U.N.C Liver Transplant Dietary Recommendation

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A.Ziffle
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Date Joined May 2011
Total Posts : 2071
   Posted 1/13/2016 10:44 PM (GMT -6)   
Dietary restrictions will very between different types of Hepatic disorders. You may have to control salt, protein and fluids. Sugar, fat or calories May also be needed to be controlled.

Sodium- Limit sodium or salt intake. Sodium restriction prevents the build up of excess fluid retention. The recommended intake should be 2000mg or (1) teaspoon of salt a day and less is always better. Avoid using salt shaker. Get rid of salt shaker. Do not salt food during cooking process or at the table. Shop for unprocessed foods as they contain salt. Read food labels when shopping. Choose low sodium products, But don't assume they are low (read and compare labels). Lo sodium is considered to be 140mg or less per serving. Go easy on condiments and sauces. Restaurants use alot of salt be careful with menu choice. Choose basic foods like a baked potato instead of fries or a loaded potato.

Salty snack foods are a no-no. Ask your doctor if you can use particular salt substitutes, Some products can interact with medications. Some examples of allowed food: Breads, English muffins or Bagels, unsalted crackers, Rice, potatoes, oatmeal, grits, cream of wheat, cereal. Fruits, all types fresh frozen or canned but no dried stuff. Veggies of all types fresh, frozen and low sodium canned. Meats and poultry, Fresh, frozen without salt curing. Low sodium canned tuna, eggs, shellfish cooked with no added salt. Dairy products, Milk, yogurt, low sodium cheese (Swiss), Cream cheese, ricotta. Condiments should be low sodium Ketchup, mayo, mustard and vinegar. Misc. foods like Jam, jelly, jello, plain cookies, cakes and ice cream, sherbet, unsalted butter.

Web: www.healthyheartmarket.com

Books: American Heart Association low-salt cookbook, Second edition.
Get the salt out: 501 simple ways to cut salt by Anne Louise
Pocket guide to Low sodium foods by Bobby Mostyn.

I will add the don't do foods to my next post here. I'm doing my best to condense the volume of stuff in this manual so please be patient.

Ziff

Post Edited By Moderator (MamaLama) : 1/21/2016 9:04:31 AM (GMT-7)


A.Ziffle
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Date Joined May 2011
Total Posts : 2071
   Posted 1/14/2016 4:58 PM (GMT -6)   
Things to avoid: Bread/starches-Biscuits, cornbread, instant mixes, flavored rice, pasta, salted snacks, bread with salted tops, waffles & pancake mixes or ready mixes, self rising flower, stuffing mix.
Fruit: Dried fruit with sodium sulfates.
Vegetables: Canned vegetables, soup, beans, tomatoes, tomato juice, V-8 juice, pasta sauce.
Meat, Fish, poultry: processed meats (luncheon meat, hot dogs), sausage, bacon, ham, canned meat, tuna, salted fish, breaded meats, salt pork, fatback.
Dairy: Buttermilk, processed cheese products.
Condiments: Salad dressing, sauces, ketchup, MSG.
Misc: Pickles, olives, frozen dinners, salted nuts, chips, popcorn, pie, crust, bouillon cubes, sports drinks.

This should give you a general idea of what you cant eat. If your thinking this sounds bland, It is, but better you adjust to the diet than toting around fluids. Trust me Paracentesis ain't pleasant. My next post will focus on tips and general dietary suggestions for healthy living while fighting liver disease.


Ziff
"The truth will set you free, but not before it pisses you off."

themiz
Forum Moderator


Date Joined Feb 2013
Total Posts : 1891
   Posted 1/14/2016 7:50 PM (GMT -6)   
This is great info, Ziff. Thanks! Big Hugs
themiz-Forum Moderator-Hepatitis
Wife of themister, a fine man living with ESLD. Transplant list-2013

“Out of suffering have emerged the strongest souls; the most massive characters are seared with scars.” Kahlil Gibran

A.Ziffle
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Date Joined May 2011
Total Posts : 2071
   Posted 1/14/2016 11:44 PM (GMT -6)   
Fluid: A fluid restriction may be needed to help reduce fluid retention. You need to seek the advice of a liver specialist for proper needs. Water, beverages, or any food that is at least at room temperature is considered to be a fluid. The following items must be counted in your daily food allowance. Allowances defined: Coffee, tea, milk, juice, soda, water, ice, gelatin, Popsicle's, ice cream*, sherbet*. Soup-liquid portion only.
Hints: Drain liquids from canned fruit and veggies, Fruit does not count towards fluids allowances, Use hard candies, gum, fresh lemon for dry mouth. To assist with following fluid restrictions keep a running total of amount of fluid you consume.
Remember: 8 ounces= 1cup= 240ml. 4 ounces= 1/2 cup= 120ml. 1 ounce= 30ml.
*Ice cream and sherbet contain solids that does not count toward fluid intake. For example- 1/2 cup of ice cream or sherbet count as 1/4 cup of fluid.
Protein: Protein is needed for growth, healing, and and to fight infections. Sometimes it may be needed to reduce certain protein's in your diet. Not all types of protein will be restricted from your diet. Protein is divided into two types: High Biological value (HBV) and low Biological value (LBV). It is the high value one that may need to be restricted. Consult your doctor.
As a general rule you will need to avoid red meat. Other meat, Fish and poultry are allowed. Ask a doctor what applies in your case. Unneeded restrictions can lead to deficiencies. Typically following a diet of 8 ounces (64 grams) protein a day is adequate per day. Do not limit your LBV protiens.

HBV protein: Meat, pork, fish, poultry, shell fish. Dairy: milk, yogurt, cheese, cottage cheese. Eggs.
LBV protein: Nuts, peanut butter, soy products, veggies, starches, bread, beans.

This completes the post as far as the manual is concerned with diet. I do have comments about the diet and particular needs but they will be addressed in my next post here. Feel free to ask questions or comments about your diet. Recipes are always welcome that follow these guide lines. If ya got one post it here, Remember we are here to help each other. It's the little things that keeps us truly alive.

Ziff
"The truth will set you free, but not before it pisses you off."

Post Edited (A.Ziffle) : 1/14/2016 10:47:01 PM (GMT-7)


A.Ziffle
Veteran Member


Date Joined May 2011
Total Posts : 2071
   Posted 1/14/2016 11:49 PM (GMT -6)   
Miz, Seeing how this comes up from time to time figured it should be addressed. Glad you like it and thanks for acknowledging.


Ziff
"The truth will set you free, but not before it pisses you off."

themiz
Forum Moderator


Date Joined Feb 2013
Total Posts : 1891
   Posted 1/15/2016 7:51 AM (GMT -6)   
Themister has been on this diet for 3 years this month. We try to keep him at 1500 mg sodium, per day, rarely eat in a restaurant, and read labels for sodium content shopping and cooking. No one is comfortable with a body full off fluid:) Hope you are having a good week. Big Hugs
themiz-Forum Moderator-Hepatitis
Wife of themister, a fine man living with ESLD. Transplant list-2013

“Out of suffering have emerged the strongest souls; the most massive characters are seared with scars.” Kahlil Gibran

mitzi22
Regular Member


Date Joined May 2011
Total Posts : 197
   Posted 1/17/2016 2:16 PM (GMT -6)   
Thanks, Ziff! I am going to print this when I get home. I appreciate your effort and time in posting these guidelines.

Now that I have read this all I have to do now is just don't shop for any of the foods I like!! My beloved catchup...that caught my breath. I'm wondering if I can get the low sodium catchup. I also read it is high in ammonia.

The upside is that I will be losing weight.
Thanks for always being here and giving sound advice.
Big Calorie Hug
Mitzi
“Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow.” Mary Anne Radmacher

**David**
Veteran Member


Date Joined Nov 2009
Total Posts : 3708
   Posted 1/17/2016 5:07 PM (GMT -6)   
A good rule of thumb; no frozen food, no canned food, no fried food, no processed food, less sugar. In other words, if it tastes good, stay away.

Actually I found plenty of tasty stuff. Used a lot of spices and citrus. For example, lemon or lime juice on oven "fried" potatoes, rather than salt and ketchup. I used a lot of lemon and lime. Small amounts of pepper and cayenne work well for a little zip.
nullum beneficium impunitum...

Allison K
Regular Member


Date Joined Dec 2015
Total Posts : 58
   Posted 1/18/2016 9:20 AM (GMT -6)   
Thank you Ziff! This is great information!

My doctor did not limit my intake of specific foods. She did recommend sticking to a low fat diet. Just as a general course of action I attempt to adhere to a mostly organic diet with few processed foods. I do buy rice crackers, seed based bread and tortilla chips that . I also enjoy a few cookies from time to time (gluten free coconut are my latest favorite, they are lower in sugar than many) and dark chocolate with almonds. The rest is mostly cooked and fresh foods. This is a liveable diet for me and I find I have less digestive trouble and weigh less than I used to.

I track my food on an app on my phone. I have been using MyFitnessPal for some time. I used the free one. It was perfectly fine and fed into my UP app tracking my food with my sleep and steps data from the fitness bracelet. It has a sodium level of <1200mg. I've been able to stay under that for some time. It's helpful for me to be able to check without having to tabulate it all myself.
I have begun using Chronometer lately. It is much more specific in nutrient levels. I did have to pay for that one, but find the nutrient levels to be more helpful. It also has a sodium indicator and water indicator. This app permits you to change the settings of specific nutrients, so you could have a completely customized diet plan. Unfortunately, most of the food listed in their existing database are packaged and fast foods. This means that specific foods I eat regularly have to be entered by me. Over time that will be less. One problem with that is that most labels do not have the highly specific nutrient values listed. The app lists several mineral and vitamin levels. It breaks down types of fats. It even breaks down protein to specific amino acids.
I find that I am regularly missing my vitamin B5, D, K, Potassium, Calcium, and Folate goals. Leucine and Valine are amino acids I am sometimes a bit short on, even when I have had the correct amount of protein. I really believe that optimal diet creates better health so this gives me a better chance of getting an optimal diet. When battling an illness it becomes even more important.

Thanks again Ziff for sharing these guidelines. They are good to know.

A.Ziffle
Veteran Member


Date Joined May 2011
Total Posts : 2071
   Posted 1/18/2016 2:22 PM (GMT -6)   
Thanks Allison, All great suggestions. I myself have been asking about the "fit bit" recently and why it would be such a must have thing? Seemed kinda silly to me or a bit overkill. I'm eating those thoughts and words now. I never was one to be interested in "Smart" cell phones much less loading one up with apps. I'm still locked into the old flip phone tech. and getting on a scale to weigh progress. If I'm tired or heart beat is up I sit down and rest. Ain't sleeping enough at night? go to bed early or take a nap. I gotta a beetle in a match box that tells me what kinda weather we gonna have today.


Ziff
"The truth will set you free, but not before it pisses you off."

A.Ziffle
Veteran Member


Date Joined May 2011
Total Posts : 2071
   Posted 1/19/2016 2:26 AM (GMT -6)   
www.dailymail.co.uk/news/article-3405237/Man-loved-sea-salt-wife-tried-hide-stop-eating-dies-sodium-overdose.html too Much salt and the effects. We all need salt but to much of anything kills.

Ziff
"The truth will set you free, but not before it pisses you off."

A.Ziffle
Veteran Member


Date Joined May 2011
Total Posts : 2071
   Posted 2/1/2016 6:37 PM (GMT -6)   
Bump!!!!
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