very risky, it doesn't seem like that practitioner is very knowledgeable about liver disease
Based on the available research, here are the key effects of baking soda (sodium bicarbonate) ingestion in the context of stage 4 liver disease:
Acid-Base Balance:
Sodium bicarbonate can affect acid-base balance in the body, which is particularly important as patients with advanced liver disease often experience metabolic acidosis
Both too low or too high serum bicarbonate levels are associated with increased mortality risk in patients with chronic liver disease
Precautions and Risks:
Sodium bicarbonate must be used with extreme caution in patients with advanced liver disease due to:
Potential fluid retention issues
Risk of electrolyte imbalances
Possible complications with ascites management
Any over-the-counter use should be carefully monitored by healthcare providers
Metabolic Considerations:
While sodium bicarbonate can help manage acidosis, in liver disease it requires careful monitoring because:
The liver's reduced function affects acid-base regulation
There's risk of developing metabolic alkalosis if over-supplemented
Sodium load can worsen fluid retention common in cirrhosis
System-Wide Effects:
Sodium bicarbonate supplementation can affect multiple body systems:
May influence the renin-angiotensin system
Can impact fluid balance
Affects mineral metabolism
These effects are particularly significant in the context of advanced liver disease where multiple organ systems are already compromised
IMPORTANT: Any use of sodium bicarbonate in stage 4 liver disease should be:
Prescribed and monitored by healthcare providers
Carefully dosed based on individual patient factors
Regularly assessed for effectiveness and complications
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