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An expert panel commissioned by the International Society for Hepatic Encephalopathy and Nitrogen Metabolism has recommended that all patients with cirrhosis and hepatic encephalopathy should receive nutritional management similar to that for patients with cirrhosis but without hepatic encephalopathy. Specific recommendations from their consensus document are described below.
Strongest recommendations:
All patients should undergo baseline nutritional assessment as a part of management. (The authors acknowledged that no clinically practical, well-validated tools to assess nutrition are currently available.)
Optimal daily energy intake should be 35 to 40 kcal/kg ideal body weight.
Optimal daily protein intake should be 1.2 to 1.5 g/kg ideal body …