@jodeej My doctors insisted on the lactulose as it helps both remove the toxins and clears the mind. It may be gassy but depends on when you take it. I have never found it to interrupt my day and keeps me regular even though I eat a healthy diet. I have for some reason though not able (wanting to) eat meat or fish. I buy all fresh fruit and vegetables and maintain a very low sodium intake. I hope you find something that balances your husband's work/home life.