الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Malnutrition, negative nitrogen balance and sarcopenia, are the most common complications in cirrhosis. The prevalence of malnutrition and negative nitrogen balance is about 65%-90%, sarcopenia occurs in about 60% of the patients. Late evening snacking holds the most promise as an intervention to reverse anabolic resistance and sarcopenia with improved quality of life in patients with cirrhosis. Administration of a LES improves clinical outcomes. It is the only intervention that is simple, inexpensive, and relatively free of side effects with the potential to reverse sarcopenia in cirrhosis. This study was designed to detect the effect of a late evening protein containing snack and late evening branched chain amino acid on cirrhotic patients .The study was conducted in the Tropical Medicine Department, Faculty of Medicine, Tanta University, and included 15 patients who received a late evening protein containing snack (group I) and 15 patients who received a late evening branched chain amino acid containing supplement (group II). All patients fulfilled inclusion &exclusion criteria of the study.