Liver disease is prevalent, affecting 5.5 million Americans; it is the 12th leading cause of death in the US [1]. A majority (60-70%) of adults in industrialized countries drink alcohol which is one of the leading causes of liver disease [2]. Because the liver is intimately involved with hundreds of metabolic processes, there is a strong association between liver disease and nutrition abnormalities. The purpose of this chapter is to review the relationships between nutritional status and liver disease, effects of malnutrition and nutrition support on outcomes, and finally, to describe recommended nutrition therapies for individuals with liver disease.

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