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 phrase An attributive adjective (phrase) precedes the noun of a noun phrase (e.g. "a very happy" man). A predicative adjective (phrase) follows a linking verb and serves to describe the preceding subject, e.g. "The man is very happy". The adjective phrases are underlined in the following example sentences. The head adjective in each of these phrases is in bold, and how the adjective phrase is functioning—attributively or predicatively—is stated to the right of each example: The distinguishing characteristic of an attributive adjective phrase is that it appears inside the noun phrase that it modifies. An interesting trait of these phrases in