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...Nutrition in cirrhosis angela d salvana md nutritional status liver disease predictor of morbidity and mortality worsens as child pugh advances prevalence malnutrition among cirrhotics greater incidence complications such ascites hepatorenal syndrome hepatic encephalopathy infections compromised respiratory function associated with longer hospital stays etiology anorexia poor oral intake hypercatabolic state malabsorption altered macronutrient metabolism nausea bloating fatigue vomiting dysgeusia zinc deficiency mechanical compression from increased tnf alpha leptin dietary restrictions sodium preoperative fasting protein restriction irregular feeding alcoholics...