Because levels of ammonia in the blood and brain are elevated in these patients, the most popular strategy currently used to manage and treat HE involves reducing
ammonia production. Traditional
ammonia–lowering strategies include the use of certain sugar molecules that are not absorbed into the body (e.g., lactulose) or certain antibiotics (e.g., rifaximin), both of which reduce the production of ammonia in the gastrointestinal tract.
You can't do this alone.