In brief: How does the liver work? (2024)

The liver is one of the largest organs in the body. It has many important metabolic functions. It converts the nutrients in our diets into substances that the body can use, stores these substances, and supplies cells with them when needed. It also takes up toxic substances and converts them into harmless substances or makes sure they are released from the body.

The human adult liver weighs about 1.4 kg (3.1 pounds) and is found in the right upper abdomen, below the diaphragm. It takes up most of the space under the ribs and some space in the left upper abdomen, too. Viewed from the outside, a larger right lobe and smaller left lobe can be distinguished. The two lobes are separated by a band of connective tissue that anchors the liver to the abdominal cavity. The gallbladder, where bile is stored, is found in a small hollow on the underside of the liver.

In brief: How does the liver work? (1)

Location of the liver

What is the structure of the liver?

Liver tissue is made up of lots of smaller units of liver cells called lobules. Many canals carrying blood and bile run between the liver cells. Blood coming from the digestive organs flows through the portal vein to the liver, carrying nutrients, medication and also toxic substances. Once they reach the liver, these substances are processed, stored, altered, detoxified, and passed back into the blood or released in the bowel to be eliminated. In this way the liver can, for example, remove alcohol from your blood and get rid of by-products from the breakdown of medications.

What jobs does the liver do?

The liver plays a central role in all metabolic processes in the body. In fat metabolism the liver cells break down fats and produce energy. They also produce about 800 to 1,000 ml of bile per day. This yellow, brownish or olive green liquid is collected in small ducts and then passed on to the main bile duct, which carries the bile to a part of the small intestine called the duodenum. Bile is important for the breakdown and absorption of fats.

In the metabolism of carbohydrates, the liver helps to ensure that the level of sugar in your blood (blood glucose) stays constant. If your blood sugar levels increase, for example after a meal, the liver removes sugar from blood supplied by the portal vein and stores it in the form of glycogen. If someone’s blood sugar levels are too low, the liver breaks down glycogen and releases sugar into the blood. As well as sugar, the liver also stores vitamins and minerals (iron and copper), and releases them into the blood when needed.

The liver also plays an important role in the metabolism of proteins: liver cells change amino acids in foods so that they can be used to produce energy, or make carbohydrates or fats. A toxic substance called ammonia is a by-product of this process. The liver cells convert ammonia to a much less toxic substance called urea, which is released into the blood. Urea is then transported to the kidneys and passes out of the body in urine.

With the help of vitamin K, the liver produces proteins, some of which are important in blood clotting. It is also one of the organs that break down old or damaged blood cells.

The liver can remove alcohol from the blood and get rid of drug byproducts, for example.

Sources

  • Brandes R, Lang F, Schmidt R. Physiologie des Menschen: mit Pathophysiologie. Berlin: Springer; 2019.

  • Menche N. Biologie Anatomie Physiologie. München: Urban und Fischer; 2020.

  • IQWiG health information is written with the aim of helping people understand the advantages and disadvantages of the main treatment options and health care services.

    Because IQWiG is a German institute, some of the information provided here is specific to the German health care system. The suitability of any of the described options in an individual case can be determined by talking to a doctor. informedhealth.org can provide support for talks with doctors and other medical professionals, but cannot replace them. We do not offer individual consultations.

    Our information is based on the results of good-quality studies. It is written by a team of health care professionals, scientists and editors, and reviewed by external experts. You can find a detailed description of how our health information is produced and updated in our methods.

In brief: How does the liver work? (2024)

FAQs

In brief: How does the liver work? ›

All the blood leaving the stomach and intestines passes through the liver. The liver processes this blood and breaks down, balances, and creates the nutrients and also metabolizes drugs into forms that are easier to use for the rest of the body or that are nontoxic.

How does the liver work step by step? ›

Blood coming from the digestive organs flows through the portal vein to the liver, carrying nutrients, medication and also toxic substances. Once they reach the liver, these substances are processed, stored, altered, detoxified, and passed back into the blood or released in the bowel to be eliminated.

What does the liver do in simple terms? ›

The liver filters all of the blood in the body and breaks down poisonous substances, such as alcohol and drugs. The liver also produces bile, a fluid that helps digest fats and carry away waste.

What does the liver do in the digestion process? ›

Your liver makes a digestive juice called bile that helps digest fats and some vitamins. Bile ducts carry bile from your liver to your gallbladder for storage, or to the small intestine for use.

How does the liver get rid of toxins? ›

The liver filters (cleans) the blood, removing toxins and waste that eventually leave the body through urine and feces. The lobes also contain thousands of lobules (small lobes). These lobules connect with many bile ducts, tubes that transport bile from the liver to the small intestine.

What is one of the most important functions of the liver? ›

The liver regulates most chemical levels in the blood and excretes a product called bile. This helps carry away waste products from the liver. All the blood leaving the stomach and intestines passes through the liver.

Can liver damage be repaired? ›

The liver has a unique capacity among organs to regenerate itself after damage. A liver can regrow to a normal size even after up to 90% of it has been removed. But the liver isn't invincible.

What is liver in very short answer? ›

A large organ located in the upper abdomen. The liver cleanses the blood and aids in digestion by secreting bile.

How does the liver affect the gut? ›

While the metabolites produced in the gut influence immunity, metabolism and bile acid production, the bile acids produced in liver in turn regulate the gut microbial composition as well as gut epithelial barrier integrity.

When you eat, where does the food go first? ›

Digestion starts in the mouth where chewing and saliva breaks down food so it is more easily processed by your body. Esophagus: The esophagus is a muscular tube that connects the pharynx (throat) to the stomach. The esophagus contracts as it moves food into the stomach.

What side of your body is your liver on? ›

The liver is the largest internal organ in the body. It's about the size of a football. It sits mainly in the upper right portion of the stomach area, above the stomach. The liver is an organ that sits just under the rib cage on the right side of the abdomen.

What is the fastest way to repair your liver? ›

The best way to reverse the damage is to remove whatever is causing it. For example, if you have fatty liver caused by drinking alcohol, it's important to stop drinking. If it's caused by your diet or being overweight, then it's important to eat healthily and lose weight.

How long does it take for liver to start working? ›

It's important to note that complete healing of the liver can take up to 5 years after stopping drinking alcohol. However, improvements in liver function can often be seen within a few weeks to months of abstinence.

What are the five functions of the liver? ›

The liver is a critical organ in the human body responsible for an array of functions that help support metabolism, immunity, digestion, detoxification, and vitamin storage, among other functions. It comprises around 2% of an adult's body weight.

What does liver pain feel like? ›

The most common signal of liver trouble is a throbbing or stabbing pain in the upper-right belly sometimes it can be a dull ache that becomes noticeable when applying pressure or moving.

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