Inclusion Criteria:  Age 18-75 years Liver cirrhosis with Child-Pugh score 7-12 Hospital admission due to acute decompensation (ascites, gastrointestinal bleeding, bacterial infections, hepatic encephalopathy, alcoholic hepatitis) Maximum of 1 organ failure defined by CLIF-SOFA score  Exclusion Criteria:  Untreated malignancy apart from hepatocellular carcinoma within the Milan criteria or non-melanoma skin cancer Untreated viral hepatitis HIV Inflammatory bowel disease Celiac disease Pregnancy Unable to participate based on medical judgement