10. Muscle Wasting: The Body’s Unintended Slim Down
Muscle wasting, clinically known as sarcopenia, is a visible sign of advanced cirrhosis. As the liver’s function dwindles, the body may begin to break down muscle tissue to obtain essential amino acids. This breakdown leads to noticeable thinning of the limbs, even as other parts of the body, like the abdomen, might remain swollen due to fluid accumulation.
A compromised liver struggles with protein synthesis, among its many roles. As the body’s need for proteins and amino acids becomes more pressing, it starts sourcing these from muscle tissue, leading to muscle wasting. This process is a desperate bid to maintain essential bodily functions, even at the cost of skeletal muscle.
Reduced muscle mass impacts more than just physical appearance. It weakens strength, reduces stamina, and can complicate daily activities. Balance may be affected, increasing the risk of falls. Furthermore, muscle tissues play a role in metabolism. Their reduction can further slow metabolic rates, exacerbating fatigue and sluggishness.
Addressing muscle wasting requires a multipronged approach. Physical therapy and resistance exercises can help in rebuilding and maintaining muscle mass. A diet rich in proteins and essential nutrients supports muscle growth. In some cases, supplements or medications might be prescribed to enhance protein synthesis or address nutritional deficiencies. However, restoring liver function or at least halting its further decline remains crucial for long-term management. (10)
