I am new and don't know how to change what I posted about Lactulose. Sorry. I wanted to say that instead of Lactulose and Neomycin, many hepatologists and transplant centers are now finding that Rifaximin is helping more with elevated ammonias. I have been on Lactulose for 5 years and my ammonia stays around 137. It has gone up to 250ish and I felt like I was hanging upside down from a trapeze and making poor decisions but more lactulose and neomycin quickly cleared it up. I seem to function OK at the 130 level. Like all our other tests it seems to be just a number and affects people differently. I have had friends in comas at just 92. Take care!
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