-induced. Did they ever figure out what they thought the ingredient was that led to your liver failure? Currently, the doctors are unaware of what ingredient is in this couple but we do have an outside party that is testing the bottle, so I had to try and figure out what exact ingredient in the supplement it was If there is a mixed blessing here, it is that you had such cute, fulminant liver failure that you were able to move towards the top of the transplant list Join us now to discuss what acute liver failure exactly is and how it can affect you via Skype. As a board-certified gastroenterologist and hematologist, can you explain to our viewers that acute liver failure is a life-threatening condition? This is something where people have a normal liver; they’re completely healthy and what ends up happening is they have some sort of injury to deliver something that affects the liver that causes massive liver cell death and can be often fatal if not treated How often do you see cases like this, maybe not always from supplements, but people just being unaware because some folks are just incredibly susceptible to liver injury? Yeah, they are, and in fact, there are up to 40% or even more. I think that’s an underestimated number of Americans who take these supplements and live by them. Sometimes they’ll take them more than they take their prescription medications, and oftentimes I’ll get people who come in for consults for elevated enzymes. They’re healthy; they’re not on any other medications and we can assume that it might be from this, so we basically have them stop it and recheck it now I think an important message is not all supplements are bad You know, I’m not all about prescription medication I’m into a very natural way of treating patients but some people have a genetic susceptibility some people have problems with their enzymes in their liver that can cause problems away they metabolize these supplements too so I want to make sure that people talk to their doctors about what supplements are on because supplements can interact with each other supplements can interact with other medications so it’s so important they have that open discussion that’s so important that you know getting the history we asked what always asked what medications you’re on and and patients have the tendency not to list supplements they don’t think of them as drugs where in fact they are and what I do primarily elective surgery There are so many supplements that have an adverse effect on blood clotting that people fail to tell the doctor before elective surgery, and it’s potentially a life-threatening thing, so you have to take supplements seriously.