Just be sure to start by taking the stuff at night.
Thanks. Probably just take half a dose. If it helps stave off fibrosis in a chirotic liver, it should do the same in a *normal* HCV liver, no? I don't think being chirotic makes the lactulose act any different.
I think it does something like inhibit ammonia production. Haven't been following any regime with the stuff, probably going to do half dose at bedtime or quarter dose with each meal or just take it when I eat a lot of protein. Bi-product of protein digestion is ammonia. The goal is to keep the ammonia and enzymes down, no?
Lactulose (prebiotic) helps your digestion bacteria clear out impurities (like ammonia). Lactobacillus GG (probiotic) actually puts these friendly bacteria into your system.
Lactulose is totally harmless and very beneficial, since the bacteria that thrive upon it will expand in numbers and pushback/replace the ones that use leftover amino acids as foodstuff, producing ammonia and other toxic products. You titer it down to the extent that the gas production ( hydrogen and carbondioxide)/bowel frequency is tolerable.
In stages of life threatening intoxication of the brain from intestinal toxic products that the damaged liver cannot handle anymore - ammonia AND other products - enemas with up to 200ml of lactulose are given and are life saving.
Lactulose is not absorbed into the bloodstream at all. If it would, it would still be quickly excreted in the kidneys, since it is extremely water soluble. It is a simple sugar , for which we have no import/transmembrane transport mechanism available, so we do not have the capacity to enter it into our intracellular milieu.
And now I know the rest of the story! Thank you very much!