Other RCTs highlighted that the serum ALT, total bilirubin, and direct bilirubin levels did not have a statistically significant difference between the intervention group and standard diet group [ 8 , 9 ], but showed a decreasing trend of these liver function parameters in the intervention group.
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Effect of Immunonutrition on the Liver Function Status of End-Stage Liver Disease Patients Waiting/Referred for Liver Transplant: A Randomized Controlled Trial.
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The sentences
Total protein and serum albumin levels were significantly reduced in patients who received immune-enhancing formula compared to baseline in the early postoperative days and showed a trend to normalization afterward [ 10 ].