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We must not use it if we are pregnant, breastfeeding, or underage

Indeed, an opposite approach, as the pulse feeding strategy, whereby ~ 80% of daily protein is consumed in a single meal, has been shown to improve nitrogen retention in older women and to enhance lean mass preservation in malnourished elderly patients [47]

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What I advocate for is informed consent

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isotonic saline, in addition to usual treatment (laxatives and oral antibiotics), showed that there was no significant differences in the percentage of patients with short-term resolution of HE (at day 4)