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[11] [12] In fact, adequate protein intake (often 1.21.5 grams per kilogram of body weight per day) is important to prevent muscle wasting, and any dietary adjustments should be made under the guidance of a hepatologist or specialist dietitian, in line with EASL and ESPEN recommendations

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Whilst one meta-analysis of 24 RCTs found a decrease in the pro-inflammatory markers C-reactive protein (CRP) and interleukin-6 (IL-6), 15 the other (based on 28 studies) found a decrease in interleukin-8 (IL-8) when pooling all data and a decrease in IL-6 in a subset of studies using a dose of 1200 mg NAC per day or less, but no difference in CRP

Functional medicine emphasizes whole, unprocessed foods, reducing sugar and caffeine intake, and eating balanced meals to stabilize energy and support hormone balance, vital for adrenal recovery