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NICE guidelines recommend a structured approach beginning with lifestyle modification and progressing to pharmacological interventions when appropriate

A landmark 1989 RCT of 170 patients with cirrhosis (many with alcoholic etiology) found that 420 mg silymarin daily for a mean of 41 months significantly reduced overall mortality compared to placebo, with a more pronounced effect in the alcoholic cirrhosis subgroup, reporting a 58% four-year survival rate versus 39% in placebo (Ferenci, 1989) [32]

Along with it, reduce your consumption of tea, packed juices, and caffeinated beverages like cola and coffee

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