Shelley, the lactulose is really essential for managing your digestive tract and
minimizing the build up of ammonia and
other toxins. The higher the ammonia
level, the more severe the HE, and the more severe the HE, the more difficult it will be for you and your liver doc to manage your liver disease. You have to control the HE, so that you can manage your meds, your diet, and other aspects of your liver care.
Please don't skip your lactulose.