Dr. Narendra Kumar (Internal Medicine) needs a second opinion on this medical case.
*Chief Complaint* A 76 y/o male presented with abdominal pain, loss of appetite and unintentional weight loss. *History* Past medical history is positive for RA & DM. No relevant family history. *Vitals* Vitals are wnl. *Investigations* Hb - 14 g/dL, WBC - 8,500/mcL, Platelet count 89000 mcL ALT level - 48 IU/L, AST 42 U/L Sodium 128 mEq/L, Creatinine 0.72 mg/dL, Total bilirubin 3.2 mg/dL CT shows liver cirrosis. *Treatment* What is your opinion on the management?
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