THOMAS C. CHALMERS, M.D.
In 1937 the diet prescribed for patients with cirrhosis was kept low in protein to avoid burdening the sick liver.1 Ten years later2 a diet of approximately 140 gm. of protein was generally accepted, and tube feeding was prescribed for those who were comatose or otherwise could not take this amount voluntarily. After another 10 years it is stated in the most recently published textbook of medicine3 that the diet "should at least be adequate in all nutrients necessary for a normal individual," and complete withdrawal of protein is advised for the patient entering into hepatic coma. Thus the pendulum
CHALMERS TC. AN EVALUATION OF DIETARY PROTEIN IN THE TREATMENT OF LIVER DISEASE1. Ann Intern Med. 1958;48:320–329. doi: 10.7326/0003-4819-48-2-320
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Published: Ann Intern Med. 1958;48(2):320-329.
Gastroenterology/Hepatology, Liver Disease.
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