Micronutrients in Liver Disease: Roles, Risk Factors for Deficiency, and Recommendations for Supplementation

Identification: NCP200201
Volume: 35
Issue: 1
Credits (Post Test and/or Evaluation Required)
Available until 02/28/2021
  • 1.00 - Dietitian
  • 1.00 - Nurse
  • 1.00 - Pharmacist
  • 1.00 - Physician
  • 1.00 - Other


*To take the exam click the CE Information tab*

CE Credit: CE credit available for dietitians, nurses, pharmacists and physicians

Total Credit Hours: 1.0

Release Date: February 1, 2020

Expiration Date (all CE credit must be claimed by the expiration date): February 28, 2021

Issue: 1

Volume: 35

Journal: Nutrition in Clinical Practice (NCP)


Michelle L. Kozeniecki, MS, RD, CD, CNSC, Clinical Dietitian, Medical and Transplant Intensive Care Unit, Froedtert Hospital; Lead Clinical Dietitian, Froedtert Hospital; Faculty/Adjunct Instructor, Graduate Program in Dietetics, Mount Mary University, Milwaukee, WI

Rachel A. Ludke, MS, RD, CD, CNSC, Clinical Dietitian, Medical and Transplant Intensive Care Unit, Froedtert Hospital, Milwaukee, WI

Jennifer Kerner, MS, RDN, LD, Transplant Dietitian, Transplant Institute, University Hospitals Cleveland Medical Center; Adjunct Instructor of Nutrition, Case Western Reserve University, Cleveland, OH

Brittney Patterson, MS, RD, CNSC, Clinical Dietitian III, Stanford Health Care, Stanford, CA

Link to article: Link

Journal-based CE Activity Overall Goal:

The NCP Editor, in concurrence with ASPEN’s Education and Professional Development Committee, selected this article to be offered for CE credit to fill an observed learning need in the arena of clinical nutrition and metabolism. This CE activity serves to promote the process of life-long learning for physicians, dietitians, pharmacists, and nurses by providing peer-reviewed journal articles that fully qualify for continuing education credits.

Goal and Target Audience:

This educational activity is directed toward clinical nutrition and metabolism professionals and others who wish to update their knowledge of clinical nutrition and metabolism. By participating in this educational activity, the reader may expect to:

  • Acquire knowledge in the area of clinical nutrition and metabolism research
  • Update or confirm your understanding of appropriate clinical nutrition and metabolism practices.
  • Identify further learning needs as they relate to the subject matter.

Learning Objectives:

  1. Explain the nutrition-related implications of clinical decompensation in advanced liver disease
  2. Identify risk factors for deficiency of fat-soluble vitamins, water-soluble vitamins, and minerals in different types of liver disease
  3. Recognize physical, neurologic, and/or laboratory signs and symptoms of vitamin and mineral deficiencies
  4. Describe supplementation strategies for suspected or confirmed micronutrient deficiency in the context of liver disease

Requirements for Successful Completion:
To obtain CE credit for this activity, attendees must read the journal article in its entirety, complete an online assessment for each article and achieve a score of 100%, and complete an online activity evaluation. All are located in ASPEN’s eLearning Center (www.nutritioncare.org/elearning). All CE credit must be claimed prior to the expiration date, no exceptions. Dietitians and other CDR credentialed practitioners must also complete and retain a copy of the CDR issued Critical Thinking Self-Study Evaluation Tool. Pharmacists must provide their birthday (MMDD) and NABP e-PID. Details are available at http://www.nutritioncare.org/Continuing_Education/Claim_CE_Credit/Continuing_Education_Credit/.

Accreditation Statements/Continuing Education Credit:

Nurses, Pharmacists and Physicians
In support of improving patient care, The American Society for Parenteral and Enteral Nutrition (ASPEN) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

This activity is for a maximum of 1 contact hour (0.1 CEU) per journal article and is a knowledge activity.

ASPEN designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credits TM per article. Physicians should only claim credit commensurate with the extent of their participation in the activity.

ASPEN is approved by the California Board of Registered Nursing, Provider CEP 3970.

ACPE UAN: JA0002345-0000-20-070-H01-P

Knowledge activity.

ASPEN, Provider Number AM005, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive a maximum of 1 continuing professional education units (CPEU) for completion of each journal article. CDR level 2. Dietitians may post comments on this program on www.cdrnet.org.

Non-Commercialism: ASPEN subscribes to the ACCME Standards for Commercial Support. ASPEN does not provide programs that constitute advertisement or include promotional materials. ASPEN does not endorse any products.

Computer Requirements and Technical Support: Participants will need a computer with internet connection to access the online assessment and evaluation for each journal article. If the journal article is read electronically, then the ability to read a PDF document is also necessary. Users should enable pop-ups if attempting to read article electronically. For technical difficulties please contact Digitell Inc. Customer Support at: 1-800-679-3646

Office hours are between 9AM to 5PM ET, Monday through Friday

Privacy and Confidentiality: ASPEN respects the privacy of its members and website visitors. Companies that receive personal information from ASPEN in order to execute the business of ASPEN may use personal information only for that purpose.

Refund Policy: Refunds are not available.

Grievances: Grievances must be submitted in writing to Director of Education at ASPEN 8401 Colesville Road, Ste 510, Silver Spring, MD 20910

Commercial Support and Sponsorship:
No commercial support or sponsorship has been received for this continuing education activity.

Commercial Relationships Disclosures and Conflicts of Interest (COI) of Authors and Editor-in-Chief and Associate Editor

Among the authors, Jennifer Kerner, Michelle Kozeniecki, Rachel Ludke, and Brittney Patterson have nothing to disclose.

Among the NCP Associate and Contributing Editors, Angela Bingham, Mary Marian, Mary McCarthy, and Jayshil Patel have nothing to disclose.

Editor-in-Chief Jeanette Hasse has served on the speakers’ bureau for Alcresta and Abbott Nutrition and received honorarium.

No conflicts related to disclosure information present and subsequently no need for resolution. Standard journal peer-review process also in place as another layer of review to ensure no conflicts to resolve.

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Credits: None available.