Yes, take the lactulose! I'm sorry but I stopped taking it and landed up in the ER, completely delirious. I could have died. I only have small snippets of memory from that episode.
You also should have a low protein diet, no red meat, just chicken, fish and tofu.
I didn't like the taste of lactulose either but you can drink lots of water or juice immediately after.
A good doctor told me how to regulate it.
You want 2-3 soft stools daily. If you have more, use less.
the brain damage caused by high ammonia levels not to mention accelerated liver damage are not what you want either right?
I think the better part of valor is to tolerate the taste so that you can keep your wits about you...unless dymentia, brain fog and liver failure sound good to you.
I used it as a prebiotic. The first script was unflavored and a teaspoon hid very well in a cup of coffee, the next was flavored with some citrus something YUK!
Take the Lactulose - that is the least of things that you might not want to do. I take it straight. But mix it in a glass of juice if you want. It doesn't matter how it gets into you!
Hi I am a little late to help however I thought better late than never.
I take the lactulose as a preventative. I have researched what can happen if your ammonia gets to a level that affects your brain. I did not know the other things and will research further. Out of all the stuff I have taken in an attempt to kill this virus, two tablespoons a day is not much. I would eat dirt if it would make me well.
I wish you luck
I take mine mixed with 8 ozs. of Orange Juice. Covers the nasty flavor well. Having had a bout of Hepatic Encephalopathy I can tell you the Lactulose is the better alternative. Good luck.