My hepatic insufficiency was there since birth, it was not caused by POIS. It is probably the other way around - my sluggish liver was contributing to the severity of my POIS.
As I said, I will receive in about a month or two, my genome results. That will help determine to what extent my detox enzymes are affected by unfavorable genetics ( most detox enzymes are found in the liver ). I never had extensive blood work for liver status, just usual liver enzymes, and they were normal - having a slow liver is not the same as an acute episode of intoxication, it does not show in high AST or ALT. Maybe my bilirubin could have, at the time, been a little higher than normal, and more extensive tests could have clearly shown that my liver was below average for efficiency.
Just curious if you got anything out of your full genome analysis with that regard..
Nothing major about the liver, yet. Some small SNPs, but nothing very conclusive for now. So much data, and still much VUS ( Variations of Uncertain Significance) , because this genome science is still young. But I continue digging, slowly but surely.
P.S.: I did some research tonight, about my liver detox, and searched for the acetylation pathway, one of the conjugation pathways of the phase II liver detox. In the NAT2 gene, I have rs1801280 homozygous ( two "bad" versions", which is one of the main SNP to identify a "slow acetylator" (
https://pubmed.ncbi.nlm.nih.gov/21750470/ ). So, I am a slow acetylator, at least to some degree. That explains why I do not tolerate caffeine, it is eliminated by acetylation.
About methylation, no major issue there for me, I have only a heterozygote SNP on MTHFR for A1298C (rs1801131). I lose about 17% of the activity of the MTHFR enzyme, which is not that much, considering I am eating organic green veggies and fruits every day.
I will have to look at other liver pathways in the following weeks and months ( glucuronidation, sulfation, ...)