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Human Body & Health

A patient with cirrhosis experiences a sudden drop in blood glucose levels. Which mechanism explains why the liver fails to maintain stable blood glucose despite glucagon stimulation?

A)Reduced bile acid synthesis increases lipolysis
B)Compromised urea cycle causes ammonia toxicity
C)Impaired Kupffer cell function increases inflammation
D)Decreased hepatocyte mass limits gluconeogenesis

💡 Explanation

In cirrhosis, extensive hepatocyte damage decreases functional liver mass, impairing gluconeogenesis because the liver's capacity to synthesize glucose from non-carbohydrate precursors is diminished; therefore, blood glucose drops despite hormonal signals, rather than because of bile acid problems or immune cell function.

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