Is Apple Cider Vinegar Good for a Fatty Liver?

Fatty liver condition is described as the manifestation of triglycerides i.e. more than 5% of the hepatocytes. This is often referred to as steatosis or fatty change, an increase of build-up of lipids in the liver. In many cases, fatty change is associated with lipotoxic characters such as necro-inflammation and fibrosis. Fatty liver is commonly caused by metabolic syndrome, certain diseases, alcohol, drugs and toxins, and sometimes malnutrition. Fatty liver due to metabolic syndrome often referred to as “non-alcoholic fatty liver disease (NAFLD).” But, most frequently it may occur in the setting of viral injuries such as Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV). Both NAFLD and virus-induced have been linked with an increased risk of cardiovascular disease and type 2 diabetes.

Apple cider vinegar is an acidic solution scientifically made by fermenting apples, sugar and yeast. It is rich in vitamins, minerals, and many trace elements. Hence, it has been used traditionally as a natural detoxifying agent over centuries. It has the ability to break down lipids, mucous and phlegm plague that deposits within the body. It also oxidizes and dilutes the blood, which is essential in preventing high blood pressure and heart diseases. Cider vinegar has been found to neutralize any toxic substances that enter the body. It neutralizes harmful microbes that may be found in certain foods, promotes digestion, assimilation, and elimination.

It has been scientifically proved that serum triglycerides and low-density lipoproteins (LDL) i.e. often referred as bad cholesterol concentration, is significantly reduced by therapy of apple cider vinegar. It also increases the serum HDL i.e. high-density lipoproteins which are known as the “good” cholesterol. The acetic acid is the active constituent of vinegar, which can inhibit the hepatic lipogenesis and promote the fecal bile acid excretion. Diabetes and obesity often cause homologous fatty changes which are common in the general population. In many studies, it has been revealed that apple cider vinegar has considerably involved in reducing the effect on blood glucose levels in diabetes. Acetic acid and organic acids can enhance the secretion of insulin from the beta cell and reduce the risk of diabetes by decrease the carbohydrate absorption.

Several mechanisms have been associated with apple cider vinegar. The first mechanism is a hunger reduction and it consequently decreases the intake of food. It has no effect like appetite-stimulating neuropeptide. The waist-to-hip ratio also significantly decreased in the apple cider vinegar therapy and daily consumption of apple cider vinegar (i.e. 15 or 30 mL/day) for a period of 12 weeks can considerably reduce the waist circumference. It is rich in polyphenols which have protective effects on brain degenerative processes, anti-inflammatory, anti-carcinogenic, anti-atherogenic, and cardioprotective effects.

Vinegar has long been used as a flavor to food and also as a traditional medicine globally. Apple cider vinegar possesses potent antihyperlipidemic and antioxidant activities along with hepatoprotective effect. The consumption along with restricted calorie diet can decrease appetite, body weight, body mass index, hip circumference, visceral adiposity index, plasma triglyceride, total cholesterol concentration and also increase HDL level in overweight or obese subjects. Among the other fruit vinegar, apple cider vinegar is considered the best form to get rid of accumulated fat around and in the liver. This is mainly due to the presence of active ingredients in acetic acid and polyphenolic compounds.

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