Patient discussions
Patients with cirrhosis should be advised of the following in order to minimise any further insult to the liver:
Avoidance of alcohol and other hepatotoxins such as non-steroidal anti-inflammatory drugs and high doses of paracetamol (>2-3 g/day).
Careful nutritional intake with adequate lean protein and a carbohydrate-based snack before bed. Decompensated patients should be advised to adhere to a no-added-salt diet.[203] Late evening snacks may help improve malnutrition and maintain glucose homeostasis.[204]
Patients with compensated cirrhosis and obesity should be advised to lose weight.
Attendance for immunisation against influenza and pneumococcus.
Regular exercise. Exercise appears to be safe for patients with cirrhosis and can increase endurance.[205][206][207][208]
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