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Non-alcoholic fatty liver disease — ESEGH MCQ

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HardExercise PrescriptionNon-alcoholic fatty liver diseaseESEGH

A 70 kg patient with compensated cirrhosis has sarcopenia despite adequate calories and no renal indication for protein restriction. Which nutritional prescription best addresses accelerated starvation?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Protein 1.2–1.5 g/kg/day with a late-evening protein-carbohydrate snack

Explanation lettering: C = shown as A · A = shown as C · E = shown as D · D = shown as E

E is correct. UK BSG/BASL guidance targets 1.2–1.5 g/kg/day protein and shortens overnight fasting with a protein-carbohydrate supper or snack. A promotes muscle loss and routine protein restriction is inappropriate. B lengthens fasting. C makes specialist supplements universal rather than meeting intake through diet. D worsens the accelerated-starvation physiology.

Reference: BSG/BASL best-practice guidance for compensated cirrhosis: https://pmc.ncbi.nlm.nih.gov/articles/PMC10579555/