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MediumGastroenterologyCirrhotic ascites managementca-mccqe1ca-rcpsc-im

A 48-year-old man with alcoholic cirrhosis presents with increasing abdominal distension and ankle oedema. Paracentesis confirms uncomplicated ascites with high serum-ascites albumin gradient and no infection. According to cirrhosis management guidelines, what is the most appropriate first-line long-term therapy for his ascites?

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