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
Nominalized adjective "headwind" is then assumed. The third type is known as the "permanent" adjectival noun and has an adjective that stands alone as a noun. Such adjectives have become nouns over time, and most speakers are aware of their implicit adjectival meaning. Nominalized adjectives occur frequently in both Classical Arabic and Modern Standard Arabic. An example would be "things (that are) Islamic", which is derived from the adjective "Islamic" in the inanimate plural inflection. Another example would be "the big one" (said of a person or thing of masculine gender), from "big" inflected in the masculine singular. Nominalized adjective A nominalized