Cirrhosis

Patients with cirrhosis should be advised of the following in order to minimize any further insult to the liver:

Avoidance of alcohol and other hepatotoxins such as nonsteroidal anti-inflammatory drugs and high doses of acetaminophen (>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.[220] Late evening snacks may help improve malnutrition and maintain glucose homeostasis.[221]
Patients with compensated cirrhosis and obesity should be advised to lose weight.
Attendance for immunization against influenza and pneumococcus.
Regular exercise. Exercise appears to be safe for patients with cirrhosis and can increase endurance.[222][223][224][225]

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