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Combination therapy (PEG plus lactulose) was more effective than lactulose alone in improving HESA scores at 24 h and was associated with reduced length of hospital stay and with no significant differences in blood ammonia levels or serious adverse events
These approaches should be implemented proactively, particularly during treatment initiation and dose escalation
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A common approach is applying a soothing copper peptide serum in the morning to manage scalp inflammation, followed by minoxidil at night
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