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Rifamaxin/lactulose to eliminate Ammonia


Has anyone used one or both of eliminate body of Ammonia? I was thinking of trying lactulose alone first.
I am using yucca, antitox etc. but I still have copious amount of ammonia in liver so I would like to try it.
My doctor says its benign and it was used in the past to treat constipation. Yet I'm seeing that there are risks as i research it . Has anyone tried this?