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 that have their head adjective on the right side of the phrase: The labels on the nodes in the trees are acronyms: A = adjective, Adv = adverb, AP = adjective phrase, N = noun/pronoun, P = preposition, PP = prepositional phrase. The constituency trees identify these phrases as adjective phrases by labeling the top node with AP, and the dependency trees accomplish the same thing by positioning the A node at the top of the tree. The following trees illustrate the structure of head-initial adjective phrases, i.e. adjective phrases that have their head on the left side of the