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Liver-Failure Diet

WHAT YOU SHOULD KNOW

Liver failure changes the way the body processes protein and sodium. This condition may also cause a build-up of water in the abdomen. Your doctor or a dietitian will tell you how much protein, sodium, and liquid your body can handle each day without over-stressing the liver.

WHAT YOU SHOULD DO

Follow the guidelines listed below. Check with your doctor before taking any vitamin or mineral supplements. If your symptoms get worse, your diet and other therapy may need to be changed.

Protein Limit

Most people with liver failure cannot eat more than 40 to 60 grams of protein per day. Your doctor or dietitian will establish the best daily limit for you. Do NOT exceed it. Read labels to determine the protein content of canned or packaged foods. Use the chart below to add up the grams of protein in your daily intake.
  • 1 slice bread or 1 medium (2 1/2 inch) dinner roll---3 grams
  • One 1-inch square of semi-soft or hard cheese, such as cheddar---7 grams
  • 1/2 cup cooked dried beans, such as pinto, kidney, or navy---7 grams
  • 1/4 cup cottage cheese---7 grams
  • 1 large egg---7 grams
  • 1 ounce meat, fish, or poultry---7 grams
  • 3 ounces meat, fish, or poultry---21 grams
  • 1 cup milk or yogurt---8 grams
  • 1/2 cup cooked pasta, rice, macaroni, or noodles---3 grams
  • 2 tablespoons unsalted peanut butter---7 grams
  • 1/2 cup mashed potato or a 3 inch baked potato---3 grams
  • 1/2 cup tofu---7 grams
  • 1/4 cup canned tuna or salmon---7 grams
  • 1/2 cup cooked vegetables or 1 cup raw vegetables---2 grams

Sodium Limit

Most people with liver failure need to limit themselves to less than 2,000 milligrams of sodium a day. That means avoiding all foods on the list below. For your exact sodium limit, ask your doctor.
  • Bacon and bacon fat
  • Barbecue sauces
  • Bouillon cubes
  • Buttermilk
  • Canned, salted, or smoked fish or meat, such as ham, hot dogs, lunch meats, chipped or corned beef, anchovies, sardines, pickled herring, and lox
  • Canned tomato and vegetable juices
  • Cheese spreads, cottage cheese, and processed cheeses, such as American
  • Chili sauces
  • Salted crackers, such as saltines or soda crackers
  • Dried soup, sauce, and gravy mixes
  • Garlic salt
  • Instant potatoes, noodles, rice, stuffing, and casserole mixes
  • Meat tenderizers
  • Olives
  • Onion salt
  • Pickled vegetables, such as cucumbers, onions, peppers, and hot dog relish
  • Prepared mustard, horseradish, or more than 1 tablespoonful of regular salad dressings
  • Regular canned soups and canned vegetables
  • Popcorn, nuts, pretzels, potato chips, corn chips, tortilla chips, and other salted snacks
  • Sauerkraut
  • Sausage
  • Seasoning salt
  • Soy sauce
  • Steak sauces
  • Table salt
  • Worcestershire sauce

Liquid Limit

Most people with liver failure should drink no more than 1 or 2 quarts (48 ounces) of liquid per day. Water, other beverages, soups, and foods cooked in liquid all count towards this limit. For your personal liquid limit, check with your doctor. Do NOT exceed it. The list below gives you different ways of measuring your liquids.
  • 1 Tablespoon equals 15 cc (cubic centimeters)
  • 2 Tablespoons equal 30 cc or 1 fluid ounce
  • 2 fluid ounces equal 1/4 cup or 60 cc
  • 4 fluid ounces equal 1/2 cup or 120 cc
  • 6 fluid ounces equal 3/4 cup, 180 cc, or 1 small coffee cup
  • 8 fluid ounces equal 1 cup, 240 cc, or 1 small milk carton
  • 12 fluid ounces equal 1-1/2 cups, 360 cc, or 1 soda can
  • 16 fluid ounces equal 2 cups, 480 cc, 1 pint, or 2 small milk cartons
  • 32 fluid ounces equal 4 cups, 960 cc, 1 quart, or 4 small milk cartons
  • 1-1/2 quarts equal:
    • 1440 cc
    • 1500 mL (milliliters)
    • 4 soda cans
    • 6 small milk cartons
    • 6 cups
    • 3 pints

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