Our expertiseDetoxification

Detoxification & liver health

The liver is one of the most active organs in the body. It processes hormones, medications, toxins and metabolic waste. When detoxification pathways are impaired, the effects can be subtle at first and far-reaching over time.
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Why Detoxification & liver
health matters

The body's detoxification system involves the liver, gut, kidneys and lymphatic system. When any of these pathways are overloaded or inefficient, the body accumulates substances that drive inflammation, hormonal disruption, fatigue and cognitive symptoms.

Poor detoxification is frequently overlooked as a contributing factor in chronic health conditions, yet it is often measurable and addressable.

Concerns where
Detoxification & liver health
may play a role

Together with Dr Fiona Forbes and the medical team, we use over 400 biomarkers to understand the underlying factors contributing to symptoms.

FatigueBrain fogChemical sensitivitiesSkin conditionsFatigueBrain fogChemical sensitivitiesSkin conditions
Hormonal imbalancesOestrogen dominanceHeadachesNauseaHormonal imbalancesOestrogen dominanceHeadachesNausea
Poor alcohol toleranceBloatingConstipationJoint painPoor alcohol toleranceBloatingConstipationJoint pain
Inflammatory conditionsHeavy metal exposureMould sensitivityPoor recoveryInflammatory conditionsHeavy metal exposureMould sensitivityPoor recovery

These concerns are not assessed in isolation, but always in the context of the full biological picture.

How detoxification & liver health
connects to other systems

Liver and detoxification health does not function in isolation. It is intimately connected to several other systems.

The gut-liver axis means poor gut health increases the liver's detoxification burden
The liver processes and clears oestrogen and other hormones. Impaired clearance drives hormonal imbalances
Chronic inflammation and oxidative stress deplete the antioxidant systems the liver depends on
Heavy metals and environmental toxins accumulate when detox pathways are compromised
Nutritional deficiencies reduce detoxification capacity across all phases

Our approach

At Forbes.health, we assess detoxification through markers that show how the body's clearance systems are actually performing. That means looking at oxidative stress, toxic metal burden, gut-liver interactions and the nutritional status that supports detox capacity.

We look at the full picture of what the body is carrying and how well it is clearing it.

Our role is not only to identify what is out of range, but to understand how the body is functioning as a whole, and what may be driving symptoms beneath the surface.

Dr Fiona Forbes

Dr Fiona Forbes,

Chief Medical Officer

How we assess

Relevant testing panels

The most relevant tests depend on the individual, their symptoms and their medical history. For detoxification & liver health, the following panels are frequently used:

Organic Acids Test (OAT)

Includes markers of oxidative stress, glutathione status, mould and mycotoxin exposure, and microbial metabolites that place a burden on liver detoxification. One of the most useful panels for assessing the broader detox picture.

Toxic Metals

Assesses 21 heavy metals including arsenic, lead and aluminium. Relevant where heavy metal accumulation is suspected or where chronic symptoms have not been explained by other testing. Heavy metals compete with essential minerals and impair detox enzyme function.

Oxidative Stress Panel

Assesses DNA damage markers and the body's antioxidant capacity. Relevant where detoxification pathways are under significant oxidative burden.

Gastro-intestinal Map (GI-Map)

The gut-liver axis means gut health directly affects detoxification capacity. This panel is frequently relevant alongside detox testing, particularly where digestive symptoms, skin conditions or hormonal imbalances are present.

From insight to direction

Whether navigating persistent symptoms or taking a proactive approach, the goal is always the same: to understand what your body is doing and why.

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Questions and answers

Frequently asked questions

No. Detoxification refers to the biological processes the body uses to process and eliminate toxins, hormones and metabolic waste. These are ongoing physiological processes, not something that is switched on by a juice cleanse. We assess and support the actual biological pathways involved.

Standard liver enzymes like ALT and AST are elevated only when there is active liver cell damage. They do not tell you how well the liver is detoxifying. Many people with impaired detox capacity have entirely normal liver enzymes.

Yes. The liver is responsible for clearing used hormones, particularly oestrogen. If clearance is impaired, hormones recirculate, driving symptoms of oestrogen dominance and other hormonal imbalances.

Hepatologists focus on liver disease. We look at functional detoxification capacity, including how well the liver's clearance pathways are working even when no disease is present. The two address different questions.