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Xifaxcin will help but not that much. Please ask your doctor for RAVICTI. It removes ammonia through the urine. It is extremely expensive which is why doctors will not prescribe it. But it sounds like this is what you need. I am trying to just get a prescription of it for my husband but doctors go deaf when you ask for it. The cost of this drug will not drop until 2025 when it comes off patent. I worked in big pharma research for 38 years and I am not sure how to get it. But I think you need it. Maybe if enough people push for it. Good luck to you. I will leave a message here when I am able to get it for my husband. So far all I got was a prescription for zinc something from the 1950's Try cutting back on protein but do not give it up altogether.
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@chrissey I’m not sure who this is a response to, and what was causing their high ammonia levels, but when I had cirrhosis and high ammonia levels it kept things in check for almost a year. Then my cirrhosis progressed to a point where I needed to supplement with lactulose. Prior to taking xifaxan I was having problems at least every couple of weeks. I was taking lactulose but the xifaxan worked so much better.
If the other drug can’t be prescribed, xifaxan is a good alternative in my experience.
JK