Hepatic encephalopathy treatment may benefit people with hepatic encephalopathy. LOLA lowers ammonia levels by increasing the generation of urea through the urea cycle, a metabolic pathway that removes ammonia by turning it into the neutral substance urea. LOLA may be combined with lactulose and/or rifaximin if these alone are ineffective at controlling symptoms. In those with cirrhosis, the risk of developing hepatic encephalopathy is 20% per year, and at any time about 30–45% of people with cirrhosis exhibit evidence of overt encephalopathy. The prevalence of minimal hepatic encephalopathy detectable on formal neuropsychological testing is 60–80%; this increases the likelihood of developing overt
Collateral adjective and Wagnalls" dictionaries, but as they are currently out of print, the term has become rare. A synonym sometimes seen in linguistics is "suppletive (denominal) adjective," though this is a liberal and arguably incorrect use of the word 'suppletive'. Collateral adjective A collateral adjective is an adjective that is identified with a particular noun in meaning, but that is not derived from that noun. For example, the word "bovine" is considered the adjectival equivalent of the noun "cow", but it is derived from a different word, which happens to be the Latin word for "cow". Similarly, "lunar" serves as an