Lactulose: Mechanism of Action in Hepatic Encephalopathy Lactulose → ↑ Lactic Acid, Acetic Acid → ↓ pH → ↓ NH3 (relatively high absorption), ↑ NH4+ (relatively low absorption) - Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedi #Lactulose #pharmacology #mechanism #ammonia #hepatology #pathophysiology
