| Decreased intake |
Decreased absorption |
Lactrogenic factors |
|
Anorexia
|
Inadequate bile flow
|
Overzealous dietary restriction
|
|
Early satiety
|
Bacterial over growth
|
Frequent paracentesis
|
|
Ascites
|
Pancreatic insufficiency
|
Diuresis (micro nutrient losses
|
|
Altered mental status/ encephalopathy
|
|
Lactulose therapy
|
|
Frequent hospitalization
|
|
|
|
