Can people with eat soy products?

Patient's question:

Hepatitis B with high viral load for 22 years, recent abnormal liver function tests, Alanine aminotransferase (ALT) 136, Aspartate aminotransferase (AST) 141, Serum alpha-fetoprotein (AFP) 92, no discomfort symptoms in the liver area or body. Recently, due to menopause, consuming 700-800 milliliters of specially prepared soy milk daily has helped alleviate menopausal symptoms.

Doctor's answer:

Soy products, due to their high purine content, have the effect of promoting gastric juice excretion; the dietary fiber in whole beans can also cause mechanical damage to the gastric mucosa. The oligosaccharides such as stachyose and raffinose contained in beans, although they cannot be digested and absorbed by digestive enzymes, can be fermented by intestinal bacteria, producing many small-molecule gases that stimulate gastric acid secretion and lead to gastrointestinal bloating. This can further cause symptoms such as belching, intestinal rumbling, abdominal pain, and discomfort.
Although soy products are nutritious and delicious in taste and aroma, they are not suitable for everyone. People with digestive system diseases should either avoid or limit their intake of soy products.

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