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Abstract It is well known that patients with chronic liver disease are usually malnourished and the degree of malnutrition parallels the severity of the liver disease. Malnutrition has been shown to be associated with increased morbidity and mortality of patient with liver cirrhosis. Protein-calorie malnutrition (peM) occurs in 20-60% of patients with hepatic cirrhosis. It is associated with the development of life-threatening complications such as spontaneous bacterial peritonitis, hepatorenal syndrome, and hepatic (73,74)encephalopathy It is clear that Dietary support is a cornerstone of malnutrition prevention and treatment in liver cirrhosis. Patients should be encouraged to eat a balanced diet from the very beginning of their illness. Frequent meal (4-7 small meals a day) including one late-evening snack contribute to improving nitrogen balance by reducing protein breakdown during fasting. It has been show that after an overnight fast cirrhotic patients exhibit metabolic pattern similar to that of healthy volunteer after a 3-day fast, in particular with respect to increase gluconeogenesis from amino (73,81,82) acids and increased lipid oxidation |