Created at 7:21 p.m. Nov, 07, 2025
Author: adavis98
Related Note: 1476312411640 1
Rationale for change

Unlike many of the inborn errors of metabolism, protein restriction is not recommended (and rather discouraged) as a treatment modality in patients with cirrhosis.

Per Amboss, "Aim for 1.0–1.5 g of protein per kilogram of dry body weight daily; protein restriction is not recommended."

Many current guidelines recommend the opposite of protein restriction: adequate or even increased protein intake to prevent malnutrition and sarcopenia. Malnutrition (especially loss of muscle mass) is common in cirrhosis and is associated with worse outcomes
Source: AMBOSS - https://next.amboss.com/us/article/PS0W-2?q=hyperammonemia%20protein%20cirrhosis#Y7cd8dc35f49ed14190f801970dce0c3d

Extra Extra
Text
Lecture Notes
Empty field
Missed Questions
Empty field
Pathoma
Empty field
Boards and Beyond
Empty field
First Aid
Sketchy
Sketchy 2
Empty field
Sketchy Extra
Empty field
Picmonic
Empty field
Pixorize
Empty field
Physeo
Empty field
Bootcamp
OME
Additional Resources
Empty field
One by one
Empty field
#AK_Step1_v12::#B&B::04_Biochem::03_Amino_Acids::04_Ammonia::Extra #AK_Step1_v12::^Systems::Biochem::metabolism::protein #AK_Other::Only_Step_1 #AK_Step1_v12::#AMBOSS::HMaKJO #AK_Step1_v12::#SketchyBiochem::01_Metabolism::02_Amino_Acids_&_Proteins::07_Urea_Cycle_Hyperammonemia_Ornithine_Transcarbamylase(OTC)_Deficiency #AK_Step1_v12::#Physeo::05_Biochem::05_Metabolism::19_Ammonia #AK_Other::#AK_Original_Decks::Step_1::Zanki_Step_Decks::Zanki_Biochemistry::Metabolism #AK_Step1_v12::#Low/HighYield::3-HighYield-temporary #AK_Step1_v12::#FirstAid::01_Biochem::06_Metabolism::25_Hyperammonemia #AK_Step1_v12::#Bootcamp::Biochemistry::10_Protein_Metabolism::17_Urea_Cycle_Clinical_Implications #AK_Step1_v12::#OME::PreClinical::Biochemistry::Biochemistry_1:_DNA_to_Protein::Amino_Acids_Form_Proteins #AK_Step1_v12::#B&B::10_GI::03_Clinical_Gastroenterology::03_Cirrhosis