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Very low calorie ketogenic weight reduction diet in patients with cirrhosis: a case series

Hepatology
Author
JC Temmerman
Used Parameters : FFM, BFM

Publication Year : 2013

Country : USA

Journal : Nutrition & Diabetes

Weight reduction may be necessary in patients with end-stage liver disease (ESLD) before liver transplantation. Although very low calorie diets (VLCDs) are a highly effective weight loss strategy, they risk inducing protein-calorie malnutrition, sarcopenia and hepatic encephalopathy in ESLD patients. We report for the first time on the use of VCLDs in ESLD. Two severely obese individuals with ESLD underwent a modified VLCD to become eligible for liver transplantation. Patients consumed four protein supplements and one lean meal …
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