Laura J. Mitchell, PhD ad creative
Laura J. Mitchell, PhD
Laura J. Mitchell, PhD

Active· since Jun 20, 2026

84
days running
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My older sister quit drinking on July 8th, 2024. Poured every bottle down the sink. Went on the Mediterranean diet. Walked three miles a day. Started juicing kale, of all things. She did everything the doctor told her. She died of liver failure on October 19th at 4:17 AM. She was 61 years old. Quit drinking on July 8th. Ate nothing that wasn't approved. Lost 19 pounds. Walked three miles a day, rain or shine. The hospital bill was $63,000. The funeral was $11,200. The birthday card she sent me last March — the last one — is still on my fridge. I can't take it down. If I take it down, she's really gone. I need to tell you what happened to Caroline. Because I'm seeing the same posts on Facebook that I was making just months before she died — "my sister's doctor told her her liver enzymes are too high, any tips?" — and it makes me physically ill. If you're a woman over 45 who drinks wine, or someone you love is, please read this entire thing. I know it's long. I know you're scrolling. I know you have things to do. Fifteen months ago I would have given anything — everything — for someone to tell me what I'm about to tell you. Caroline went in for a routine physical on June 28th, 2024. She felt fine. Better than fine. She'd just turned 61. She still taught third-grade Sunday school. She still walked the dog every morning. She thought she had decades left and honestly so did I. Two days later her doctor called. ALT of 168. AST of 154. "Your liver enzymes are very elevated, Caroline. We need to talk about your drinking." Caroline called me the second she hung up with the doctor. The way she always called me about everything — kids, marriages, mammograms, our mother's funeral, the lump that turned out to be nothing in 2019. Five years older than me and she still called me first. "Maggie, I think I'm in trouble." She told me about the call. The numbers. What the doctor said. "How much do you drink?" "A glass or two of wine with dinner. Sometimes three on a Friday. Maybe a little more on holidays." "That's enough to do this. You need to stop. Completely. No exceptions. We'll retest in three months." She was quiet for a long time. That night she stood up, walked to the wine fridge, and took everything out. I know because she FaceTimed me while she did it. I watched her pour out a $90 bottle of Caymus. A $40 bottle of Kendall-Jackson. The pinot grigio she liked on Sunday afternoons. The rosé her daughter brought back from her trip to Provence. The whole fridge — gone in under an hour. "That's it," she said. "I'm done." And she was. For 103 days, she didn't touch a drop. No wine. No champagne. Not at her daughter's anniversary party in August. Not at my granddaughter's baptism in September. Not at her own birthday dinner in October where her best friend Diane ordered a chardonnay right in front of her and Caroline drank sparkling water with a lemon. She stopped going to her Thursday night book club because she couldn't sit there sober while everyone else enjoyed themselves. She lost her friend Linda, who told her "you're no fun anymore" and stopped inviting her. She lost the Friday wine nights on the patio. She lost a piece of herself she'd been carrying for thirty years. And she did it anyway. Because the doctor said to. She lost 19 pounds in those three months. She bought a juicer — Caroline, with the juicer, I still can't picture it. She started walking three miles every morning before work. She took the milk thistle her doctor "wasn't against." She took a multivitamin. She ate a salad every day, the woman who used to call iceberg lettuce "the saddest vegetable." She did everything right. The follow-up labs came back on October 7th. ALT: 159. AST: 148. She'd quit drinking entirely for 90 days and the numbers had barely moved. The doctor said "give it more time. The liver heals slowly. We'll retest in 6 months. Keep doing what you're doing." Caroline called me that night. Her voice sounded different. "Maggie, I gave up everything. Everything. And it didn't work." I told her to give it time. I told her the doctor said six months. I told her to trust the process. I told her she was the strong one and she could do this and we'd get through it together. She nodded. She kept walking. She kept juicing. She kept taking the milk thistle. Five days later — five days — she woke up at 2 AM with a pain in her right side that doubled her over. Her husband drove her to the ER and called me from the parking lot at 4 AM. I got in my car in my pajamas. By the time I got there at 5:30, the whites of her eyes were yellow. Not "a little off." Yellow. Like a highlighter. Like someone had switched the lights out behind them. The ER doctor — a young woman, couldn't have been 35 — looked at Caroline's bloodwork and her face did this thing. "Your bilirubin is 7.8. Your ALT is now 791. Your liver is in acute decompensation. We're admitting you to the ICU." "But I quit drinking three months ago," Caroline said. The doctor just looked at her. "I know. I'm sorry." Caroline spent 11 days in the ICU. I learned things about the liver I never wanted to know. I learned that when a liver shuts down, the toxins your body produces every single day — ammonia, mostly — start building up in your blood and crossing into your brain. They call it hepatic encephalopathy. It means your sister stops being your sister. She looks at you like she's trying to remember who you are. She says things that don't connect. On day 6, Caroline asked me three times in twenty minutes if our mother was back home from work. Our mother died in 2012. I learned that they inject something called NAC intravenously when a liver is shutting down. The nurse told me it's the same compound they use for acetaminophen overdoses. She said it forces the liver to start rebuilding the master antioxidant it uses to protect itself — something called glutathione. She said it's the only thing they've got, and at this stage they were hoping it could buy her time. It bought her 11 days. Day 8, her kidneys started failing. The doctors talked about a transplant. Then they talked about her not being a candidate because of how fast she was declining. Then they stopped talking about transplants altogether. Day 10, her belly swelled up like she was nine months pregnant. They drained 4 liters of fluid out of her abdomen. Four liters. The nurse called it ascites. I called our youngest sister Patty. Day 11 — October 19th — I was in the family room down the hall. They'd asked me to step out while they intubated her. At 4:09 AM I heard the long beep. At 4:17 AM, a doctor I'd never seen walked into the family room. I knew. "I'm so sorry. We did everything we could." I drove home at 6 AM. When I walked into my own kitchen, the birthday card she'd sent me in March was still on the fridge, exactly where it had been since spring. Caroline's handwriting on the front. Maggie — 56 looks good on you. Love always, your big sister. I stood in front of the fridge and I read it nine times. Where it is today. I sat at my kitchen table. I didn't move for six hours. The house was so quiet I could hear the refrigerator hum. 56 years she'd been my sister. And now the only sound in my house was the refrigerator. The funeral was January 19th. Caroline's daughter flew in from Indianapolis with the grandkids. Our youngest sister Patty drove up from Cincinnati. The grandkids wore dresses that were too big for them. Caroline's six-year-old granddaughter asked me: "Aunt Maggie, when is Grammy coming home?" I told her Grandma was in heaven now. She said: "Can we call her there?" I had to walk out of the room. After the funeral, I tried to go back to normal. I couldn't. Because every time I opened my phone I saw women my age — women I went to high school with, women in my book club, women I'd watched Caroline share a bottle of pinot with on her deck for twenty summers — posting things like "doc said my liver enzymes are a little high, anyone tried milk thistle?" or "annual physical, slightly fatty liver, no big deal, just cutting back on the wine." And I knew — I KNEW — some of them were doing exactly what Caroline did. Quitting. Eating clean. Walking. Juicing. Taking the milk thistle. And dying anyway. I couldn't just sit there and watch it happen. Not when my own labs from my last physical had come back with the same word the doctor used on Caroline. Borderline. ALT of 64. "Nothing to worry about yet, Margaret, but let's keep an eye on it." I couldn't just sit there and watch it happen to me, either. So I started researching. Not because I wanted to. Because I had to. Because if Caroline gave up everything for nothing — if I can't save even one woman from what happened to her — then I can't live with that. And because I am next. I read for weeks. Medical journals I barely understood. Hepatology forums. Studies out of Japan and Germany. And one thing kept coming up, over and over, that no doctor ever told us: The reason Caroline's numbers didn't come down is that quitting drinking only stops the damage. It doesn't repair what's already gone. Specifically: glutathione. Glutathione is the master antioxidant your liver uses to filter everything that passes through your body — every medication, every toxin, every glass of wine, every greasy meal, every breath of polluted air. Every cell in your liver depends on it. And here's what no one told us. After age 40, your body produces about 10% less glutathione every single year. Modern life — processed food, medications, environmental toxins — burns through what's left even faster. By 55 most women have lost nearly half their production capacity without knowing it. And here's the part that made me sit up straight: When your glutathione is low, the wine that's supposed to be neutralized harmlessly, now starts damaging your liver. Caroline's liver wasn't damaged because she drank too much. It was damaged because she didn't have enough glutathione left to handle the wine she was having. Read that again. Her liver wasn't damaged by the pinot. It was damaged by the empty tank the pinot was being processed through. And here's why quitting alone didn't save her: stopping the drinking stops the depletion. It doesn't refill the tank. Her tank was already empty by the time the doctor told her to quit. The damage was already cascading. Eating clean, exercising, juicing kale — those things slow how fast you deplete what's left. They don't refill what's already gone. That's why her numbers wouldn't move. She gave up everything she loved to stop the bleeding from a wound that was already inside her. I sat with that for three days. And then I started looking at what I'd been doing. I'd thrown out Caroline's milk thistle the week after the funeral. But I bought a new bottle for myself. Because I'm 56. Because my labs were "borderline." Because I drink the same wine my sister drank. Because I was scared. I took it for three weeks. My doctor — a different one from Caroline's, who I called because I trusted — laughed when I told her. "Margaret, milk thistle protects the liver cells you still have working. But you can't protect cells that are running on empty. It sits on the surface. It doesn't refill anything." Then she said something I'll never forget. "If Caroline had been on something that actually rebuilt her glutathione supply, the picture might have been very different." I stopped breathing for a second. "Why didn't her doctor prescribe that?" She was quiet for a long time. "Because we don't prescribe supplements. And the version that works isn't a prescription." I went to CVS the next day. I stood in that aisle for forty minutes. Milk thistle. Liver detox tea. Dandelion root capsules. "Liver cleanse" 30-day program. Multivitamins with "liver support." Generic NAC capsules — $14.99, 600mg, the cheap stuff. I bought the cheap NAC. Took it for two weeks. No changes to my numbers. I started Googling and what I found made me throw the bottle in the trash. A compromised liver can't absorb a capsule properly. The capsule passes through the organ that's already failing before the active ingredients reach the bloodstream. Most of what you're paying for never makes it where it needs to go. You're peeing out $14.99. Liquid bypasses this entirely. Liquid hits the bloodstream directly. I had been doing the right thing in the wrong form. I was furious. And then I met Eleanor It was the week of Caroline's first anniversary that I met her. I'd driven out to the cemetery on a Tuesday morning. I go most weeks, but the anniversary is different, and I'd stayed at Caroline's stone longer than I meant to. Then the sky opened. One of those October downpours that comes out of nowhere and soaks you through in thirty seconds. There's a little groundskeeper's shelter near the east gate. I ran for it. So did a woman about my age, and we ended up standing under that tin roof together, waiting for the rain to pass, the rain so loud on the metal we had to lean in to hear each other. Her name was Eleanor. Sixty-three, a retired nurse, soft-spoken. She was there for her husband, a few rows over from Caroline. We did what two women do under a roof in the rain. We asked who we were visiting. I told her about Caroline. The wine. The numbers that wouldn't move. The 103 days. The morning at 4:17. She went very still. Then she said, "My younger sister was told the exact same thing. Quit drinking at 56, the doctor said, or else. She quit, and her numbers barely moved either. I thought I was going to lose her too. Right up until she stopped trusting the quitting to do something it was never going to do on its own." I asked her what she meant. She told me her sister had been told to stop drinking at 56. She did. Her numbers barely moved for six months. And then she found a liquid formula that combined NAC with actual glutathione, plus two bitter herbs to open the drainage pathway. Her ALT went from 174 to 39 in ten weeks. Without stopping drinking. Without doing anything else different. The rain stopped. We stood there anyway. I asked Eleanor to write down the name of what was in it on the back of my parking receipt, and she did, and I drove home with it on the seat beside me where Caroline used to sit when I drove us anywhere. I started looking into the formula Eleanor had named. And what I learned is that there are five things a serious liver support has to do at the same time, or it's a waste of your money: It has to rebuild the production of glutathione from the inside out. That's NAC — the same compound the ICU was putting into Caroline's IV at the end. Not a vitamin. The actual building block. It has to replenish glutathione that's already been depleted, directly, while the rebuild is happening. That's L-Glutathione itself. NAC restarts the factory. L-Glutathione restocks the shelves at the same time. It has to package and move the fat that's already backed up inside your liver cells. That's choline. Choline is the fuel for the export pump. Without it, the fat just sits there hardening into scar tissue, no matter how much weight you lose. It has to open the drainage pathway so what the liver processes actually leaves the body instead of recirculating. That's a bitter herb blend — artichoke extract and dandelion root, working in sequence. One opens bile production. The other clears the final pathway out. And it has to be in liquid form. Because a compromised liver cannot absorb a capsule properly. Five things. All five. At the same time. In liquid form. I went through every product I'd looked at in CVS. Not one of them did all five. Most did one. The expensive ones did two. None of them were liquid. That's when I found Purelia. It was the only formula I could find that hit all five. NAC. L-Glutathione. Choline. Artichoke. Dandelion. Liquid dropper, two droppers in the morning. 60-day money-back guarantee tied to your actual labs — if your numbers don't improve, you get every penny back, no questions asked. I almost didn't order it. After the CVS aisle. After the milk thistle. After Caroline. After everything. But I had a daughter who'd been drinking a glass of wine with dinner since her kids were born. I had a sister, my last sister, who drinks the same way Caroline did. And I had myself, with my "borderline" labs and my dead sister's birthday card on my fridge. I ordered it. For all three of us. I started on it myself the day the box arrived. Two droppers in the morning, every morning, no missed days. I went back to my doctor four weeks ago for the follow-up she'd scheduled. ALT: 31. Down from 64. In ten weeks. I hadn't quit drinking. I hadn't started exercising more than I already did. I hadn't changed my diet. The only thing I'd changed was the liquid I took in the morning. My doctor stared at the screen for a long time. She said: "Margaret, whatever you're doing, keep doing it." I drove home and I sat in my car in the driveway and I cried for forty minutes. Because Caroline never got those numbers. Because Caroline did everything and got nothing. And I did nothing and got everything. My youngest sister Patty. Bottle and a half a week, every week, for twenty years. "Borderline fatty liver" at her last physical. ALT of 89. Doctor told her to "cut back" — same script Caroline got, just with smaller numbers. I sent her a bottle. I didn't ask. I just sent it. Wrote a note that said "If you don't take this every day I will never speak to you again, Patty, I mean it. I am not burying another sister." She took it. She kept having her glass of wine with dinner — she wouldn't quit, she's stubborn the way Caroline was stubborn — but she took it every morning. She went back to her doctor three weeks ago for a follow-up. ALT: 36. Down from 89. In ten weeks. She hadn't stopped drinking. She hadn't changed her diet. She hadn't started exercising. The only thing she changed was the liquid she took in the morning. She called me crying. My baby sister. 53 years old. Crying on the phone like she did when she was nine. She said: "Maggie, I think Caroline died because nobody told her about this." I had to hang up. Then there's my daughter Sarah. 34, two kids, drinks a glass of wine every night after she puts the kids to bed because that's what mothers in their thirties do now. Started taking it six weeks ago — she didn't argue when I asked, she'd been at the hospital, she'd seen her aunt's eyes go yellow. She says her afternoon energy is back. She says the brain fog she'd been blaming on the kids is gone. She says she finally slept through the night for the first time since the funeral. Eleanor and I still meet at the cemetery most Tuesdays. We visit, and then we sit in her car with two coffees and the heater running and we talk. Last month she told me her sister's latest panel came back completely normal. We didn't say much after that. We didn't have to. Two women under a tin roof, and one of them still has her sister. I told my niece — Caroline's daughter. I told Caroline's college roommate. I told the women in Caroline's old book club when I went to drop off the rest of her cookbooks. I told the church ladies who brought casseroles for three months after the funeral. I'm not a doctor. I'm not a scientist. I'm not selling anything and I don't get a penny from any of this. I'm a 56-year-old woman sitting at my kitchen table at 2 in the morning because I can't sleep and I can't stop thinking about my baby sister and my daughter and whether the same thing is sitting inside them that was sitting inside Caroline. Here's what I know because I lived it: Quitting drinking stops the damage. It doesn't refill what's been depleted. It doesn't repair the damage. Milk thistle protects cells. It doesn't rebuild the tank those cells are running on. A liver running on empty cannot absorb a capsule properly. Liquid bypasses this. Caroline gave up everything she loved for 103 days and it didn't save her because nobody told her what was actually broken. I wish someone had told us before June 28th, 2024. Before the routine physical. Before the wine fridge emptied into the sink. Before the 103 days of sparkling water with lemon. Before October 19th at 4:17 AM. I can't go back. Caroline can't come back. Her birthday card is still on my fridge and it's going to stay there. But you can still go forward. Your sister can. Your daughter can. Your mother can. You can. The page that explains all of this — the glutathione mechanism, why the numbers don't move when you quit, what your doctor doesn't know about liquid absorption, and what Purelia actually contains — it's the page Eleanor wrote down for me on the back of a parking receipt. Not protecting. Restoring. That's the line that finally made it click for me. I want you to read it. Not for me. For whoever you'd leave behind. Or whoever would have to bury you. 👇 https://try.officialpurelia.com/liver-support-pdp1 Caroline used to say: "The only thing you can't fix is the thing you don't know is broken." Now you know. — Margaret Brennan, age 56 Louisville, KY P.S. The birthday card is still on my fridge. I still can't take it down. Every morning I walk past it and for one second I forget. For one second I think my phone is about to ring and it's going to be Caroline asking if I watched Jeopardy last night. It's not. $63,000 in hospital bills. $11,200 for the funeral. 103 days of her giving up everything she loved for nothing. And a liquid that costs less than a bottle of the wine she used to drink — a liquid her own doctor told me could have changed everything if we'd known. Please. Don't end up here. Don't let someone you love end up here. 👇 https://try.officialpurelia.com/liver-support-pdp1 P.P.S. I don't work for Purelia. I don't get a penny from this. I'm writing this at 2:14 AM because I can't sleep and my big sister is gone and my baby sister is stubborn and my daughter is pouring a glass after the kids go to bed and I'm scared every time the phone rings. Share this with any woman you love who drinks wine. Even a glass with dinner. Even "just on weekends." Even if they already quit. Please.

She gave up everything she loved... Her liver failed anyway

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