True Health Report

The Occulted Connection: Fatty Liver, Allergies, and Asthma

Andrew Kaufman MD. Episode 15

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0:00 | 21:22

What if your food allergies and asthma aren’t immune issues — but signs of liver dysfunction?

Dr. Andrew Kaufman uncovers the overlooked connection between fatty liver disease and allergic conditions like hay fever, asthma, eczema, and food sensitivities. Drawing from transplant research, personal experience, and nutritional science, this episode reveals how liver congestion may be the missing piece behind chronic allergy symptoms.

Learn how to naturally support your liver, eliminate hidden toxins, and reclaim your health — without relying on lifelong medications or symptom management.

Download Dr. Kaufman’s Ultimate Detox Protocol – A free guide to help you support your liver, clear toxins, and heal naturally from the root: https://www.andrewkaufmanmd.com/ultimate-detox-protocol

Read the full transcript + blog: https://www.andrewkaufmanmd.com/blog/the-occulted-connection-fatty-liver-allergies-and-asthma


What if your food allergies, hay fever, and asthma are actually caused by liver congestion? And what if simple dietary changes and natural healing procedures could eliminate those allergies for good? Do you want to stop sneezing forever?

I'm Dr. Andy Kaufman, and this is the True Health Report. Today, I’m going to talk about an unlikely connection between fatty liver and atopy—which includes allergies, asthma, and atopic dermatitis. I’ll focus mainly on allergies and asthma.

I first learned about the liver-allergy connection from Dr. Jennifer Daniels, from whom I’ve gained a lot of insight. This was especially relevant for me, because since childhood, I had allergic reactions to several fruits. I didn’t go into anaphylactic shock, but I’d get an itchy mouth, throat swelling, difficulty breathing, and hoarseness. An allergist diagnosed me with oral allergy syndrome. There was no real cure—just carry an EpiPen and maybe take two to three years of allergy shots that might not even work.

So for most of my life, I avoided apples, pears, peaches, nectarines, plums, and especially cherries. Once in my 20s, I ate a bag of cherries from the farmer’s market. They were so good, I devoured them—but then all the symptoms hit me, and I panicked. I thought I might need a tracheotomy or end up on a ventilator. I didn’t know about natural healing back then, so I took a big dose of Benadryl, hoped for the best, and thankfully, I pulled through.

Years later, after discovering natural healing and learning from Dr. Daniels, I tried the Gerson protocol—juicing and coffee enemas. It’s typically used for a condition I can’t name here. But after just two weeks, I decided to test my allergies and took a bite of an apple. No symptoms. For the first time in my memory, I could eat that fruit. I tried others I had long avoided, and had no reaction to any of them. That moment blew my mind and led me deeper into this topic. I’m going to share some of what I found.

Unfortunately, the medical research world hasn’t seriously investigated this link between liver dysfunction and allergies. They haven’t asked whether fatty liver might be causing allergies—or whether there’s a common root cause. Still, there is compelling research worth examining.

First, let’s talk about fatty liver. It’s considered a lower-grade liver issue—not as serious as hepatitis, cirrhosis, or liver failure. Mainstream medicine says it often has no obvious symptoms. It’s usually detected through imaging studies that show fat accumulation in the liver—what they call fatty liver. This fat buildup disrupts liver function.

It was once thought to affect only heavy drinkers, but now we know it occurs in non-drinkers too. That’s called non-alcoholic fatty liver disease (NAFLD), although the terminology varies and can be confusing. For simplicity, I’ll just call it fatty liver.

Besides alcohol, what else causes it? According to a government site, causes include malnutrition (a lack of nutrients essential for liver function) and toxins—though they separate pharmaceutical drugs from toxins. In my view, both categories include chemicals that harm the liver.

They list HIV drugs, corticosteroids, estrogens, chemotherapy, and many others—like anticonvulsants, psychiatric meds, antibiotics, and commonly prescribed drugs. The article doesn’t specify environmental toxins, but that’s a crucial piece we’ll return to.

Here’s where it gets fascinating: there’s a phenomenon where people who receive liver transplants often develop allergies and asthma afterward. This has mostly been reported in children, but there are adult cases too. One report described a 20-year-old donor who died from a presumed asthma attack and had a history of food allergies—peanuts, chocolate, eggs, wheat, shellfish. The recipient, who had no previous allergies, developed food allergies after receiving the donor’s liver. It’s as if the allergies came with the liver.

There are multiple reports and review articles documenting this. Liver transplant recipients are far more likely to develop allergies than those receiving other organs. And in the rare cases where it occurs with other organs—like the pancreas—those organs are closely connected to the liver, which may explain the overlap.

In one review, the rate of transplant-acquired food allergies after a liver transplant ranged from 5.7% to 37%. That means over a third of pediatric recipients developed food allergies. Another study looked at atopic disease more broadly, including eczema and allergic rhinitis. They found that 40–56% of liver transplant recipients had food allergies or skin conditions, and 66% had asthma, rhinitis, or both—usually within 12 to 27 months of the transplant.

Importantly, people taking immunosuppressive drugs for other types of transplants don’t develop these allergies. That means it’s something unique about the liver itself—not the meds. In fact, these drugs should theoretically suppress immune responses like allergies, but the opposite happens with liver transplants.

Now, let’s move away from transplants. I found a study from the NHANES database, which tracked people over 17 years. It looked at fatty liver scores—higher scores indicating more severe disease—and compared them to asthma risk. The trend was clear: as fatty liver severity increased, so did asthma risk. This was especially pronounced in women. Men had elevated risk even at lower severity levels. The worse the liver dysfunction, the higher the asthma odds.

So what does this all mean? While the research isn’t conclusive, it strongly suggests a relationship between fatty liver and allergic conditions like asthma, food allergies, rhinitis, and eczema. In my own case, improving liver health eliminated my fruit allergies. Dr. Daniels has observed similar results in others.

If you suffer from allergies, asthma, or eczema, it’s worth supporting your liver. Start by cleaning up your diet. Eliminate processed foods, especially sugars and carbs, preservatives, emulsifiers, and artificial sweeteners. Eat whole foods that nourish your liver—foods rich in B vitamins, vitamin A, sulfur-containing amino acids like cysteine and methionine, branched-chain amino acids, glycine, and trace minerals like zinc, copper, and manganese.

You also want to reduce your exposure to liver toxins—heavy metals, solvents, degreasers, industrial cleaners, off-gassing from building materials and furniture, microplastics from tea bags or plastic packaging (especially when heated), and of course, pharmaceuticals.

Two helpful supplements are milk thistle seed and NAC (N-acetylcysteine). They support liver detoxification and healing. I personally prefer milk thistle since it’s a natural product. NAC is usually lab-made but has strong evidence behind it too.

There are also more powerful, comprehensive natural protocols for healing fatty liver, but I can’t discuss those here. If I do, this video could get censored. If you want to learn about those deeper remedies, click the link below or in the pinned comment to download my free Ultimate Detox Protocol. You'll also gain access to other essential natural healing content I share regularly on my own platforms.

So today, we explored a fascinating and underreported link between liver dysfunction and allergies. We reviewed the transplant evidence, the asthma connection, the causes of fatty liver, and natural steps you can take to heal your liver and say goodbye to allergies for good.

Even if you’re doing your best to live clean, you’re still being exposed—off-gassing furniture, plastics in food, synthetic fibers, personal care products, and medical imaging procedures. Many toxins are fat-soluble and lodge deep in your tissues. Average detox methods won’t touch them.

That’s why I created the Ultimate Detox Protocol: a free 30-day roadmap to a serious, nature-based cleanse. It uses pine, targeted nutrition, and a focused daily plan to help you choose the right diet, support your elimination pathways, and flush out the toxic burden that’s been holding you back.

Many people report massive improvements—more energy, better focus, improved digestion, and relief from chronic symptoms they thought were permanent. I wish I could share everything here, but if I did, this video wouldn’t last long online.

Download the protocol at the link in the show notes. Your health is your responsibility, and this is a great place to start.

Thanks for listening. I’ll see you in the next True Health Report.