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My hepatologist said that as the liver is less able to store energy,

your body begins to use up fat and muscle to supply the energy it

needs. That's part of the reason that liver disease patients tend to

have a hard time maintaining their weight.

I'm sure there are other possible reasons for weakness (especially if

it's not accompanied by weight loss), but he might try eating more

frequent meals, so that his energy stores don't get as low and cause his

body to cannibalize his muscles! That did help me pre transplant...

athan

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My hepatologist said that as the liver is less able to store energy,

your body begins to use up fat and muscle to supply the energy it

needs. That's part of the reason that liver disease patients tend to

have a hard time maintaining their weight.

I'm sure there are other possible reasons for weakness (especially if

it's not accompanied by weight loss), but he might try eating more

frequent meals, so that his energy stores don't get as low and cause his

body to cannibalize his muscles! That did help me pre transplant...

athan

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My hepatologist said that as the liver is less able to store energy,

your body begins to use up fat and muscle to supply the energy it

needs. That's part of the reason that liver disease patients tend to

have a hard time maintaining their weight.

I'm sure there are other possible reasons for weakness (especially if

it's not accompanied by weight loss), but he might try eating more

frequent meals, so that his energy stores don't get as low and cause his

body to cannibalize his muscles! That did help me pre transplant...

athan

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Stacey Simpson

I have an off the wall question for . My son is 21 years old. with PSC and

agammaglobulinemia. He is currently in his junior year (though by credits he is

actually a sophomore) in premed. Over the past three years of college he has had

hepatitis twice and pneumonia twice, multiple ERCP and had one round of stents.

He is becomming more tired and has recently expressed the thought that he may no

longer have the stamina for premed. Mol Biol Of Eukaryotes and Organic Chemistry

are beginning to take their toll. He asked me what my true thoughts were

concerning his ability to make rounds as an intern if he is accepted to medical

school. Currently when he is seen in the ER he is isolated upon entry since his

immune system is compromised. (He is on IVIG at 3-4 week intervals). Oh, and

BTW, he was never immunized because of his disease.

I would like your opinion on the prognosis of someone in this situation. He is a

brilliant student but the inability to live up to his own standards has begun to

put him in a state of depression. He hasn't experienced depression before

because he has always had the " can do " attitude. This attitude has kept him

alive this long as far as I am concerned. he wasn't supposed to lvie past 13 if

the doctor's prognosis was correct years ago. If he gets too depressed and his

will is diminished I fear it will make him even more ill.

Any advice is appreciated,

Stacey

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