Avatar universal

Liver Diet

Low sodium, no red meat, no liquor, no smoking.  Doing all of those.  Not a drinker or smoker. Does anyone have a diet guideline for someone with end stage liver disease and Hep C?
8 Responses
3230925 tn?1397615965
  What's recommended is a healthy heart diet for people with hep C,I would add on to your list no fatty foods especially deep fried foods it's as bad as alcohol to your liver.Adding curcumin supplement with bioavailability wouldn't hurt.I am not familiar with end stage liver disease.I think your best bet to get a better answer would be posting your question in the cirrhosis forum.

Avatar universal
I would add exercise and several other supplements to that regime.
163305 tn?1333668571
Copyman is right. I took an essential multiple vitamin without iron, ALA, omega fish oi, turmeric, and several others. The important thing about any supplements is to take the ones without other additives that your liver has to filter out.

When you can walk, walk. If you can do yoga, do it. Any and all movement is good.

Egg whites and tofu are good for albumin levels. You need protein so do eat beans, chicken and fish. Flax meal is good for adding to smoothies and oatmeal, too.

If I can find my old dietary guidelines, I'll post them.
446474 tn?1446347682
Please make an appointment with the dietitian at your transplant center. I had a diet tailored for me 3 years ago and I have been following it since. Along with exercise and my meds it has made a world of difference in the quality of life I have.

Only a dietitian that works with End-Stage liver patients can create a diet for your particular medical needs. We don't know the details of your health status. Ascites, varices, HE, sodium calcium balance, kidney function etc. What might be good for one person ESLD patient could be deadly in another with ESLD. What to eat what to avoid. Small meals, protein drinks to help stop the loss of muscle mass.

For persons with END-Stage Liver Disease all diet changes (including vitamins of supplements), meds changes, treatments of any kind must be approved by your hepatologist first. Patients like myself with decompensated cirrhosis and you with ESLD have high mortality rates. An over-the-counter drug that others on the forum cant take without any danger can cause life-threatening internal bleeding, kidney failure or liver failure. That is why all changes must go through the transplant center. Not following transplant center protocols can result in removal from the transplant waiting list and poor outcomes. We are in a fight for our very lives. One bleed out, HE coma, infected ascites fluid (spontaneous bacterial peritonitis, SBP), can be it for us. That is how we die from the complications from liver failure not liver failure itself.

Call your transplant center coordinator tomorrow and tell them you want help with your diet.

Good luck!
Avatar universal
In addition to the above, I have read that organic fruits and vegetables is recommended when possible.
Avatar universal
TU all..see transplant co-ord and doc for 1st clinic re transplant. Will ask for dietician then. Am basically vegetarian..with bacon lapses. Bake it. Had to ween self off steak and beef all year and fried foods. Swear I can smell a cooking steak or french fry miles away. LOL. Just got a Nutrabullet from my brother for Xmas and have a Montel W. blender. Love fruit, juices & vegetables.  I try to watch fruit intake because of sugars. Have gotten into roasting veggies and eating raw. Love soups but will try to get better at making from fresh ingredients to reduce sodium/sugar intake. I absolutely love Cuban, Indian and Thai foods...love spices and spicy food. (Bet that will be a no-no)Take Omega, CoQ10 - 300, a fruit full anti-oxidant, prescribed VitD-2 1.25 MG (50,000 Unit) twice a week, daily zinc and potassium. Thanks for your help...will let you know what they say.  Oh, and exercise...I do walk...have a 8# toy poodle who is a fetching, running, walking maniac...I use to teach yoga and was a dance teacher after 18 years of lessons...now doing his walks or the dishes is an exercise.  Use to being highly active so this is driving me nuts.  
446474 tn?1446347682
It sounds like you are doing many of the right things and they will be confirmed by the dietitian. So it will be easier on you to make the needed changes needed then may people who live an unhealthy lifestyle. A background in yoga and dance are all excellent.You know how to listen to your body cues. It is invaluable as this disease progresses.

Spicy foods are usually fine. We need some flavor as without sodium, foods are very bland, But restaurant food is loaded with sodium are not something we should eat. Make it yourself? Awesome. Please send me some! Of course all this depends on the degree of portal hypertension and ascites one has.

I used to dance for hours. But now I have no energy after about a minute. But I can still dance in my mind. Yoga you can always do, as it is a low impact exercise. But never stain yourself as in lifting heavy weights. It can cause varices to burst and cause vomiting of blood. Waling is probably the best thing. Over time it becomes difficult to even stand or walking your dog will help to maintain your stamina.

In time we adjust to our present condition. We have to learn to give up many things we took for granted into for us to accept that we are very ill and no longer who we were. Denial is strong. Nobody find it easy and it is a difficult mental struggle that we have to process. It doesn't happen over night or over a month it happens for as long as our illness lasts.

Good luck with the dietitian. I think you will find it very helpful. It has helped me to stay as healthy as possible, for as long as possible. I hope it helps you too.

Take care
163305 tn?1333668571
You're right about needing to make your own soup. Store bought broth tends to be high in sodium.
I'm a big fan of Asian cuisine but do be careful of soy sauce, fish sauce, etc as they too are usually high in sodium.
Read all labels, watch sodium ( salt) content.
My GI in Bangkok claimed hot peppers were good for the liver.

Its easy to boil a whole chicken to make stock. Take the meat off the bones after cooking, * set aside to add to soup or other dishes) strain and let the stock cool. Then you can skim the fat off the top.
This broth will make a great stock for all kinds of soups.
Add a little low-sodium coconut milk, some lemon grass and ginger and you've got yam, Thai soup.

If you are concerned about your sugar content with eating fruit, use cinnamon. It's good for helping to lower glucose levels.
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