A patient with cirrhosis and grade 2 hepatic encephalopathy is precipitated by a GI bleed. After controlling the bleed, which intervention specifically targets ammonia reduction to treat the encephalopathy?
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A
IV thiamine supplementation
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B
Lactulose titrated to 2–3 soft stools per day
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C
Branched-chain amino acid infusion
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D
Low-protein enteral nutrition