He was pretty stable until last Christmas, and his health has seriously declined since then. We are having a really hard time keeping his
ammonia levels under control, despite following his liver doctor's orders to the letter. He is normally on 3/x daily of 30 m/l lactulose, and when his ammonia ticks up (as we can tell from increased cognitive impairment, decline of motor skills, etc.), we provide it to him every 2-3 hours until symptoms improve. Except that they often don't.