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Patients who suffers from liver disease, i.e. cirrhosis, can develop porphyria. Please note that Porphyria can not cause liver disease. Liver cirrhosis is a chronic disease with a poor prognosis. Unfortunately, I can not comment unless, I have seen all your husband's test results.
Your husband should not take any products containing paracetamol for pain relief, i.e. Synap Forte and Panados etc, as these medication gets broken down in the liver. I recommend that he takes opiad type tablets, like codiene/pethadene, for pain relief.
He should follow a low fat diet.
Dr Anrich Burger
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