Clinical Hub,Patient Education,Health and Nutrition Facts For You,Nutrition

Medical Nutrition Therapy: Nutrition for Liver Disease (310)

Medical Nutrition Therapy: Nutrition for Liver Disease (310) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Nutrition


Nutrition for Liver Disease

It is important for patients with liver disease to eat a balanced diet that provides enough calories
and protein.

Tips for Increasing Calories and Protein
Patients may have a poor appetite or may get full quickly at mealtimes. This can make getting
enough nutrition difficult.

If you have these problems try:
ξ Eating smaller meals with regular snacks between meals and at bedtime
ξ Using nutritional supplement drinks like Boost®, Ensure®, or Carnation Breakfast
Essentials® between meals
ξ Focusing on eating foods highest in calories and protein first at meals

To make sure you are eating enough protein, include a protein rich food at each meal and snack.

You need _______ grams of protein per day.

Sources of protein include:
Meat and Meat Alternatives
ξ Meat–lean pork, lean beef, fish, poultry
(7 grams per 1 ounce)
ξ Beans–including black beans, chickpeas-
hummus, kidney beans, refried beans,
pinto beans (7-9 grams per ½ cup cooked)
ξ Lentils (9 grams per ½ cup cooked)
ξ Tofu (13 grams per 3 ounces)
ξ Boca Burger (14 grams per burger)
Eggs and Dairy
ξ Eggs (6 grams per egg–the whites contain
the protein)
ξ Milk (8 grams per 1 cup–choose skim or
1% milk)
ξ Soy milk (8 grams per 1 cup)
ξ Greek yogurt (15 grams per 6 ounce)
ξ Low fat yogurt (6 grams per 4 ounces)
ξ Soft cheeses–Mozzarella, Brie,
Camembert (6 grams per ounce)
ξ Medium cheeses–Cheddar, Swiss
(7 or 8 grams per ounce)
ξ Hard cheeses–Parmesan (10 grams per
ξ Cottage cheese (13 grams per ½ cup)
Nuts, Seeds, Grains
ξ Nut butters- almond and peanut butter
(8 grams per 2 Tablespoons)
ξ Almonds (8 grams per ¼ cup)
ξ Peanuts (9 grams per ¼ cup)
ξ Cashews (5 grams per ¼ cup)
ξ Sunflower seeds (6 grams for ¼ cup)
ξ Pumpkin seeds (8 grams per ¼ cup)
ξ Flax seeds (9 grams per ¼ cup)
ξ Quinoa (8 grams per 1 cup)
ξ Kashi® bar (8 grams per bar)

If you have ascites (fluid collection in your abdominal area) or fluid retention in your legs or
arms, lower the amount of sodium in your diet. This can help to control the fluid. Eat less than
2000 milligrams (mg) of sodium per day.

Tips to lower sodium intake:
ξ Do not add salt to your foods. Use half the amount of salt in cooking.
ξ Avoid canned foods or choose low sodium versions.
ξ Do not eat cured or processed meats and fish.
ξ Avoid fast foods and processed foods unless labeled as low sodium.
ξ Choose fresh or frozen vegetables instead of canned vegetables.
ξ Instead of using salt, use herbs or seasoning powders like garlic powder or onion powder.
ξ Use salt substitutes like Mrs. Dash®.
ξ Do not use salt substitutes with potassium if you:
o Take a medicine that raises your potassium level, like Spironolactone.
o Have a history of high potassium levels.
ξ Do not use seasonings or condiments with salt like garlic salt, lemon pepper, horseradish,
meat sauces, seasoning salt, soy sauce, Worcestershire sauce, and BBQ sauce.

Sample Meal Plan
Day 1 Day 2
Breakfast 2 slices 100% whole wheat toast
2 tablespoons low-sodium peanut butter
1 orange
1 cup (8 oz) skim milk
1 cup cooked oatmeal with cinnamon, slivered
almonds, and
½ cup blueberries
1 cup (8 oz) skim milk
Snack ¼ cup unsalted walnuts
5 dried apricot halves
6 oz low-fat yogurt
½ cup light canned peaches
Lunch 1 cup lentil soup
6 reduced-sodium crackers
1-2 cups salad with tomato, cucumber
and carrots
1 tablespoon balsamic vinaigrette
6 oz plain low fat yogurt with berries
1 chicken breast (3 oz) on
1 whole wheat bun with lettuce, tomato and
1 tablespoon mustard
1 cup raw veggies
1 apple
Snack 1 apple
1 low-sodium mozzarella string cheese
15 small grapes
¼ cup unsalted pistachios
Dinner 1 baked pork chop (3 oz)
1 cup whole wheat pasta tossed with
olive oil and garlic
1 cup cooked broccoli
1 whole grain roll
2 teaspoons margarine for broccoli/roll
2 whole wheat flour tortillas
½ cup black beans
Lettuce, tomato, and onion, as desired
¼ cup reduced-sodium shredded cheese
¼ cup salsa or guacamole
½ cup corn
Snack 3 graham cracker squares
1 cup (8 oz) skim milk
½ cup high-fiber cereal
1 cup (8 oz) skim milk

Teach Back
What is the most important thing you learned from this handout?

What changes will you make in your diet/lifestyle, based on what you learned today?

If you are a UW Health patient and have more questions please contact UW Health at one of the
phone numbers listed below. You can also visit our website at www.uwhealth.org/nutrition.

Nutrition clinics for UW Hospital and Clinics (UWHC) and American Family Children’s
Hospital (AFCH) can be reached at: (608) 890-5500.

Nutrition clinics for UW Medical Foundation (UWMF) can be reached at: (608) 287-2770.

Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright 3/2016 University of Wisconsin Hospital and
Clinics Authority. All rights reserved. Produced by the Clinical Nutrition Services Department and the Department of
Nursing. HF#310