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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Food Diet To Control Hepatitis B

Hello Doctor, Recently I have been detected with hepetitus B with SGPT count of 3137 after 20 days rest it has come down to 1000. how it can further brought down with controlling foods. my age is 43years old.weight 70 Kg. First time suffering for hepetitius B. do not know the source of getting infection.
Mon, 29 Jun 2015
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Dietitian & Nutritionist,  's  Response
Hello - welcome to HCM. Let me see if I can offer you some suggestions to help you speed your healing. Hepatitis B is not just blood borne, it is also contagious through food and drink prepared by someone also infected. A general, well-balanced diet with virtually no restrictions is started.Preventively the goal is to get adequate energy so that weight loss does not occur even if you must add supplemental high energy drinks. A multivitamin easily absorbed may be beneficial. Problems are treated if and when they occur. If edema develops, restrict sodium to 2,000 mg. It is best to eat 4-6 meals to avoid muscle loss. Protein needs are 70 grams. Monitor labs - electrolytes, blood sugar, liver enzymes, cbc. A lower fat diet is indicated if you have floating stools or abdominal discomfort. If further liver decline occurs, your diet will change to a medical nutrition diet. The diet I gave you now should support healing.Although the literature is contradictory (so what else is new?) 140 mg of silymarin or milk thistle may help heal. I prefer my clients to just sip the tea.

Thank you for coming to the HCM Nutritionist for information on these matters. Kathy Shattler, MS,RDN Adult Nutritional Specialist
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Suggest Food Diet To Control Hepatitis B

Hello - welcome to HCM. Let me see if I can offer you some suggestions to help you speed your healing. Hepatitis B is not just blood borne, it is also contagious through food and drink prepared by someone also infected. A general, well-balanced diet with virtually no restrictions is started.Preventively the goal is to get adequate energy so that weight loss does not occur even if you must add supplemental high energy drinks. A multivitamin easily absorbed may be beneficial. Problems are treated if and when they occur. If edema develops, restrict sodium to 2,000 mg. It is best to eat 4-6 meals to avoid muscle loss. Protein needs are 70 grams. Monitor labs - electrolytes, blood sugar, liver enzymes, cbc. A lower fat diet is indicated if you have floating stools or abdominal discomfort. If further liver decline occurs, your diet will change to a medical nutrition diet. The diet I gave you now should support healing.Although the literature is contradictory (so what else is new?) 140 mg of silymarin or milk thistle may help heal. I prefer my clients to just sip the tea. Thank you for coming to the HCM Nutritionist for information on these matters. Kathy Shattler, MS,RDN Adult Nutritional Specialist