Regarding a suppliment choline and inositol - #10748
My father is 70 years old, weighs 55 kg, and has COPD along with early-stage liver cirrhosis. He is allergic to dairy and currently follows a restricted diet. He consumes eggs (only whites, 5 boiled) three times a week. He also avoids bananas, nuts (almonds, walnuts, peanuts), urad dal, rice, ghee, oats, sweet potato, kala chana, poha, dates, coconut, and several other high-fiber or gas-forming foods due to digestion issues. We are considering giving him a supplement that contains choline and inositol. Given his age, medical condition, and dietary restrictions, is it safe for him to take this supplement? Are there any risks, liver-related concerns, or interactions with his existing condition or medications?
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Doctors’ responses
Hello Deepak ji As you stated your father has early liver cirrhosis ,Choline + Inositol supplement can be cautiously considered, but only with close medical supervision and liver enzyme monitoring — especially given his liver cirrhosis.
I would like to consult his treating physician or heptalogistas as choline is cancelled cause harm to liver to if taken in excess but inositol can be taken it doesn’t effect liver
Use a low-dose formula only (e.g., choline <250 mg/day, inositol <500 mg/day)
Avoid lecithin-based mega-doses or “fat burner” products
Take after meals to reduce GI irritation
Avoid if hepatic encephalopathy symptoms are present (confusion, drowsiness, ammonia rise)
Ensure hydration and watch for any change in bowel habits (choline can cause fishy body odor or diarrhea at high doses)
Run a Liver Function Test (LFT) before and 4–6 weeks after starting
Monitor for:
Abdominal bloating or pain Change in alertness/confusion Diarrhea or GI distress
Start with alternate-day dosing, if tolerated, then continue
Dietary option
he avoids many whole foods, here are choline/inositol-rich but gentler options:
Boiled spinach or cauliflower (moderate choline)
Small servings of watermelon, oranges, or cucumber (mild inositol)
Pumpkin seeds (ground, soaked) – if nuts are tolerated
Do regular liver function test plus serum amonia level monthly once Visit your treating physician and stop supplements in case of confusion,loose motion, bloating,delirum or any danger sign Thank you
Hello dear Please be aware As per my clinical experience in stead of this medication prefer live 52 or tab let ozemic It is more beneficial However in case of any doubt please consult hematologist for needful Regards
Choline and inositol supplements may support liver and nerve function, but in liver cirrhosis, choline must be used cautiously as it can sometimes stress the liver or raise TMAO levels. Inositol is generally safe, but both should be taken only under medical supervision, especially with COPD and multiple dietary restrictions. Please consult your father’s hepatologist or treating doctor before starting the supplement.
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