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...S nutritional support in the treatment of chronic hepatic encephalopathy suppl module vol maria del pilar milke garcia instituto nacional de ciencias medicas y nutricion salvador zubiran mexico d f abstract prevalence under nutrition cirrhotic patients is and it usually progresses as disease becomes more advanced deterioration status its associated metabolic derange ments has raised doubts about benefits severe prolonged protein restriction a for however practice dietary with liver cirrhosis deeply embedded among medical practitioners dietitians to date no solid conclusions may be drawn benefit negative effects restric tion are clear that increased catabolism release amino acids from muscle pos sible worsening conclusion causes progressive harmful depletion must avoided key words metabolism supplementation introduction comes reflecting severity prospective study on large series multiple functions showed malnutrition mainstay life li including lean body mass an inde ver synthesizes most...