Nocturnal nutritional supplementation improves total body protein status of patients with liver cirrhosis: A randomized 12‐month trial
Lindsay D. Plank, Edward J. Gane, Szelin Peng, Carl Muthu, Sachin Mathur, Lyn Gillanders, Kerry McIlroy, Anthony J. Donaghy, John L. McCall – 15 April 2008 – Patients with liver cirrhosis exhibit early onset of gluconeogenesis after short‐term fasting. This accelerated metabolic reaction to starvation may underlie their increased protein requirements and muscle depletion. A randomized controlled trial was conducted to test the hypothesis that provision of a late‐evening nutritional supplement over a 12‐month period would improve body protein stores in patients with cirrhosis.