Liver Transplantation

The Benefits of Nutrition Therapy in the Liver Transplant Patient

Jeanette Hasse


Table 5. Posttransplant nutritional guidelines

Nutrient Short-Term Recommendations Long-Term Recommendations
Calories 120-130% of BEE or measure REE; increase for weight gain Maintenance — 120-130% BEE depending on activity level
Protein 1.3-2 g/kg/day 1 g/kg/day
Carbohydrate 50-70% of calories 50-70% of calories
Restrict simple sugars
Fat 30% of calories <30% of total calories
Up to 50% of calories with severe hyperglycemia <10% of calories as saturated fat
Calcium 800-1200 mg/day 1000-1500 mg/day (consider the need for estrogen or vitamin D supplements)
Sodium 2-4 g/day 3-4 g/day
Magnesium & Phosphorus Encourage intake of foods high in these nutrients Encourage intake of foods high in these nutrients
Supplement as needed Supplement as needed
Potassium Supplement or restrict based on serum potassium levels Supplement or restrict based on serum potassium levels
Other Vitamins and Minerals Multivitamin/mineral — supplement to RDA levels Multivitamin/mineral — supplement to RDA levels

Adapted from references 9, 10, 13, 14, 54.


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