Medical expertise and expert advice on Radio Bern1

People are more interested in their health and use different sources to inform themselves about healthy lifestyles but also about diseases and their symptoms as well as treatment options. Especially widespread diseases such as obesity (morbid overweight) or reflux diseases (for example chronic acid reflux) are moving further into the focus of public interest and thus also opening the doors to media such as radio or television.

Swiss1 Surgery, led by Prof. Jörg Zehetner, has long been committed to professional public relations and welcomes all measures and ways to promote social awareness of such diseases. Jörg Zehetner sees the stigmatisation of affected women and men as a problem that prevents many patients from undergoing appropriate medical examinations. Ultimately, this leads to a vicious circle, which is associated with a long path of suffering and rarely leads to an improvement in the lives of those affected, usually not at all. Old but also new widespread diseases are not only a problem for those affected themselves. The economy and society as a whole are also affected when rising case numbers lead to more incapacity to work, occupational disability, disability to work and, ultimately, rising health insurance costs.

With a lot of commitment, Jörg Zehetner has therefore now spoken out on the radio as part of his efforts to be heard more in public. On 17 August 2020, as part of the podcast series “Medical Knowledge”, the topic of oesophagectomy (resection of the oesophagus) was a focal point on which the specialist physician at the Hirslanden Klinik Beau Site positioned himself. When and why an oesophagectomy may be indicated was explained very clearly by Jörg Zehetner in just two minutes.

The very next day, 18 August 2020, Jörg Zehetner could be heard again on Radio Bern1. This time on the topic of obesity, which is becoming more and more important as a disease in Switzerland and all other highly developed industrialised countries in the world. Here, too, Jörg Zehetner took a clear position on those affected and, with his many years of experience as a visceral surgeon, spoke about the classic methods of treating morbid obesity.

Here too, Jörg Zehetner impresses with his ability to present the essential treatment options in just two minutes.

Listen to the two podcast contributions from Radio Bern1 in full length here:

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It should be noted that these short podcasts cannot replace a comprehensive and thorough diagnosis and counselling. If you think you are confronted with one of these two problems, contact one of the Swiss1Chirurgie clinics. A visit to the website www.swiss1chirurgie.ch can also be helpful. Extensive content on the subject areas is offered here. In addition, all contact details for Prof. Jörg Zehetner and the Swiss1Chirurgie clinics can be found there.

A threat to humanity

Morbid obesity is increasing rapidly worldwide

Go directly to the self-test: https://ch.run/20sekunden

Life always comes with particular challenges and some of them we like to think of as a threat to our own existence. Epidemics, pandemics, forces of nature, cancer, accidents, other serious illnesses and, last but not least, violence instil a good deal of fear and anxiety in each of us.

Yet there is a modern widespread disease that is much more dangerous and deadly in the long term than anything already listed here. We are talking about morbid overweight, which is also called obesity in different stages in professional circles. Far more people are affected by morbid obesity, including its accompanying symptoms and secondary diseases, than we generally realise. Trend: Rapidly increasing!

Oversupply of food and lack of exercise

Obesity is particularly rampant in the developed industrialised countries, for example in Europe, but also on the American continent. However, more and more regions in Asia are also affected, and obesity does not even stop at the African continent.

An overabundance of constantly available food, wrongly learned eating habits passed on to one’s own children, lack of exercise and a fast food culture that is often far too rich in fat and sugar are certainly partly responsible for obesity.

Know what is happening

But first and foremost, it is the people themselves who fall into the obesity trap due to lack of knowledge, lack of contextual thinking and out of convenience. And they often do so with their eyes open, but without a keen awareness of the consequences of poor nutrition. Liver disease, joint problems, circulatory problems, disorders in fat metabolism, shortness of breath, stroke and psychological impairments due to subsequent stigmatisation are only a sample of a wide range of concomitant and secondary diseases that can ultimately be traced back to morbid obesity. This is accompanied by a significant impairment of the quality of life and sometimes the only way to get a grip on the situation is to have surgery. And even that alone is not the solution to the actual problem, but only a last resort for people who are particularly severely affected by morbid obesity.

Obesity as a widespread disease threatens existence

From the medical view of the overall situation, it can indeed be concluded that in the longer term, humanity’s existence is threatened by the widespread disease of obesity. This may be an unimaginable scenario now, but it gains in threat potential when we consider the development of obesity on a global scale.

It is up to each individual to decide how to influence his or her diet and physical constitution. Provided there is a firm will to do so and the insight that the blessing of always having enough food in the existing abundance may not be a real blessing at all.

Determine your own score

We have presented a quiz at https://ch.run/20sekunden that everyone can use to determine their very own overweight risk score. Valuable conclusions for necessary action can be derived from the results. From the experience of decades of research and practical medical and surgical work with severely overweight people, we know that only timely action can offer a way out of morbid obesity. And often it is the early realisation that a change in lifestyle and eating habits can be the best step towards a healthier and ultimately happier life.

In view of the threat that morbid obesity actually poses, our recommendation is to use the simple quiz to determine one’s personal score with regard to possible medical conditions related to obesity. For many, this can be the first important step towards a more conscious approach to their own lives. And even if life itself always seems to be threatened by serious illnesses, accidents, worldwide pandemics or unavoidable forces of nature, we should never underestimate the dangers to which we voluntarily expose ourselves every day through too much and the wrong diet with a simultaneous lack of exercise.

With our quiz at https://ch.run/20sekunden you can quickly and easily determine your risk score and at the same time receive important information on what you can do now or should do urgently. Because there is nothing more precious than life.

Overweight patients need long follow-up care

Swiss1Chirurgie offers aftercare following obesity surgery

From their many years of experience, the specialists at Swiss1Chirurgie know that many patients do not receive any or only inadequate medical aftercare following obesity surgery. In this context, consistent and regular follow-up care of patients is enormously important if the success of gastric surgery is not to be gambled away. Furthermore, complications after bariatric surgery can endanger the health or even the life of the patients concerned.

Based on this knowledge, the Swiss1Chirurgie clinics offer continuous follow-up care and treatment for patients, even if they have not been operated on in a Siwss1Chirurgie clinic. In this way, the Swiss1Chirurgie clinics make a valuable and important contribution to the sustainable success of obesity therapy for all patients who have not yet received regular, long-term follow-up care.

Swiss1Chirurgie offers an end-to-end treatment concept

Those who face up to their obesity problem must also be aware that successful long-term treatment is an ongoing process that also requires specialist medical support. Especially when the problem of morbid obesity is associated with surgical interventions, long and professional aftercare is needed.

Time and again we meet patients in the Swiss1Chirurgie clinics who are left to their own devices after bariatric surgery. And yet, especially after stomach reduction or similar surgical procedures, it is urgently necessary to accompany and care for these patients in their further development.

The success of obesity surgery always depends on the follow-up care that follows. Follow-up surgeries and counselling also help to ensure long-term and lasting weight loss success. Here, the specialists at Swiss1Chirurgie offer a professional concept of aftercare and further treatment.

After the operation comes the actual treatment

In cases of morbid obesity, surgical treatment is always only one of many steps to improve the health of the affected person. Even in the run-up to the surgical procedures, we work together with the patients to ensure that the conditions for the stomach operation can be created. Once the operation is over, however, the process continues.

In addition to the regular discussions and examinations in the follow-up care, it is not uncommon for further interventions to be necessary if the success of the first stomach operation is not to be jeopardised. In many cases, follow-up operations are even part of the treatment concept and are designed to ensure overall success in the treatment of obesity.

Accordingly, thorough counselling, care and support for patients after the first operation is not an optional extra, but a must. For the sake of the patients, their health and their efforts to achieve an improved quality of life.

Aftercare is often neglected

As already noted, we repeatedly come across patients from other clinics where follow-up care after obesity surgery is clearly neglected or, in the worst case, not carried out at all. This not only poses risks to the success of the obesity surgery, but can even be life-threatening.

Complications that are recognised too late or not at all, unabated inappropriate dietary behaviour and a number of other reasons lead to the success of the stomach operation being gambled away and, in an emergency, the patient’s life being put at risk. We therefore urge all patients who have undergone obesity surgery to contact one of the Swiss1Chirurgie clinics with their problems in the event that follow-up care is lacking or inadequate. Online you will find a simple questionnaire that will give you first clues and possibilities for a professional and continuous aftercare. Use this questionnaire to get into initial contact with us.

Swiss1Chirurgie takes over the aftercare

Knowing that many patients do not receive consistent and long-term follow-up care after a surgical procedure related to an obesity problem, we offer such regular and professional follow-up care for all obesity patients.

This offer also expressly applies to patients who have undergone an operation for obesity surgery at another clinic. In this way, we want to ensure that all patients receive exactly the follow-up care and treatment that is appropriate to their particular situation. After all, the long-term success of obesity surgery is always based on professional, regular and lasting aftercare.

As an affected patient, contact us to schedule an initial consultation. Ideally, you should fill in our online questionnaire. We will then contact you as soon as possible to discuss the further steps of targeted obesity therapy, even after an obesity operation has already been performed.

Find out more at nachsorge.ch

Successfully treat oesophageal cancer

If we analyse the cases of oesophageal cancer in Switzerland, we find that around 600 people suffer from this serious disease every year. The main risk for the development of oesophageal cancer are reflux diseases, which clearly favour the development of cancer in the oesophagus due to the pathological acid regurgitation. About three quarters of those affected are men. One of the promising therapies for oesophageal cancer is oesophagectomy, which will be explained in more detail in this article.

More information and interesting insights directly from Prof. Dr. med. Jörg Zehetner can be experienced in a Zoom Online lecture. Date: 10 March 2021, 6:30 pm to 7:30 pm.

Let’s start by explaining the technical terms that are important for this topic

The medical term reflux refers to the backflow of gastric acid from the stomach into the oesophagus. In layman’s terms, this is described as acid reflux. The cause of the backflow of stomach acid into the oesophagus is a weakening of the muscle at the end of the oesophagus (cardia). In addition to the actual acid regurgitation, patients describe such things as frequent heartburn, burning in the chest area or also stomach burning.

The oesophagus is called the oesophagus in medical vocabulary. Functionally, the oesophagus is a kind of muscular tube that transports food into the stomach through contractions. In the stomach, stomach acid, among other things, is responsible for breaking down the food as part of the digestion process. To protect the oesophagus from the constant acid attack, there is a muscle at the bottom of the oesophagus that closes it when it is functioning normally. If the function of this muscle is impaired, the reflux described above occurs.

In medicine, resection is the surgical removal of an organ or part of an organ. With reference to our topic, oesophagectomy is accordingly the surgical removal of the largest part of the oesophagus.

The risk factors for the development of oesophageal cancer

Over the years, the main risk factors for developing oesophageal cancer have changed somewhat. Whereas in the past it was smoking and excessive alcohol consumption, today it is persistent (pathological) acid regurgitation and obesity that significantly increase the risk of oesophageal cancer. If you follow the relevant advice books, acid blockers and diets are often recommended to get the problem of reflux under control. However, this only addresses the individually noticeable phenomena, but not the cause. Therefore, the risk of developing oesophageal cancer remains in the medium and long term unless the causes of acid regurgitation are consistently addressed. What remains is the no longer correctly functioning “valve” at the end of the oesophagus, i.e. the muscle that prevents the stomach acid from rising into the oesophagus. If no improvement can be achieved here, then the constant acid attack on the oesophagus ultimately threatens oesophageal cancer. Surgery on the reflux muscle at the right time can significantly reduce the risk.

From complaints to diagnosis

One of the most common complaints that bring patients to the doctor is difficulty swallowing. After anamnesis and a more detailed description of the symptoms, a gastroscopy is often performed. If malignant tissue is discovered or suspected in the oesophagus or at the transition to the stomach, it can be removed under a short anaesthetic using a type of mini forceps. A laboratory examination will confirm whether or not this is malignant tissue. In the former case, it must then be assumed that there is oesophageal cancer, which must be treated surgically as a matter of urgency. Once the diagnosis of oesophageal cancer has been made, the decision for a suitable therapy must be made.

Recommendation: Combined therapy

Before therapeutic steps are taken, the severity of the disease and the spatial spread of the oesophageal cancer must first be examined more closely and determined in detail. Computer tomography (CT) of the chest and abdomen is the method of choice for this. In this way, it is also possible to assess whether there are deposits in the lungs and liver. An ultrasound scan of the oesophagus can also assess deposits in the lymph glands.

A common feature of the work of the medical specialists at Swiss1Chirurgie and at the Beau-Site Clinic is an interdisciplinary tumour board, where specialists from all the disciplines involved carry out a precise assessment of the symptoms, risks and treatment options. In addition to recommending therapeutic measures, this also includes timely clarification of follow-up treatment.

In most of the cases, a combined therapy is considered by the tumour board. This combination consists of an upstream chemotherapy, which is to be understood as a preparation for the actual surgical intervention within the scope of the oesophageal resection. If necessary, radiotherapy can also be part of the treatment. The surgical intervention takes place a few weeks after the start of chemotherapy or radiotherapy.

The esophagectomy procedure

Thanks to modern surgical techniques, the removal of the oesophagus (oesophagectomy) can be performed as a minimally invasive procedure (also called keyhole surgery). The operation itself takes about three to four hours and is performed under anaesthesia. Through small incisions in the abdominal wall, the connections of the oesophagus to the stomach and at the diaphragm are loosened. The lymph glands in the abdomen are then removed, followed by removal of the oesophagus itself either through the abdomen or through the chest. The adjacent tissue, which may also be affected by tumour cells, is also removed.

In a further step, the stomach is formed into a tube. This stomach tube is finally connected to the upper remaining end of the oesophagus in the neck area. Afterwards, the success of the surgical procedure is checked using a method specially developed by Dr. Jörg Zehetner. For this purpose, a fluorescent substance is injected into the patient’s bloodstream. Within five to ten seconds, a laser camera can be used to determine whether the result of the operation is satisfactory.

Rapid mobilisation and recovery of patients

A clear advantage of modern surgical techniques in the context of oesophageal resection is the short time patients spend in hospital. With independent breathing, the operated patients wake up from the anaesthesia and remain in the intensive care unit for one to two days, depending on their condition, to monitor their bodily functions. In the normal ward, a swallowing X-ray is taken as early as five days after the operation to check whether the connection between the stomach tube and the beginning of the oesophagus has healed well. If this can be confirmed, the diet can be slowly built up.

Depending on the individual development, the clinic stay itself lasts about one week to ten days. This is followed by a two-week rehabilitation measure, which helps the patient to heal quickly. After just three months, the patient experiences his or her original quality of life, now without oesophageal cancer and the unpleasant accompanying symptoms. In principle, everything can now be eaten again, perhaps in smaller portions, but spread over several meals a day.

More information and interesting insights directly from Prof. Dr. med. Jörg Zehetner can be experienced in a Zoom Online lecture. Date: 10 March 2021, 6:30 pm to 7:30 pm.

What is LINX, what can LINX do?

Swiss1Chirurgie informs – The LINX System

Constant acid regurgitation is not only annoying, but can also cause serious secondary diseases. What is summarised in technical language as reflux is an extremely unpleasant restriction of the quality of life for those affected.

The LINX system has been available for years for reflux therapy and has led to extremely positive results. You can find out what LINX is, what LINX can do and how it works in the detailed article, in the video or on the Swiss1Chirurgie website.

Learn more about the reflux therapy procedure

There are probably around 20 percent of the population who regularly or chronically complain of reflux of stomach acid into the oesophagus. However, acid regurgitation is not only extremely unpleasant, but can also cause serious health problems, including oesophageal cancer.

With LINX, a system is available that can effectively prevent the backflow of gastric juice into the oesophagus. This system is used as part of a minimally invasive surgical operation. After placement of the LINX system, the symptoms subside and patients can return to a normal life in most cases.

What is LINX?

In principle, the LINX system is a magnetic ring chain. At first glance, the system can be compared to an elastic pearl necklace, whereby here the pearls are on magnets that are titanium-coated and thus completely harmless to the organism. Due to the attractive forces acting on the magnetic beads, they are repeatedly attracted to each other in the absence of counterpressure, which leads to a narrowing of the chain. When mechanical tension is applied to the system, the chain expands and widens the passage.

What can LINX do?

The LINX system is placed around the lower end of the oesophagus in a minor surgical procedure. The attraction of the titanium-coated magnetic beads creates a reliable closure of the oesophageal outlet without compressing the oesophagus. Only when, for example, a certain internal pressure is exerted on the oesophagus by the intake of food, does the magnetic ring open so that the food pulp or even liquids can enter the stomach unhindered. In this way, the normal function of the oesophagus is efficiently supported and the reflux of gastric juice into the oesophagus can be prevented. The bottom line is that LINX is strong enough to close the oesophageal junction into the stomach, but weak enough to allow air to escape from the stomach or vomiting to occur.

Practical experience

The LINX system has been known and proven for years. In the Swiss1Chirurgie clinics, this system is preferably used for reflux therapy whenever possible. The experience is extremely good, which includes that there are hardly any complications with the system during and after the surgical procedure. Since 2015, Prof. Dr. Jörg Zehetner has already treated over 250 patients with the LINX system. For most people with reflux symptoms, this system is the first choice, provided there is otherwise normal oesophageal function.

In order to assess this condition, a preliminary assessment of oesophageal function and reflux symptoms is essential. This preliminary examination includes a gastroscopy and a functional test of the oesophagus. Ideally, these examinations are supplemented by manometry, which means measuring the pressure in the oesophagus.

Would you like more information? Do you yourself have complaints due to acid reflux? Then watch the video with Prof. Dr. Jörg Zehetner, visit the Swiss1Chirurgie website or make an appointment at one of the Swiss1Chirurgie clinics in Bern, Brig or Solothurn.

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Belching, obesity and diabetes – recognising connections

Only those who recognise the connection between reflux, obesity and diabetes can find the right therapeutic approach. This is what emerges from the expert lecture by Dr. Med. Jörg Zehetner, Professor (USC), about which you can read the full article here.

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Martin Andermatt with his experiences on liver fasting

When Martin Andermatt talks about his experiences with liver fasting, the football legend and FC Schaffhausen coach is mainly talking about experiences with himself. The core of his presentations is that something only changes if you change yourself. This is just as true in active sports as it is in maintaining the health of one’s own body. The well-known Swiss also shares this experience at the 4th Helvetius Holding AG symposium at the Talent Campus Bodensee in Kreuzlingen. Read the report here and find out where you can watch the live stream.

A field report on liver fasting with HEPAFAST® by Martin Andermatt

Dr. med. Jörg Zehetner, Professor (USC), and Dr. med. Hardy Walle spoke on the topic of liver health and fatty liver at the 4th specialist conference of Helvetius Holding AG at the Talent Campus Bodensee Kreuzlingen. The highlight of the evening was undoubtedly the lecture by Dr. Hardy Walle, MD, who not only used the latest scientific approaches to shed light on non-alcoholic fatty liver from a somewhat different perspective, but was also able to present an effective concept for liver fasting in the form of HEPAFAST®.

In the following, football legend Martin Andermatt reported on his own experiences of liver fasting with HEPAFAST®. As a successful professional footballer and now coach of FC Schaffhausen, Martin Andermatt knows very well how important stable health is and what effects a healthy liver has on the entire organism.

As a football coach, Martin Andermatt likes to talk about his own practical experiences. With his own experience, Martin Andermatt was the first Swiss coach of a German Bundesliga team and also knows the German league business from the perspective of a supervisory board member at the Hannover 96 club.

In line with his own sporting career, also as an active player, Martin Andermatt has always been interested in how a good, balanced and healthy diet can be designed. As he got older, the question of how to continue in life after active football also came into focus. The main interest was in the physical and psychological effects of no longer exercising so intensively and practically losing a previously accustomed amount of exercise.

As a coach, Martin Andermatt also sees his responsibility in conveying information to adolescent and also adult players that is also correct and underpinned. Conjecture, hearsay and supposed knowledge are not really strong arguments. That is why Martin Andermatt knows very well that only one’s own experience is a good basis for passing on knowledge. He also sees this fundamental approach as important when he gives his very own experience report on liver fasting with HEPAFAST® at the 4th Helvetius Holding AG symposium.

Even though Martin Andermatt, as a non-medical doctor, does not know the formulas for liver health, he was able to follow every step in the lectures by Dr. med. Jörg Zehetner, Professor(USC), and Dr. med. Hardy Walle, founder of BODYMED and co-developer of liver fasting with HEPAFAST®. Especially from his own experience.

Personal experience is what really counts

Martin Andermatt also knows from his experience with liver fasting that this is not simply a matter of doing things quickly for a short time. It is always important to look at the development. Martin Andermatt sees this in his sporting commitment as well as in his personal attitude to health. However, even here beautiful and melodious words are always worth less than one’s own experience. And this is exactly how Martin Andermatt reports on his own experience with liver fasting with HEPAFAST®.

His first observation is about the dream world. For example, he reports that he dreamed much more intensely than usual during the periods of liver fasting. In addition, he felt extremely vital and efficient in every phase of the liver fast.

With now already 60 years of life experience, Martin Andermatt still feels very well today and knows that he has already tried a lot of things regarding health maintenance. Be it juice cures or various diet programmes. Martin Andermatt knows what he is talking about when he passes on information to his athletes.

Especially with regard to older people, nutrition is very important. Too little exercise, a lack of good proteins and the loss of muscle mass all impact on health. Overall, the quality of life can suffer a lot, which is an important issue for Martin Andermatt. After all, quality of life is an important issue for all people. Especially when they get older. Then you also need a good measure of discipline if you want to stay physically and mentally fit over a long period of time.

Just thinking that maybe you should lose some weight is not enough to really achieve that. Only then, when one becomes active in the process, will success be achieved. So it’s about real action, which is always crucial for change.

A first step for Martin Andermatt in his encounter with liver fasting was to pick up the HEPAFAST® preparation himself in Bern and not simply have it sent to him. In the Swiss1Chirurgie clinic, he had his measurements taken, so to speak. What really counts are actual and current values. Martin Andermatt already knows this from his sporting career.

Motivation counts

As in many other areas, the right motivation is the best starting point for good results in liver fasting. If one’s own motivation can then be supported in a discussion with a medical specialist, this is a good prerequisite for active action.

What counts then is the real doing. Not tomorrow or perhaps the day after tomorrow, but ideally right away, one should start with what one has recognised as good and right for oneself.

From Martin Andermatt’s point of view, it is sometimes the small vanities that can be an impetus for liver fasting. Who doesn’t want to please their partner even at an older age? Who doesn’t want to be active and fit even as they get older? You also want to be a role model for the children and if you are a coach, it all has something to do with a positive aura on the people you are training. Only if you like yourself can you radiate that positively, says Martin Andermatt.

In addition, of course, there are the thoughts about one’s own health. Even if you have paid absolute attention to a healthy diet and lifestyle for many years, sometimes this changes as you gain experience in life. However, personal health always remains the most important asset. You have to decide what is good and what is right. Those who decide for themselves do not have to let others decide for them. And health should always be a very important factor in these decisions as well.

What advice should you give to active athletes at the end of their career?

In general, active athletes eat a diet very rich in carbohydrates, as they need this energy for their physical exertion. Often, at the end of their career, it can be observed that many athletes quickly gain weight and even tend to become obese. Then it is important to get back to normal life as well. A deeply human factor also plays an important role here. As an athlete, you are suddenly no longer in demand. This can quickly lead to letting oneself go. In every respect. It is then all the more important to recognise one’s own human value. You have to see what you still want to achieve in life and what you can accomplish and with what charisma you want to meet your fellow human beings. The short-lived lucky charms like good food, Coke or a bag of crisps are then not really what you need. The short happiness is a fallacy that in the end only makes people dissatisfied and unhappy.

The recommendation for active athletes at the end of their career

In any case, those who are at the end of their career have to train off slowly. It is not the end from one day to the next that counts, but the gradual change to a normal status. Just as you then gradually say goodbye to high athletic performance, you naturally also have to change your diet. The mental load also changes, which must also be considered.

Martin Andermatt is convinced that what counts now are good conversations, even beyond one’s own horizon of experience. Good medical supervision can be useful. This is not about fear of any diagnosis, but about developing visions for one’s own future. At the same time, it is also important for Martin Andermatt to simply live in a more relaxed and happy way.

As a coach, he follows a very clear philosophy, which he likes to sum up in three words: Laugh, learn, sweat. When he passes this on to his players, Martin Andermatt himself also likes to think about whether he has already laughed, learned and maybe even sweated today. The most beautiful thing is when you can give the players something beyond pure sport that is still of value for life after active sport.

Your own experiences with liver fasting

From his own experience, Martin Andermatt can only associate liver fasting with pleasant perceptions. This includes above all the real feeling of well-being and the new energy he felt for himself.

Especially in times when one wants to recognise oneself anew, liver fasting is an additionally exciting experience. Martin Andermatt has already completed a liver fasting cure with HEPAFAST® three times and is sure that he will do it again and again. If only because of all the positive energy it has given him. He is also happy to recommend liver fasting to others. He stands behind it with all his personality and experience.

Of course, it can be difficult for individuals to face their issues. People often prefer to make fun of themselves instead of tackling important changes. Certainly also because change can be uncomfortable. But those who listen to themselves know that only change brings change. And that is exactly what applies to liver fasting.

The question is not why you fell into the water, but how you get out of it. It’s about making decisions and then following through with them consistently. And if you need support to do that, you have to get that support.