Diet 1 gm/kg protein. Sodium restrict if ascites, Vit E, pioglitazone and Liraglutide. Ascites: Spironolactone alone or with Lasix 100 mg: 40 ratio, Hepatic encephalopathy: Lactulose to have 3 BM/d Varices: EDG surveillance 1-2 years/ propranolol SBP: secondary Ab prophylaxis ( Norfloxacin indefinite) Check MELD score for End Stage Liver Dz and refer for transplant if > 10 Screen for HCC every 6 mo with AFP and US Vaccinate for Hep A and B. Avoid harmful meds