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Medical Forum / Diseases and Disorders / Hepatitis / March 2007

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Caffeine...good foods?

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TNS - 05 Mar 2007 23:36 GMT
Greetings all:

What's the word on caffeine- good or bad-for someone with hep-c,
ascetes, cirhossis?

I am also doing low sodium (except for that mistake with the
BurgerTime salad...sheesh).  Any nutritional recommendations?

Lots of water or limited water?  

I don't see the doc for two weeks, but will ask then.
TIA!

---TNS
Thip - 06 Mar 2007 01:58 GMT
> Greetings all:
>
[quoted text clipped - 10 lines]
>
> ---TNS

Limit the caffeine.  I drink one cup of coffee in the morning and usually
that's it.  Sometimes I'll have an iced tea or a Coke, but not too often.
Water is good.  Lots of water is better.  I also enjoy sugar-free soft
drinks.  I don't know if you have a Wal-Mart handy (or if you even live in
the States, sorry), but their cannisters of Great Value powdered drinks are
just as good as Crystal Light and less than half the price. And some may
disagree with me, but I've had the best luck with a low-fat diet.  I
basically just follow the Weight Watcher's rule of 25 grams or less per day.
Fat is very hard to digest, so it makes sense to me that the less I ask my
liver to process, the better off I am.

As always, talk to your doctor, but in the meantime, be sensible.
kjoh - 06 Mar 2007 02:38 GMT
Thip I think you are on the right track about restricting fat intake.
Especially for cirrhotics.  Fat digestion requires bile and our liver has
to work to make bile.  Then extra bile is stored in the gall bladder.  So
if a sick liver is working overtime to make bile to digest  potato chips,
and if our gall bladders aren't up to speed (or missing!), common sense
says a lot of fat can't be good.   Good internet info is hard to find.
It's always either too technical or too simplistic.  But here is a blurb
about fat digestion from the janis7 website.  I wonder if you folks with
advanced hcv trouble have ever had a doctor that prescribed this
"fat-lite" product?  

Our bodies need at least some fat for energy and survival.  From reading
these chat groups for a couple years now, it seem like a lot of docs just
prescribe lactalose for constipation for cirrhotics, advise limited sodium
intake,  and never take the dietary issues and farther.  Pisses me off.  I
think they blow it off as being beneath them, or relegate it to the domain
of nutritionists.  

The medical profession likes to think of itself as "keeping people from
falling between the cracks"   But sometimes I think that I am falling into
the cracks between specialists.  Rant.

Kathy J.  
likes cheese too much

http://janis7hepc.com/Diets%20for%20People%20with%20Cirrhosis.htm

"Persons with cirrhosis often begin to experience difficulty digesting and
absorbing fat in the diet. The result is steatorrhea, (the presence of
undigested fat in the stool), and thereby may require dietary fat
modification. Fatty liver is also a condition that can occur which is the
accumulation of fat in the liver. In either of these cases, reducing the
fat to 25% of total calories (about 40-70 grams of fat daily) is
recommended. Use of a special prescription type of fat called MCT oil is
sometimes necessary. MCT (medium-chain triglycerides) does not require
bile for absorption into the blood stream, so is advantageous when the
liver can no longer produce adequate bile for digestion and absorption of
dietary fat (lipid). MCT can be used in place of other fats in cooking and
some recipes and is also available in certain types of liquid nutritional
drinks."
Cody - 06 Mar 2007 10:51 GMT
> Thip I think you are on the right track about restricting fat intake.
> Especially for cirrhotics.  Fat digestion requires bile and our liver has
[quoted text clipped - 36 lines]
> some recipes and is also available in certain types of liquid nutritional
> drinks."

Yeah, gotta eat a lot of olive oil and soy milk. A lot of water instead
of sugar water (aka soft drinks) is good too. Green tea, artichokes,
asparagus, and milk thistle are also winners.

Cody
 
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