Liver Nutrition Case StudySeptember 2026
Nutritional Management of Jaundice and Altered Lipid Metabolism – A Clinical Case Study
Dietitian Suchana · Reviewed by Clinical Nutrition Team
What changedAfter 8 Weeks
- Bilirubin reduced from 4.8 mg/dL to 1.6 mg/dL
- SGOT (AST) improved from 156 U/L to 48 U/L
- Triglycerides reduced from 328 mg/dL to 178 mg/dL
- Appetite and energy levels improved significantly
Patient Profile
- Name
- Anindita Sen
- Age / Gender
- 52 years / Female
- Occupation
- Homemaker
- Diagnosis
- Jaundice, Liver Inflammation with Elevated Enzymes & Hypertriglyceridemia
Medical Background
Mrs. Anindita Sen, a 52-year-old homemaker, visited for nutrition counseling with complaints of jaundice, fatigue, nausea, poor appetite, and heaviness after meals. She also noticed yellowing of the eyes and dark urine. Clinical investigations revealed elevated bilirubin, high liver enzymes, and increased triglycerides, indicating liver stress with altered fat metabolism.
Key Challenges
- Jaundice with yellowing of the eyes and dark urine
- Liver inflammation and hepatic stress
- Elevated liver enzymes (SGOT 156 U/L, SGPT 132 U/L)
- Elevated total bilirubin (4.8 mg/dL)
- Elevated triglycerides (328 mg/dL)
- Fatigue, poor appetite, and nausea
- Fat intolerance and heaviness after meals
- Risk of inadequate protein intake
She consulted DytoClick for structured liver nutrition therapy and therapeutic dietary management.
Clinical Data
Anthropometric & Metabolic Status
| Parameter | Value | Interpretation |
|---|---|---|
| Weight | 64 kg | Normal |
| BMI | 25.6 kg/m² | Elevated |
| Triglycerides | 328 mg/dL | Elevated |
Liver Function Tests (LFT)
| Parameter | Value | Interpretation |
|---|---|---|
| Total Bilirubin | 4.8 mg/dL | Elevated |
| SGOT (AST) | 156 U/L | Elevated |
| SGPT (ALT) | 132 U/L | Elevated |
| Serum Albumin | 3.4 g/dL | Normal |
Progress After 8 Weeks
| Parameter | Before | After 8 Weeks | Interpretation |
|---|---|---|---|
| Total Bilirubin | 4.8 mg/dL | 1.6 mg/dL | Improved |
| SGOT (AST) | 156 U/L | 48 U/L | Improved |
| Triglycerides | 328 mg/dL | 178 mg/dL | Improved |
| Appetite & Energy | Poor / Fatigued | Significantly Improved | Improved |
| Digestive Comfort | Nausea & Heaviness | Resolved | Controlled |
Nutritional Assessment
- Energy requirement: 1,600–1,800 kcal/day
- Protein requirement: 70–80 g/day
- Moderate-fat, low-sugar diet
- Small frequent meals to improve digestive tolerance
- Adequate hydration for metabolic clearance
- Controlled visible oil intake to manage altered fat metabolism
Diet Protocol
- 1,600–1,800 kcal/day calorie target
- Moderate-fat, low-sugar diet
- Protein: 70–80 g/day from lean, easily digestible sources
- Small, frequent meals to alleviate nausea and fullness
- Adequate daily hydration
- Introduced soft and easy-to-digest meals
- Included lean proteins like fish, dal, paneer, and egg whites
- Added antioxidant-rich fruits such as papaya and apple
- Restricted fried foods, sweets, and alcohol
- Controlled visible oil intake
Dietary Objectives
Support liver recovery & reduce hepatic stress
Provide gentle, easily digestible nutrients to decrease liver workload and foster normalization of bilirubin and liver enzymes.
Normalize lipid profile & triglycerides
Enforce a moderate-fat, low-sugar diet and eliminate fried foods and sweets to correct altered fat metabolism and lower triglycerides.
Relieve digestive distress, nausea & heaviness
Transition to small, frequent, soft meals to manage fat intolerance, stimulate appetite, and restore digestive comfort.
Preserve protein adequacy & support cellular repair
Deliver 70–80 g/day of well-tolerated lean protein distributed across meals to prevent catabolism and aid tissue regeneration.
Nutrition Intervention
Personalized Liver Nutrition Plan
Designed a 1,600–1,800 kcal/day moderate-fat, low-sugar diet with 70–80 g/day lean protein, calibrated specifically for jaundice recovery and lipid control.
Soft & Easily Digestible Meals
Introduced soft, easy-to-digest meals with small, frequent portioning to relieve nausea, fullness, and fat intolerance.
Lean Protein & Therapeutic Fruit Selection
Incorporated lean proteins including fish, dal, paneer, and egg whites, complemented by digestive-friendly fruits like papaya and apple.
Oil Control & Restriction of Triggers
Controlled visible cooking oil and strictly restricted fried foods, sweets, and alcohol to lower liver stress and triglyceride levels.
Continuous Monitoring & Menu Adaptation
Utilized DytoClick for structured meal planning, tracking calorie, protein, and fat intake, and adjusting plans dynamically according to appetite and tolerance.
How Dytoclick Helped
- Personalized Plans
- Creating personalized liver-supportive meal plans
- Nutrient Tracking
- Tracking calorie, protein, and fat intake accurately
- Trend Monitoring
- Monitoring liver enzymes and lipid trends over time
- Adaptive Nutrition
- Adjusting nutrition plans based on appetite and tolerance
- Practical Indian Meals
- Simplifying patient counseling with practical Indian meal plans
Clinical Outcomes (After 8 Weeks)
- Bilirubin reduced from 4.8 mg/dL to 1.6 mg/dL
- SGOT (AST) improved from 156 U/L to 48 U/L
- Triglycerides reduced from 328 mg/dL to 178 mg/dL
- Appetite and energy levels improved significantly
- Digestive comfort improved with complete relief from nausea and heaviness
- Restored metabolic balance and sustained dietary compliance
Final Thoughts
This case highlights how targeted nutrition therapy can support liver recovery while improving lipid metabolism in jaundice patients. DytoClick supports dietitians with structured, data-driven nutrition care for effective therapeutic meal planning and continuous patient monitoring.