In cirrhosis with hepatic encephalopathy, how should protein intake be managed?

• A. Strictly restrict protein to reduce ammonia production, aiming for less than 0.6 g/kg/day.
• B. Do not aggressively restrict protein; typically 0.8-1.2 g/kg/day; emphasize small, frequent meals and consider vegetable-based proteins; treat encephalopathy with appropriate medical therapy.
• C. Increase protein to 2-3 g/kg/day.
• D. Eliminate protein entirely until encephalopathy improves.

Answer: (B)