lactulose in liver disease 1- lactulose convert to lactic acid - TopicsExpress

lactulose in liver disease 1- lactulose convert to lactic acid and acetic acid in colon which inhibit of ( NH3-producing bacteria ) 2- we must prevent constipation to inhibit accumulation of protein (inhibit metabolism of protein to NH3 ) , NH3 enter in urea cycle in liver to form urea and excreted by kidney , in liver disease no form of urea so NH3 increase in blood and enter blood brain barrier which cause hepatic encephalopathy which cause coma

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Marchers, heres a link to the Chairmans letter on the Metgasco

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