IntroductionThe aim of this study is to communicate the diagnosis followed by a successful treatment and rapid evolution from a silent liver injury due to the use of self-medication with large doses of acetaminophen, without a stop in training or a loss of performance.
Materials and methodsWe measured the VO 2max and analysed a sportomic pro ile of four national elite cyclists and diagnosed a liver injury caused by pharmaceutical abuse in one athlete. We suggested that the injured athlete decrease both training intensity and volume by 30% to 40% while simultaneously increasing resting and sleeping time. We discontinued the use of acetaminophen and started a high intake of dietary methionine and cysteine together with N-acetyl-cysteine daily. Results After 2 weeks of following our regimen and dietary recommendations, the athlete reported pain relief. This change was corroborated by biochemical analysis, which showed that the amounts of creatine kinase and gammaglutamyltransferase in blood were less than 20% and 70% of pre-treatment levels, respectively. As a referral of our treatment, the team won third place in an 800-km cycling competition.
ConclusionThis study has shown that collecting and analysing physiological data during training can give important information about an athlete's clinical condition as well as the degree of performance. In this particular case, we have shown that 2 weeks of reduced training, combined with dietary changes, can promote liver recovery. The importance of this report is that we were able to diagnose and treat a silent liver injury and maintain an athlete's performance during both training and competition.