Ensure Enlive protein supplements to reduce repeat hospital stays for hepatic encephalopathy

You may qualify if

• > 18 years of age
• Cirrhosis diagnosed by clinical history and liver biopsy and/or clinical, biochemical and imaging evidence of cirrhosis
• At least 1 hospitalization for documented HE within the last 12 months.
• Abdominal CT scan anytime in the past

You can't join if

• Patients with MELD score > 35
• End stage organ failure (major dysfunction requiring organ support)
• Kidney injury defined by a creatinine > 2 mg/dl or rise in creatinine by 0.5 gm/dl from baseline that is unresponsive to withholding diuretics and intravenous albumin administration (1 gm/kg up to 100 gm/day)
• Active malignancy
• Uncontrolled diabetes mellitus with A1c>9.5 (to avoid altered muscle protein metabolism
• Medications (anabolic steroids, corticosteroids) that affect skeletal muscle mass
• Recent gastrointestinal surgery within past 12 months
• Ongoing infection (positive blood or other body fluid cultures)
• Active gastrointestinal bleeding.