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P., Liras, S

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A., Schmidt, A

Recommended Intake 1 capsule taken daily with food, or as professionally directed

Quality of evidence: II-B, Strength of recommendation: 1 Panel level of agreement: In total agreement 87%, in partial agreement 13% Patients with ALF, HE, and at risk for an increase in ICP should be managed in a calm environment, with serum sodium monitoring (maintaining levels between 140 and 145 mmol/l) and HE treatment with lactulose and rifaximin