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Lactulose, polyethylene glycols (PEGs) plus electrolytes, and senna were identified as beneficial in this systematic review.
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On the other hand, in individuals with lactose intolerance who lack the intestinal enzyme that breaks down the lactose, the ingested lactose is neither digested nor absorbed in the small intestine and reaches the colon where it is used by the bacteria in the colon.
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We evaluated the safety and effectiveness of recombinant alpha-galactosidase A in a multicenter, randomized, placebo-controlled, double-blind study of 58 patients who were treated every 2 weeks for 20 weeks.
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If the patient still does not respond, double the dosage to 200 mg of spironolactone, then double the Lasix to 80 mg--and so on, in a progressive way.
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The use of antibiotics as primary prophylaxis for SBP (for patients who have never had an episode of SBP) has not been shown to improve survival, and many experts do not recommend primary prophylaxis with antibiotics.
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