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Overview
Balanced nutrition is important for maintaining liver function with primary biliary cholangitis (PBC). Getting necessary vitamins from food is more beneficial than taking supplements, but this might not be possible for everyone with PBC. Doctors may prescribe supplements of vitamins A, D, E, or K if they detect low levels of these nutrients. Low levels of calcium, iron, and folic acid may also be a concern for people with PBC.

How do I take it?
Vitamin supplements are available over the counter, but they are not regulated by the U.S. Food and Drug Administration (FDA) as rigorously as medicines. If your doctor thinks you can benefit from supplements, they will recommend reliable brands and a safe dose. Always follow your doctor’s instructions when taking supplements for PBC.

Side effects
Some supplements may increase your intake of nutrients to harmful levels. It is possible to overdose on vitamins and minerals. In some cases, too much supplementation can cause headache, stomach upset, nausea, constipation, diarrhea, fatigue, weakness, kidney stones, and other health complications.

For more details about this treatment, visit:

Eating, Diet, & Nutrition for Primary Biliary Cholangitis (Primary Biliary Cirrhosis) — National Institute of Diabetes and Digestive and Kidney Diseases
https://www.niddk.nih.gov/health-information/li...

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