Originally Posted by mik577
I don't know about any one else, but in my case, my doctor has prescribed a low-sodium & low-protein diet. I am supposed to try to limit my sodium to 2000 mg daily, & 80 grams of protein. Creatanine is an amino acid that is part of protein's make-up, I think. Not everyone with hep-c has a diet like mine. I think my limit of 80 grams of protein daily is to help to not "feed" the virus. I think the virus mutates & reproduces faster with a hi-protein diet. Before I was dx, I think I took in about 120 grams of protein daily, as an average. I was used to eating a lot of hamburgers, cheese, milkshakes, etc. So ask your doctor & eat like he says, & avoid all alcohol & illicit drugs. For me, in my case, I would not add any extra amino acids unless my doc said to. Good luck, & hopefully someone else will reply to you also. mik577
The theory behind a low protein diet with respect to liver function is that it was thought to be a contributor to complications of cirrhosis. Ammonia levels can be affected by protein.
New research is finding that protein is actually a GOOD thing and low protein diets are not a good thing. Two strategies have emerged from research. One is a bedtime snack to maintain healthier blood levels during the night time fasting. Fasting is not good for those with liver diease as the body uses up muscle mass in the absence of adequate intake. This can cause a cascade of undesireable consequences. So, do not fast longer than 6 hours, as a rule of thumb. At night, metabolism slows, so I am guessing
that this is why a small snack would maintain blood levels over a longer period, assuming an eight hour sleep cycle.
Eat small meals throughout the day, culminating in a small bedtime snack at 10 pm. The study used yogurt (I do recommend this; organic plain yoghurt maybe sweetened or flavored with real fruit syrup) but the researcher has told me that anything is just as good. Malnutrition is a common problem among those with advanced liver disease.
Avoiding fat in the diet is a recommendation for those who are at risk for, or whop have been diagnosed with, fatty liver disease. In combination with HCV, fatty liver can increase progression to cirrhoisis and can complicate any treatments. Usually, but not always, fatty liver and overweight go hand in hand.
Secondly, the amount of protein now recommended by John's Hopkins and Cleveland Clinic is 2 grams of protein per lb of ideal body weight (for those with ascites or fluid retension use estimated weight less the estimated amount of fluid weight).
I have included the studies on the website and I have attended a seminar on this topic at the American Association for the Study of Liver disease and spoken to the researchers to clarify this information.
Many providers are still recommending restricted protein intake. You may wish to clarify with your provider whether this is because they are not aware of these studies or there is some other reason that applies to you that this is recommended.
I am not knowledgeable specifically about creatine supplementation and therefore, cannot comment on it.
Creatinine, on the other hand, is a kidney function test and I am very well schooled in that. But, it is somewhat irrelevant to this topic unless I have misunderstood the question.
One more thing: recent research has found that cocoa
,( not chocolate flavored syrup etc
, but the real deal in powder form) is a better anti-oxidant than green tea. So, brownies, hot cocoa
, and all that wonderful stuff made from real cocoa
, is actually good for you! Enjoy
If you use an artificial sweetner, I recommend Splenda. for those with fluid retention, the sorbitols cause diarhea is some people. This may be a factor if you are taking lactulose. Talk to your provider.
I hope this helps, thanbey