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Together, these findings are suggestive of a centrally activated HPA axis irrespective of illness duration

[8] [9] This creates a clinically relevant risk for electrolyte disturbances that requires monitoring and patient education

doi: 10.3136/nskkk.55.304

With respect to recurrent hospital admissions for HE, the importance of individualized lactulose dose titration stands out, given that 22% of readmissions at 30 days can be prevented.50 16 Lactulose can be recommended as primary prophylaxis in patients with cirrhosis that present with high risk factors for developing episodic overt HE

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However, to be able to draw any general conclusions regarding association with lipid storage myopathy a much larger cohort of patients is warranted