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With respect to recurrent hospital admissions for HE, the importance of individualized lactulose dose titration stands out, given that 22% of readmissions at 30 days can be prevented.50 16 Lactulose can be recommended as primary prophylaxis in patients with cirrhosis that present with high risk factors for developing episodic overt HE

IGF-1 LR3 is a research compound with no FDA approval

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