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Explain in WORDS the metabolic changes of liver metabolism in an alcoholic patient. Your answer should...

Explain in WORDS the metabolic changes of liver metabolism in an alcoholic patient. Your answer should include the metabolism of glucose, lipids and amino acids in the body.

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The liver plays an important role in metabolism of carbohydrates, fats and proteins. Excess alcoholism affects its metabolism in liver.

Alcohol increases the oxidative stress during metabolism and inhibits gluconeogenesis and glycogenolysis in liver. It can results in hypoglycemia especially when there occurs the depletion of glycogen stores or when alcohol is consumed without meals. liver releases stored glucose if blood glucose level falls. While consuming alcohol, the liver always process the alcohol first and can increase the risk of hypoglycemia.

Alcohol promotes fat accumulation in liver. Alcohol consumption leads to progressive alteration of mitochondria and it reduces the oxidation of fatty acids by interfering the citric acid cycle. Alcohol causes the esterification of accumulated fatty acids to triglycerides, cholesterol esters and phospholipids. These accumulated lipids are then released of in part of serum lipo proteins, resulting in moderate hypolipemia. The serum lipid values are an indicator of the progression of liver damage in alcoholic patients.

Liver plays a role in deamination and transamination of aminoacids and converts the non-nitrogenous parts into glucose or lipids. Hepatocytes synthesize most of the plasma proteins. Albumin is synthesized mainly in liver. Alcoholism results in alterations in amino acid metabolism in liver and other organs. Alcohol impairs the digestion of proteins to aminoacids and also affects the processing of aminoacids by the small intestine and liver. Alcohol also alters the levels of catecholamines and neurotransmitters and may contributes to hepatic encephalopathy.

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