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A single RCT comparing PEG (4 liters over 4 hours via oral administration or nasogastric tube) to lactulose only showed it to be superior in terms of clinical improvement over a 24-hour period, documented by a greater decrement in the HE scoring algorithm ( 1.5 vs

The storage requirements for this formulation reflect the need to preserve the integrity of both active ingredients while preventing contamination and degradation that could compromise medication integrity or patient safety

Small amounts can also be obtained through diet, and the richest sources are animal-based foods, including red meat, poultry, pork, fish, and dairy products