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Common maintenance approaches include staying at the dose where you stabilized (often 1.0 to 1.7 mg), reducing by one dose level from your peak (e.g., from 2.4 mg to 1.7 mg), or finding the minimum dose that prevents weight regain while minimizing side effects

Overall, they found that the use of probiotics, similarly to lactulose, was more effective in decreasing the hospitalization rates, improving, and preventing the progression to OHE in patients with MHE compared to placebo, but probiotics did not affect mortality rates [75]

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