From the Guidelines
In adults with hyperbilirubinemia, it is crucial to avoid ultra-processed foods rich in sugars and saturated fat, as well as sugar-sweetened beverages, to improve liver function and reduce bilirubin levels. This recommendation is based on the most recent and highest quality study available, which suggests that improving diet quality, similar to the Mediterranean dietary pattern, can improve histologically or non-invasively assessed liver injury 1.
Some key foods to avoid include:
- Ultra-processed foods containing high amounts of sugar and saturated fat
- Sugar-sweetened beverages
- Foods high in fructose, such as high-fructose corn syrup, agave nectar, and certain fruits like apples, pears, and watermelon
- Processed meats and foods containing artificial additives, preservatives, and trans fats
Instead, focus on a diet rich in:
- Fiber (vegetables, whole grains)
- Lean proteins
- Foods with antioxidant properties like berries, nuts, and green tea
- Staying well-hydrated with water to support liver function and bilirubin excretion.
Additionally, limiting alcohol consumption is essential as it directly stresses the liver and impairs its ability to process bilirubin 1. By avoiding these harmful foods and adopting a healthier diet, individuals with hyperbilirubinemia can reduce their liver burden, support detoxification processes, and potentially lower their elevated bilirubin levels while the underlying cause is being treated.
From the Research
Foods to Avoid in Hyperbilirubinemia
There is no direct evidence from the provided studies that specifies particular foods to avoid in hyperbilirubinemia in adults.
General Guidance on Hyperbilirubinemia
- Hyperbilirubinemia can be caused by various factors, including increased bilirubin production, impaired bilirubin conjugation, hepatocellular damage, and cholestatic disorders 2, 3, 4, 5.
- Evaluation of hyperbilirubinemia involves a comprehensive medical history, physical examination, laboratory tests, and imaging studies to determine the underlying cause 2, 4, 5.
- The management of hyperbilirubinemia depends on the underlying cause and may involve treatment of the underlying disease, as well as measures to reduce bilirubin levels 3, 4.
Dietary Considerations
While there is no specific evidence on foods to avoid in hyperbilirubinemia, it is generally recommended to maintain a healthy diet and lifestyle to support liver health 6.
- A healthy diet may help alleviate symptoms and support the management of underlying conditions that contribute to hyperbilirubinemia.
- However, without specific evidence, it is not possible to provide a list of foods to avoid in hyperbilirubinemia.