European journal of clinical investigation
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Eur. J. Clin. Invest. · Mar 2023
Review Meta AnalysisSystematic review with meta-analysis: branched-chain amino acid supplementation in liver disease.
Dietary supplementation with branched-chain amino acids (BCAA) is often used in cirrhotic patients to improve nutritional status. We wanted to explore the evidence for BCAA supplementation in chronic liver disease. ⋯ Prophylactic BCAA supplementation appears safe and might improve survival in cirrhotic patients.
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Eur. J. Clin. Invest. · Mar 2023
Meta AnalysisAssociation between homocysteine and nonalcoholic fatty liver disease: Mendelian randomisation study.
Many observational studies explore the relationship between homocysteine (Hcy) and nonalcoholic fatty liver disease (NAFLD), whereas the causality of this association remains uncertain, especially in European populations. We performed a bidirectional Mendelian randomisation study to elucidate the causal association between Hcy and NAFLD. Furthermore, we explored the relationship of Hcy with liver enzymes, including alkaline phosphatase (ALP), alanine aminotransferase (ALT) and aspartate aminotransferase (AST). ⋯ This study has clinical implications as it indicates that increased Hcy concentrations increase the relevant liver enzymes and may play a role in NAFLD risk in European populations.