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
Adjective Adjective In linguistics, an adjective (abbreviated ) is a describing word, the main syntactic role of which is to qualify a noun or noun phrase, giving more information about the object signified. Adjectives are one of the English parts of speech, although they were historically classed together with the nouns. Certain words that were traditionally considered to be adjectives, including "the", "this", "my", etc., are today usually classed separately, as determiners. "Adjective" comes from Latin "" "additional (noun)", a calque of . In the grammatical tradition of Latin and Greek, because adjectives were inflected for gender, number, and case like