مريض تليف كبد مع اعتلال دماغي يسأل عن البروتين. أي نصيحة صحيحة حسب التوصيات الحديثة؟

A client with cirrhosis and hepatic encephalopathy asks about protein. Which advice is correct per current recommendations?

1. Adequate protein spread through the day with an evening snack
2. Completely stopping protein for several weeks
3. One large protein meal at night
4. Relying on sweets and sugars as the only source of energy

Answer: A) Adequate protein spread through the day with an evening snack. Protein restriction worsens malnutrition and muscle loss. Adequate distributed protein and a late-evening snack are advised, with lactulose and rifaximin for encephalopathy.