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The approach of the majority of nutritional interventions in cirrhosis is to supply at least 35 kcal/kg of body weight/day, with a daily recommended protein intake of 1.21.5 g/kg of body weight/day (sufficiently rich in branched-chain amino acids) to prevent or reverse muscle mass loss [460, 461, 463] (Table 10)

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Appearance changes to look for include: Cloudiness or turbidity a freshly reconstituted peptide solution should be clear and colourless or very slightly pale

33 Similar findings were observed in a meta-analysis of 40 trials which concluded that GLP-1RAs were highly effective at lowering circulating glucose levels without causing hypoglycemia