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...Review article do hepatic encephalopathy patients really need a low protein in their diet sudomo u lelosutan ars ruswhandi akbar nurul division of gastroentero hepatology department internal medicine central army hospital gatot soebroto jakarta faculty university indonesia dr cipto mangunkusumo general national abstract he is an extra complication liver cirrhosis the clinical manifestation reflection grade cerebral edema due to astrocyte swelling as consequence hyperammonia mostly induced by precipitating factors correcting these identifiable can alleviate this past were recommended lower intake it was assumed that limiting ammonia production would which lead recovery approach on other hand had worsened nutritional status already present most with there are some ways overcome problems without restricting including balance using branch chain amino acids bcaa and frequent small portion keywords astrocytes introduction from episode additional measures applied enhance e g impaired function...