Table.

Signs and Symptoms of Select Micronutrient Deficiencies in Patients With Cirrhosis

Micronutrient Deficiency	Signs/Symptoms
Magnesium	Insulin resistance, muscle cramps
Selenium	Myopathy, cardiomyopathy
Vitamin B1/thiamine	Wernicke-Korsakoff syndrome, neurologic symptoms
Vitamin B2/riboflavin	Glossitis, cheilitis, lingual papillae atrophy
Vitamin A/retinol	Abnormal dark adaptation, rough skin
Vitamin C	Scurvy with purpura and petechiae
Vitamin D	Altered bone metabolism, altered gut barrier/immune function
Vitamin E	Oxidative stress
Niacin	Skin photosensitivity, confusion, pellagra
Folate, s-adenosylmethionine	Anemia, altered methylation, epigenetic effects