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Lactulose question

Transplants | Last Active: Jun 25, 2023 | Replies (62)

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@parrot53

Thank you for your reply. I am thankful not to have had any HE episodes. I am scared that the constipation will bring it on. I do not like what I hear about Lactulose so I am trying to adjust fiber, water, exercise, and consulting the nutritionist before I resort to using it. I really appreciate your response. Thank you again.

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Replies to "Thank you for your reply. I am thankful not to have had any HE episodes. I..."

@parrot53 I was just remembering that I was told that a high protein diet that has a lot of PLANT based protein (tofu, legumes) is thought to be helpful in general but the protein part for HE. I supplemented my diet with protein snacks like keifer, Greek
Yogurt, almonds, pb on apples etc. When I was very intentional
about my diet (guided by a liver team nutritionist which was SO helpful) started to have many more good days and no more HE. I had also been having awful vivid nightmares which were thought to relate to
ammonia in my brain, and those also abated. I’m a social worker working with major mental illness and it certainly has made me more empathic with my patients when they lose their minds.