calculus and liver (characteristic one who hitted this disease) part 2

VITAMIN KIND

liver play role important in a few vitamin metabolism step. vitamin consists of vitamins that dissolve in fat (fat-soluble) likes vitamin a, d, e and k or dissolve in water (water-soluble) likes vitamin c and b-complex.

patients with disease liver advanced stage may be is vitamins deficit that dissolve in water,  but this is usually happen because food input and nutrient less/not proper. vitamin storage b12 usually far exceed body need; deficit (deficiencies) seldom happen because disease liver or fail liver. but, when does food nutrient input decreased, usually also deficit thiamine and folate. usually supplement oral last for return thiamine and folate to level normal.

vitamins that dissolve in fat not only want square meal nutrient input but also good digestion with absorption either by body. that is why production bile in number normal of vital importance. bile in stomach/ intestines be be wanted for vitamins absorption dissolve these fat into body because these vitamins usually insoluble in water. bile work as detergent, dissolve these vitamins so that they can be absorbed body well. 

if production bile bad, supplement oral vitamins A, D, E, K may be will not last for return level vitamin to level normal. detergent similar solution use from vitamin E liquid (tpgs) increases vitamin absorption e in patient with disease liver advanced stage. solution same also can repair vitamin absorption A, D,  and K,  if vitamin K drunk concurrently with vitamin liquid E.

source: " living with hepatitis C: A survivor's guide" by Gregory T. Everson, M. D. , and Hedy Weinberg. 1997, Hatherleigh Press