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Quality of evidence: II-B, Strength of recommendation: 1 Panel level of agreement: In total agreement 100% Sarcopenia frequently presents in patients with cirrhosis, with a prevalence as high as 6590%.42 Inadequate nutrient intake, compromised nutrient absorption, and poor nutrient metabolism and utilization secondary to liver failure are factors that have been identified in the pathogenesis of sarcopenia.43 Added to those are liver necrosis with cytokine release, biomolecules of the host that include damage-associated molecular patterns (DAMPs) and pathogen-associated molecular patterns (PAMPs), and PSSs