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According to the British National Formulary (BNF) and specialist hepatology guidance, patients with established hepatic impairmentparticularly those with cirrhosismay be advised to limit paracetamol to a maximum of 23 g daily, though this should be determined on an individual basis by a clinician
Always include protein powder and Greek yogurt to reach the 25-30 gram target
If you are considering either method, talk with a qualified provider and choose carefully sourced products
The 2026 EASO pharmacotherapy update formalised this evidence by ranking tirzepatide above semaglutide for obesity management, while simultaneously supporting semaglutide as the better-documented agent for liver fibrosis improvement in metabolic dysfunction-associated steatohepatitis (MASH), based on more mature phase 3 ESSENCE trial data [1]
