Some canned food contains high amounts of sodium and added sugars, which contribute to weight gain, high blood pressure, insulin resistance, type 2 diabetes, and fatty liver disease. Fewer calories and fat than pork bacon Turkey bacon has roughly 25% fewer calories and 35%. They reduced fat buildup in the liver as a result of soy and whey protein consumption. Additionally, it is important to drink plenty of water and limit your intake of alcohol, since alcohol can worsen fatty liver disease. The liver is susceptible to fat accumulation, a phenomena that can build up and lead to progressive liver damage. Contains Healthy Fats Most people tend to think that fat makes you fat, clogs your arteries, and more, but that's just not the case. Nuts can pack a punch when it comes to their nutritional value. A direct substitute for fast food French fries is homemade sweet potato fries. Go heavy with all of the seasonings that you like, which may include garlic powder, red pepper flakes, turmeric, curry, cumin, oregano, thyme, and basil. Here's the lowdown on what turkey bacon is and whether it's a healthier option. If you have an infection or an injury to your liver, its possible that if you live a healthy lifestyle and eat the right foods, your liver may be able to heal itself.. Fruits, vegetables, nuts, seeds, and whole grains are all high in micronutrients that support liver health and metabolism. Suzanne Fisher, RD, is the founding owner of Fisher Nutrition Systems. Turkey bacon provides 17 grams. The liver is a good source of vitamin A (36,000 IU in 4 ounces). ). Good news for non-coffee drinkers: Tea may have similar benefits for your liver, too. Whole grain foods, such as oatmeal, brown rice, and quinoa, are also beneficial. It is always a good idea to choose raw, unsalted options. While turkey bacon can be a good option for some, be aware of the following potential downsides. Those with chronic liver concerns have several justifiable reasons to enjoy consuming turkey during this food-centric holiday and even to include it on their food shopping list throughout the year. People often assume turkey bacon is a healthier choice because it isn't red meat. (1). It synthesizes iron, stores glucose for energy, detoxifies, stores cholesterol, and converts excess glucose to glycogen for energy storage, in addition to a variety of other functions. In larger serving sizes, the sodium content can quickly add up (2). In fact, opting for turkey bacon as the healthier choice can have a negative impact on your health. Small portions of fresh chicken breast and turkey breast provide all essential amino acids without the unhealthy fats. Green tea has also been shown to help with symptoms of fatty liver disease, thanks to its antioxidants. Antioxidants are compounds that protect and reduce the effects of inflammation on the liver, says Dr. Lindenmeyer. In addition, astudy from 2017suggests that as oats and oatmeal are high in soluble fibers called beta-glucans, they may also help prevent obesity and inflammation. Getting rid of all of the above foods and adding in liver-friendly foods will help your body repair liver damage, reverse fatty liver disease, and prevent the potential progression to steatohepatitis, liver cirrhosis, liver cancer, and liver failure. If you are watching your cholesterol levels, you know that it is important to look at the cholesterol content, as well as saturated and trans fats, in, A deadly salmonella outbreak has resulted in the U.S. Department of Agriculture's (USDA) Food Safety and Inspection Service to order a recall of. While more research is still necessary, a series ofanimal studieshave suggested that cranberries and blueberries could improve liver health, too. Sodium: If you dont select reduced-sodium bacon, just a few slices can max out your daily recommended intake of salt less than 1,500 milligrams according to the American Heart Association. Plus, whole-grain carbohydrates are filled with fiber that promotes gut health, weight loss, and liver health. Nicole Cutler, L.Ac., MTCM, Dipl. Similarly, if you smoke, you should quit in order to reduce your risk of heart attacks and strokes. If you intend to consume beef liver, make certain it is grass-fed and organic. Sausage Stuffed Mushrooms are savory Italian sweet sausage, bacon bits, and Mascarpone cheese stuffed inside. Nutritionists agree that eating whole foods as part of a varied diet is the ideal route for getting what your body needs; however, this isnt always feasible. On top of that, white bread often contains added sugars as well. Milk has been found to be beneficial for people with fatty liver disease. If you avoid pork, turkey bacon can be a good substitute. The majority of processed meats, including bacon, deli meat (ham, turkey, salami and pepperoni), breakfast sausage, hot dogs or even canned soup with meat, are prepared with the preservative sodium nitrite. The United States and the European Union have released guidelines on food safety that recommend the use of omega-3 and omega-6 oils. Your eating habits will be unique to you, and you and your doctor will need to work together to create a plan that works for you. Walnuts contain a high concentration of omega-3 fatty acids, which may aid in the treatment of fatty liver disease. Symptomatic participants reported fatigue, joint pain, and headaches, while those who were asymptomatic reported only minor symptoms. Whole grains are high in vitamins, minerals, and fiber, as well as good sources of nutrition. These substances are added to processed foods to improve shelf life. If youre avoiding animal products, try some non-meat options like: Whether you like to eat olives straight out of the jar or olive oil with a squeeze of lemon is your preferred salad dressing, this savory fruit can help boost your livers health. Replacing sausage with turkey bacon would not be a good choice for Natasha, as it still contains high amounts of saturated fat and cholesterol. Policy. Turkey bacon is dark and light meat turkey seasoned like bacon and pressed into bacon form. The fiber present in whole fruits effectively slows down the absorption of sugar into the bloodstream and prevents blood sugar spikes. If you have a fatty liver, chicken can be a good addition to your diet because it is a good source of lean protein. Examples of other products that could contain trans fats include fried chicken, baked goods, frozen meals, fast food, and packaged snacks like chips and cookies. Nutrients per Serving. Heavy drinking makes you more likely to get it. Milk also contains important nutrients including calcium, which helps keep the liver healthy. It is critical to select lower-fat options such as cottage cheese, mozzarella, and feta when it comes to cheese. If you take the time to make small, achievable changes, you can significantly reduce your risk of developing fatty liver disease. It is a leaner alternative to pork bacon and has fewer calories. Turkey also contains less saturated fat which makes it a good choice for those concerned with a fatty liver. Bacon and other processed meats have negative consequences for liver health. If it is a poor choice, what would be a good alternative? In this article, well discuss the potential benefits and risks of eating bacon for those with fatty liver and offer some tips for making healthier bacon choices. A 30-minute bacon meal is jam-packed with nutrients and delicious. She has gathered acupuncture licenses in the states of California and New York, is a certified specialist with the National Acupuncture Detoxification Association, has earned diplomat status with the National Commission of Chinese and Oriental Medicine in Acupuncture and Chinese Herbology and is a member of the Society for Integrative Oncology. Since its a processed meat rich in sodium and preservatives, you should eat it in moderation. But what many people dont realize is that bacon is not always the healthiest food choice, particularly for those with a fatty liver. If youre craving something crunchy and fried, try to satisfy your craving with crunchy homemade kale chips and beet chips. The USDA defines an extra-lean cut of beef as a 3.5-ounce serving (about 100 grams) that contains less than:. (5). It is best to avoid fatty and sugary foods, which are known to increase fat accumulation in the liver, especially if you are overweight or obese. Picture of organic uncured turkey bacon made from turkey thighs. We will not rent/sell your email to anyone. The preservatives added to bacon like salt and artificial nitrates and nitrites are detrimental for your health. Whole fruits contain sugar thats combined with fiber, antioxidants, and vitamins. Cut Back on Red Meat, Should You Pay Attention to Those New Red Meat 'Guidelines'? Low-fat and non-fat dairy products, for example, can help you lose weight by improving your diet. Cleveland Clinic 1995-2023. Fat: The overall fat content in turkey bacon is significantly lower than pork bacon 14 grams vs. 22 grams. Color-Changing Turkey Wattles Inspire New Toxin and Germ Detector, 9 Evidence-Based Health Benefits of Almonds. 5 Starters, 3 Entrees, 4 Sides, 3 Beverages, 3 Desserts. Here are some nutrients found in turkey: Vitamin B6 Vitamin B12 Niacin Protein Zinc Selenium Sodium This is a nutritious, quick-moving meal that is high in vitamins and minerals. Statements made have not been evaluated by the FDA. Lean cuts of beef. Portions are always an important consideration as well as the nutritional details., Cleveland Clinic is a non-profit academic medical center. Protein is an important micronutrients in the liver that promotes liver recovery and fat loss. If you have fatty liver, consuming chicken may help you maintain a healthy weight. Can eating chicken (boiled or cooked) help with liver health? Nicole Cutler, L.Ac., MTCM is a long time advocate of integrating perspectives on health. It is also possible to keep your weight low and lower your risk of fatty liver disease by exercising. If you want to avoid worsening cirrhosis, its best to eat low-fat dairy products. This includes plenty of fruits and vegetables, lean proteins like fish, skinless poultry, and beans, and healthy fats like olive oil, nuts, and avocados. 2005-2023 Healthline Media a Red Ventures Company. However, since bacon is usually eaten in small serving sizes, none of the vitamins and minerals found in a slice of turkey bacon exceed 10% of the daily value (DV). I tell my patients to limit bacon products including turkey bacon to less than one serving per week in their diet.. One slice of turkey bacon has about 30 calories, so the calorie count can still add up if you add two to three . If youre looking for protein, chicken is a great source because it contains no saturated fat and can help your liver function normally. Vitamins: Turkey and pork bacon both provide vitamin B complex nutrients, but pork bacon offers more. 5 grams total fat; 2 grams saturated fat How Long Does It Take Your Liver to Detox From Alcohol? These fresh foods are filled with micronutrients and macronutrients like vitamin C, vitamin E, healthy fats, fiber, and protein that help you fight against fatty liver disease and reduce the amount of fat in the liver. Some manufacturers even use stripes of light and dark meat to mimic the look of traditional bacon pieces. You can put these rules into practice on-the-go, at work, and at home. Comparatively, the same-size portion of pork. Instead, fatigue after the Thanksgiving meal is usually due to overeating and/or consuming large quantities of carbohydrates and sugar the likes of which undoubtedly leads to an energy crash. 10 grams total fat; 4.5 grams saturated fat; 95 milligrams cholesterol; Extra-lean cuts of beef. There are no standard treatment options for fatty liver disease. Red meats have a high level of saturated fats, which should be avoided by people with fatty livers. Metabolic health and liver function are harmed when foods contain a lot of saturated fat, added sugars, and refined grains. A frittata, similar to a crustless quiche, is a quick and easy way to start your day off right. Turkey bacon provides 17 grams. Poultry ingredients (Turkey, Mechanically Separated Turkey), Water, Salt, Sugar, Contains 2% or less of Canola Oil, Sunflower Oil, Natural Flavor, Sodium Phosphate, Sodium Erythorbate, Sodium Nitrite. If you just have fat but no damage to your liver, the disease is called nonalcoholic fatty liver disease (NAFLD). Most people love bacon. Results found that BPA intake among adolescents particularly Hispanic adolescents is associated with a higher risk of developing fatty liver disease. FREE standard shipping only available in the contiguous United States. You may be able to lose weight by undergoing weight loss surgery in the future. These healthier proteins promote a more balanced diet, while also helping your liver do its importantwork which is a win-win! Discover the science behind the ketogenic diet in our advanced guide to starting the Keto Diet. Eat skinless chicken or turkey and lean pork Go easy on processed meats like ham Explore new foods like quinoa as a grain Eat plenty of vegetable protein like beans. In addition, some canned food items contain a chemical called bisphenol-A (BPA). Berkeley scientists have used this adaptation to create a biosensor for germs, toxins, and TNT. Consuming high amounts of sugar takes a toll on the entire body, including the liver. Pork bacon offers 20 grams per serving. If you love turkey bacon and want to keep eating it, stick to small portions, pair it with nutrient-rich foods, and choose nitrate-free versions. How to Avoid Contaminated Turkeys This Thanksgiving. That small serving will provide you with: Calories: 32. 1 Benefits Adding alcohol to a diet high in added sugars, saturated fat, trans fat, sodium, and preservatives can be equated to adding fuel to a fire. Foods such as deep fried foods, processed snacks, sugary drinks, bakery items and sweets, full-fat dairy products, red and processed meats, sugary sauces and syrups, and alcohol should all be avoided. Turkey bacon can be a good fit for some people, especially those with special dietary needs. Speak with your doctor about the procedure. To start, eat foods with complex carbohydrates, fiber, and protein. If you have a fatty liver, it is important to make sure that you are eating a healthy breakfast to start your day off right. But there are some foods and drinks that can give your hard-working liver a boost and help prevent or fight against certain liver diseases. It is lower in fat and calories than pork bacon. A series of studiesfound that regular, caffeinated coffee can have a positive impact on people with chronic liver disease.Theres a lot of evidence forcoffee and liver healthand it has a variety of different benefits, says Dr. Lindenmeyer. The recipe includes three essential vitamins: B2, B3, and B5, which are all low in saturated fat and high in vitamin B2. But using the USDA nutrition database as a guide, it counts a serving of 2 slices as about 15 grams of bacon which averages around 90 calories, 10-15 mg of cholesterol and about 7 grams of fat . There are many benefits to an honest bowl ofoatmeal. Dont add salt during the cooking process. There is no gluten, no GMOs, no fats, no refined grains, and no high-carbohydrates or low-fats. BPA has been shown to impact hormonal health, but newer research reveals that BPA may also play a role in liver health. Proteins normally help the body repair tissue. Moreover, drinking soda in and of itself appears to raise the likelihood of developing fatty liver disease, aside from its contribution to associated risk factors. Cleveland Clinic is a non-profit academic medical center. 7 Ways to Lose Weight if You Have Hepatitis, 9 Vitamins and Minerals You Should Take Daily, Why Women Who Dont Drink Can Still Get Cirrhosis. If youre craving something fatty, stick to healthy fat options like nuts, seeds, fatty fish, and certain oils like olive oil. The salt added to bacon contributes to high blood pressure, a common co-occurring condition with fatty liver disease and metabolic syndrome. Diet and exercise are the most effective ways of treating fatty liver disease. If you have NAFLD, it may be acceptable to have a drink once in a while, but not more than every other month. What Are Tense Ascites? You can make a delicious, low-calorie breakfast by combining Greek yogurt with fruit. Some calorie- and fat-conscious eaters choose turkey bacon as a healthy alternative to the pork variety that traditionally graces breakfast tables. Bacon and other processed meats have negative consequences for liver health. However, most varieties contain added sugar and synthetic preservatives unless indicated otherwise. Examples of fresh plant-based foods that promote liver health include avocados, blueberries, cranberries, oranges, kale, broccoli, brussels sprouts, cauliflower, flaxseeds, chia seeds, walnuts, and pumpkin seeds. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2661299/, https://www.ncbi.nlm.nih.gov/pubmed/26843032, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5796302/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3192664/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2724042/. Excess saturated fat intake also increases cholesterol and triglycerides, which can lead to the build of arterial plaques that obstruct blood flow. Our website services, content, and products are for informational purposes only. While turkey bacon may be lower in calories than pork bacon, you should still eat it in moderation. Its made by chopping or grinding turkey meat, adding seasonings and preservatives and then pressing the mix into bacon-like strips (1). Eggs have numerous health benefits, including being an excellent source of protein, vitamins, and minerals. Add onions to the pot and cook over medium heat stirring occasionally until the onions are caramelized. L-tryptophan is converted by the body to serotonin, a mood elevating chemical. Just one can of soda contains upwards of 40 grams of added sugar when the recommended daily intake is no more than 10 grams. For the best nutritional outcome, choose white meat without skin, and limit any accompanying carbohydrate dishes. It is important to limit your consumption of processed foods in general. Eating bacon in moderation, however, should not have a significant effect on the liver. This study is just one of the recent examples in the literature showing a strong . To maintain a healthy liver and reverse fat build-up, there are certain foods you should avoid. Milk is a dairy product that provides a great deal of protein, and there is some evidence to suggest that it may be beneficial for people who have cirrhosis. This combination of complex carbohydrates, healthy fats, and protein will provide your body with the necessary nutrients it needs to help keep your liver healthy. It is possible to lose weight through a Mediterranean diet, DASH diet, and low carbohydrate diet. When eaten, these dietary nitrates can be converted to nitrites in your digestive tract (6, 7). Chicken is a good source of lean protein. Extra calories can be burned by reducing your daily diet or increasing your physical activity. These greens also have glutathione, which Dr. Lindenmeyer adds is a healthy antioxidant that can be helpful for your liver as well. In an effort to add sweetness and flavor, some companies will add sugar to this pork bacon alternative . Because fatty liver disease is often associated with obesity, insulin resistance, metabolic syndrome, and increased risk of cardiovascular disease, weight loss is one of the primary goalsand diet can help with this. Beef liver is a type of organ meat, also known as 'offal' or 'variety cut.' Compared to regular cuts of meat, liver has a low fat content, and it tends to be high in protein. Cynthia Sass is a nutritionist and registered dietitian with master's degrees in both nutrition science and public health. (3). Weight loss, particularly in the abdominal or adipose tissue, can help reduce fat in the liver. Protein: 3 grams . Red meat and processed meat increase the risk of cancer, primarily colorectal cancer. In fact, the saturated fat found in bacon plays a key role in. When bacon is cooked, the preservatives react with pork protein to produce harmful compounds called nitrosamines. You can prepare it in the same ways as regular bacon. High saturated fat content contributes to heart disease. Bacon is a particularly fatty cut of meat. Departments of Agriculture and Health and Human Services. Turkey bacon is made by pressing seasoned turkey mixture into strips to look like traditional pork bacon. If you still haven't received our email after a few minutes, please feel free to contact us. Your diet should be part of a larger lifestyle change to help you lose weight and keep it off. Trans fat is a type of fat formed through industrial processes. Eating processed meat is linked to increased risk of several diseases, including cancer. We do not endorse non-Cleveland Clinic products or services. In addition to increasing your risk of heart disease, high sodium intake raises the likelihood of kidney stones. This may be because nitrites are also converted to nitric oxide, a compound that may lower blood pressure (8). Muscle cells, brain cells, and other organ cells throughout the body utilize some of the sugar, since a certain amount of glucose is vital for producing energy and powering biological functions. According to the American Gastroenterological Association (AGA), people with fatty liver disease should avoid or limit alcohol and added sugars. Last medically reviewed on August 15, 2022. Some factors can influence the type of diet you choose. Turkey bacon is available at most grocery stores as an alternative to classic pork bacon. How Can You Lower Liver Enzymes Naturally? If you just can't forego bacon, here are tips for eating this meat in healthier ways: If you can't give up meat-based bacon, turkey bacon is likely healthier for you than conventional bacon because it is not red meat. Turkey and pork bacon contain roughly the same amount of zinc, which helps control gene activity. Yet, its a processed meat with less protein and more added sugar than regular bacon and may contain preservatives that have been linked to increased cancer risk. When we eat starch removed from the fiber, vitamins, minerals, protein, and antioxidants it is naturally bundled with, the body handles the carbohydrates just as it would handle sugar. To avoid MSG, steer clear of fast food and packaged foods. HEV (hepatitis E virus), a liver disease, can develop in cured pork products. Gluten-free bacon is an example of a bacon that is free of gluten. Fatty liver is also known as hepatic steatosis. In addition to her acupuncture practice that focuses on stress and pain relief, digestion, immunity and oncology, Nicole contributes to the integration of healthcare by writing articles for professional massage therapists and people living with liver disease. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Adding spices and herbs to food is an effective way to flavor it without adding salt. While turkey bacon is sometimes touted as a low-fat substitute for swine bacon, it has a comparable nutritional profile and includes substantial levels of saturated fat. Learn how to start a low-carb, high-fat diet and reach ketosis. The liver needs certain nutrients from the food we eat in order to function properly. This Should Perk You Up: The Surprising Health Benefits of Coffee, 6 Sore Throat Remedies That Actually Work. While bacon is high in saturated fat, it is also a source of many essential nutrients that may be beneficial for those with fatty liver. For people watching their sodium intake, reduced-sodium turkey bacon is an option. Eating smaller meals more frequently with shorter intervals between them can help you absorb more food. Instead, stick to foods good for liver regeneration, like veggies, fruits, whole grains, legumes, and high-quality proteins full of essential amino acids. Turkey bacon is a highly processed meat product and should be eaten in moderation. It is not necessary to follow any dietary guidelines, meal time recommendations, or schedules. But nitrates also occur naturally in some foods. The fat content of whole milk is 7.8 grams, with saturated fat content being 4.7 grams. Eating the right foods can help you manage and reverse fatty liver disease. So, is bacon good for fatty liver? The recipe includes three essential vitamins: B2, B3, and B5, which are all low in saturated fat and high in vitamin B2. If youre looking to add more oatmeal to your diet, try adding steel-cut oats or whole grain oats to your grocery cart instead of instant oatmeal. Health's content is for informational and educational purposes only. Make sure it is fully cooked; has no skin, bones, or fat; and is not cooked with any other ingredients or seasonings. This research suggests that excessive consumption of salt may cause oxidative stress and exacerbate liver damage in conditions like fatty liver disease. Cleveland Clinic is a non-profit academic medical center. Eating a healthy diet is important for those with fatty liver disease. Fat: 2 grams. Acetaldehyde is a toxic compound that causes oxidative stress and inflammatory damage in the liver, contributing significantly to fat accumulation in liver tissues. The liver is the largest and most important organ in the body. If you have high cholesterol, you should talk with your doctor about what you eat, including meat. . The Keto Diet The keto diet aims to force your body into using a different type of fuel. When possible, check the ingredients label to make sure MSG is not included. If youre having trouble with your liver, drink plenty of green tea and low-fat dairy products. Turkey bacon products typically contain preservatives, including nitrates and nitrites. You can also go for small portions of nonfat, low-sugar dairy products like yogurt, which contains all essential amino acids without unhealthy fats. Connect with her on Instagram and Facebook, or visit www.CynthiaSass.com. Meat processors use sodium nitrite because it: Two thick slices (84 grams) of turkey contain ( 1 ): Calories: 117. Lean meats, such as chicken, fish, and tofu, are preferable to high-fat options. Turkey bacon is lower in calories and fat than regular bacon and a good substitute for people who dont eat pork. The Mediterranean diet which focuses on eating a balance of fruits, lean protein and vegetables is a good regimen to follow for your liver. In addition, it is critical to remember that not all carbohydrates are created equal. The industrial refinement of starches results in a bread that might be softer and tastier but is also much less healthy. "Olive oil is very healthy for your liver," notes Dr. Lindenmeyer. They are not only a good source of protein, which is essential for staying energized, but they also contain a lot of saturated fat, which helps to lower your saturated fat intake. Condiments: You can still use salt, pepper, and other various herbs and spices. Alcohol is metabolized in the liver, where liver enzymes break down alcohol into acetaldehyde, which is then converted to acetate. As your liver is in charge of controlledblood clotformation in the body, vitamin K is a crucial nutrient that assists your liver with this role. All Rights Reserved. Some natural brands of turkey bacon advertise that they are nitrate- or nitrite-free, but they often still use celery powder, a vegetable extract that is a rich source of natural nitrates. If youre craving the flavor of take-out or restaurant food, the key to satisfying your craving is amplifying the seasoning in your food. Two ounces of turkey bacon has more than 1,900 milligrams of sodium. Many studies have found that regularly eating processed meats may increase your risk of heart disease and type 2 diabetes by 18% and 27%, respectively (9, 10). There is some evidence that vitamin E could have a positive effect on the liver health of people with NAFLD. Though it contains less fat and fewer calories, turkey bacon is still highly processed and may contain ingredients that may not be ideal for your health if eaten in large amounts. The USDA lists the nutrients in one slice of microwaveable turkey bacon: One slice of turkey bacon also has 164 milligrams (mg) of sodiumwhich is about 7% of the maximum recommended daily intake for healthy adults. Restrict Carbohydrates to 5% of Your Daily Calories . Additionally, adding a cup of green tea to your breakfast can help reduce inflammation and promote liver health. But, according to dietitian Laura Jeffers, MEd, RD, LD, this substitute is still high in saturated fat and sodium and doesnt carry as many health benefits as many believe. Protein: 24 grams. Soda is a major source of sugar in the American diet. This is why youll want to include plenty of healthy proteins likefishandchickeninto your diet. Therefore, if you're looking for gobbler-only strips, be sure to check the ingredients list. Not only do they have a good amount of healthy cholesterol, but theyre also high in vitamin E, which has been proven to help people with fatty liver disease. Advertising on our site helps support our mission. Complex carbohydrates, such as whole grain bread and brown rice, can be beneficial to health, as can diets rich in complex carbohydrates. When it comes to losing weight, it is best to consult with a doctor or nutritionist. One important job your liver does is processing different proteins, fats and carbohydrates for your body to use. What Happens to a Person that has Compensated Cirrhosis?