Cirrhosis is irreversible chronic injury of the liver. It often has no symptoms. Your health care provider will diagnose cirrhosis based on your medical history, a physical examination, and laboratory tests.

Nutrition
Essential fatty acids are anti-inflammatory; dietary manipulation includes reducing animal fats and increasing fish and nuts. A mix of omega-3 (flaxseed) and omega-6 (evening primrose oil) may be the best. Restrict intake of protein to 45 g per day as long as a minimum of 400 g of carbohydrates is ingested daily. A change from animal to vegetable protein may be helpful.

Vitamins and Minerals
· B Complex: to reduce deficiencies common in liver disease
o B1 (50 to 100 mg)
o B2 (50 mg)
o B3 (25 mg)
o B5 (100 mg)
o B6 (50 to 100 mg)
o B12 (100 to 1,000 mcg)
o Folate (400 mcg per day)
· Antioxidants: reduce toxic effects of alcohol and drugs and prevent tissue damage
o Vitamin C (1,000 to 3,000 mg per day)
o Vitamin E (400 to 800 IU per day)
o Selenium (200 mcg per day)
· For fat absorption(1 g per day):
o Choline
o Lecithin
o Methionine
o Carnitine (300 mg per day): prevents fatty liver.
o Glutathione (500 mg twice a day): helps remove ammonia from the brain, a complication of cirrhosis.
o Vitamin K: necessary for blood clotting; often-depleted in cirrhosis.
o Desiccated liver (500 mg three times per day): helps provide nutrition to promote liver repair.

Herbs
As with any therapy, it is important to work with your health care provider on getting your problem diagnosed before you start any treatment.

Due to the high doses required and the need to avoid alcohol, the preferred form of these herbs is powdered or in a non-alcoholic glycerite.
o Milk Thistle (Silybum marianum): 100 mg three times a day prevents free radical damage in the liver.
o Barberry (Berberis vulgaris): 250 to 500 mg per day corrects metabolic abnormalities in liver cirrhosis.
o Catechin (Uncaria gambir): 400 mg three times per day, is antioxidant, antiviral, and helps regenerate the liver.