The liver is intimately involved in nutrient metabolism and storage. Therefore, malnutrition is likely to occur in the presence of liver failure. The degree of malnutrition depends on the type and degree of liver disease, presence of malabsorption, metabolic rate and psychosocial factors. Nutrition prescriptions should be individualized for patients with liver dysfunction. Common dietary restrictions for individuals with ESLD include sodium and fluid restrictions. Protein should not be restricted. Nutrition supplementation may improve nutritional status and outcomes. If TF is considered, nasoenteral tubes are usually the safest, lowest-risk access. Research currently does not support the use of herbal/alternative medicine supplements such as milk thistle or SAMe.
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A time for giving and receiving, getting closer with the ones we love and marking the end of another year and all the eating also. We eat because the food is yummy and plentiful but we don't usually count calories at this time of year. This book will help you do just this.