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Page 30 | Abby's Magazine - www.AbbysMag.com Dry mouth, bitter/metallic taste, fatigue, bloating, abdominal pain ese symptoms are typically seen in people with liver disease. Because the liver is responsible for turning food into energy, any impairment will of course cause fatigue. e bitter or metallic taste is due to bile buildup which can occur with liver problems. Bloating and dry mouth are due to associated digestive problems with liver disease. If there is pain in the upper right quadrant area (which can also radiate towards the back), this typically is related to a gallbladder problem, which means the liver may be affected as well. Liver enzymes (AST/ALT ratio is over 0.8) Even if both numbers are within normal range but the AST/ALT ratio is over 0.8, there definitely is a high risk of is is an indication that estrogen attacks peripheral blood vessels, causing an aneurysm. Metabolism of too much estrogen also causes liver problems (Figure 3). Spider veins on the chest and abdomen Clusters of web-like blood vessels resembling spider veins is indicative of liver disease ( Figure 3). Red palm Red palms (also called Palmar erythema) develop mainly due to portal hypertension as a result of liver disease. Acanthosis nigricans If you see dark and wrinkly pigmentation in the armpits or neck (called acanthosis nigricans), this may signify fatty liver ( Figure 4). is is oen seen in children around age 12 or in adults between 40 and 60 years old. e ALT level is usually 3 times higher than normal in this case. e individual may also be overweight and may already have insulin resistance or diabetes risk. If you see this marker along with other markers above, Liver Chi and Slender All are recommended.