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Patients with early-stage ALD often suffer from malnutrition or infections due to protein damage, so nutritional therapy should be implemented, focusing on providing high-protein, low-fat diets while balancing vitamin and folic acid levels within the body ( As ALD progresses to severe alcoholic hepatitis and cirrhosis, treatment guidelines recommend adding hormonal therapy to the early-stage treatments to prevent and halt the progression of cirrhosis

& Shivapurkar, N

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Progressive Familial Intrahepatic Cholestasis (PFIC) refers to paediatric-onset manifestations, but the same genetic variants can also cause adult-onset cholestatic disease (AOCD) [1]

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