In a patient with cirrhosis whose liver's ability to perform gluconeogenesis is significantly impaired, what is a likely consequence of sustained, strenuous exercise?

💡 Explanation

Impaired gluconeogenesis means the liver can't produce glucose from non-carbohydrate sources; because strenuous exercise depletes glycogen stores, the body becomes reliant on gluconeogenesis to maintain blood glucose. Therefore, hypoglycemia results rather than increased urea cycle activity; bile acid secretion is less directly affected.

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