Thanks for the question
If the damage to liver by hepatitis is a moderate or severe one then an issue can occur with the metabolism of various nutrients
The liver plays a unique role in controlling carbohydrate metabolism by maintaining glucose concentrations in a normal range. This is achieved by a tightly regulated system of enzymes and kinases regulating either glucose breakdown or synthesis in hepatocytes.
Liver change amino acid in foods so that they can be used to produce energy, or make carbohydrates or fats.
Ammonia is a byproduct of protein metabolism and thus it can start to accumulate in blood if liver is damaged and give rise to toxic manifestation
This all occur if there is advanced damage to liver like in Cirrhosis
Usually these features are not seen in case if the liver is not having fibrosis or Cirrhosis
Alcohol is also metabolized in liver so use of alcohol can further increase the risk of liver toxicity
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