Having had temporary muscle paralysis during anaesthesia I'm not up to an 11 mile strenuous hill walk!
Along with painkillers I was discharged from the hospital with lactulose (to get digestive things ‘going’ again). Noticed on the bottle it’s also prescribed for a complication of liver disease caused by too many toxic substances in the blood normally removed by the liver including ammonia. It’s also considered a prebiotic because it enhances the good bacterial flora in the intestine. So I’ve carried on taking it, alongside a daily dose of acidophilus – the stuff in Yakult advert ‘I just want to be appreciated’ talking stomach (voiced, apparently, by Edward Enfield father of comedian Harry, as an aside of useless information).
At pre-op I was asked if I was taking any supplements and they didn’t seem surprised by milk thistle. So I’ve carried on taking that every day. Milk thistle has been a topic of clinical and pharmaceutical research for many years, it’s not a whacky health food store promotion. It’s known to have anti-inflammatory as well as anti-metastatic (metastasis is the spread of cancer cells) activity. It’s also been used for a number of years alongside other therapies to prevent or reduce chemotherapy.
And finally, vitamin deficiencies are common with cirrhosis because the liver is the organ responsible for converting vitamins into a usable form within the body, so I have a multi-vitamin supplement with A, D, E and K as these are the fat soluble ones stored in the liver.