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people with #cirrhosis and portal hypertension often have poor qol, poor sleep, and want relief is it hepatic encephalopathy? will lactulose help? the mikristal trial showed that at 28 days, the answer is: possibly! #livertwitter #ddw2023 
Hepatologist @michiganliver @vaannarbor; #cirrhosis; encephalopathy; frailty; quality improvement; father; husband. #livertwitter Co-EIC of @HepCommJournal