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 where English uses "to be hungry" ("hungry" being an adjective), Dutch, French, and Spanish use "honger hebben", "avoir faim", and "tener hambre" respectively (literally "to have hunger", the words for "hunger" being nouns). Similarly, where Hebrew uses the adjective זקוק "zaqūq" (roughly "in need of"), English uses the verb "to need". In languages which have adjectives as a word class, they are usually an open class; that is, it is relatively common for new adjectives to be formed via such processes as derivation. However, Bantu languages are well known for having only a small closed class of adjectives, and new