I am pretransplant. In Jan 1019 I had severe HE episodes. For several days I was in a coma. I was so confused for over a month. On lactulose around the clock. Nonstop diarrhea for quite some period of time. Had PT to be able to walk. Finally by May 2019 I was better, less confused, and able to function. I am so much better. My Meld went from 26 to 13. Labs are fine now but I know one day I will need a liver transplant. I see my Doc every 6 months to have labs done. I take a lot of meds, yet am in good shape now.