Role of Nutrition in the Management of Hepatic Encephalopathy in End-Stage Liver Failure

Table 2

Nutritional recommendations for the management of HE in end-stage liver failure.

Substrate	Recommendation
Energy	35–40 kcal/kg/day
Protein	1.2–1.5 g/kg of body weight/day∗
BCAA	In severely protein-intolerant patients
Antioxidant and vitamins	Multivitamin supplements
Probiotics, prebiotics	Increasing use for ammonia-lowering and anti-inflammatory actions

∗In severely protein intolerant patients, protein may be reduced for short periods of time, particularly in grade III-IV hepatic encephalopathy.