hello Andre, you were asking about a special diet or not when doing HRT with liver problems. I can relate to that one easily enough as I have Hep C (chronic) and it took me almost two years to find docs who would perscribe estrogen to me because my liver was already functioning at twice the normal rate.
The problem is that estrogen has to be motabilized by the liver and most docs feel that estrogen puts to much stress on the liver for it to be safe. In my case, all I did was cut almost all fats out of my diet, as fat has tremendous impact on liver function. The liver must transform the fat into a water soluable solution before sending it to the blood stream. In fact, eating chocolot with any regularity, or any fatty foods has more impact on the liver then estrogen would. I simply leave fatty foods along and eat a lot of broccoli and other foods which break fats down before they get to the liver, aside from a couple of spike periods where there was reason for worry, I've managed to get along ok, though my readings are almost twice that of a normal liver. So yes, if you have such things as liver damage, diet can be an important part of HRT when on estrogen. Not sure what Testosteron does in reference to liver, but it could be researched easily enough. It depends on you doctor too though and how they feel about it, like I said, took me a while to find a TS psychiatrist MD who had the experience to work with such problems.
Terri
