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...Hepatol int suppl s doi supplementissue alpd protein restriction in hepatic encephalopathy is appropriate for selected patients a point of view douglas l nguyen timothy morgan received october accepted november published online december asian pacic association the study liver abstract since late nineteenth century introduction has been shown to improve encepha lopathy however malnutrition described up clinically range neu cirrhotic and associated with increased ropsychiatric disturbances among mortality furthermore emerging clinical evidence disease it characterized by personality changes revealed that large proportion may intellectual impairment altered level con tolerate normal intake approximately sciousness manifestations this syndrome one third from mild abnormalities only detectable psycho need short course addition metric testing confusion coma development maximum medical therapy ameliorate sign decompensation their marker poor prognosis herald chronic who are sensitive transpla...