Insomniac cirrhotics tend to be older and have larger neck circumferences, though no correlation with body mass index has been found ( Restless leg syndrome, characterized by an irresistible urge to move the legs during rest accompanied by unpleasant sensations, affects 26.155.0% of cirrhosis patients, further disrupting sleep
Particular attention is warranted for diverse populations, including older adults, individuals with advanced renal disease, pregnant patients, and those at risk of lean mass loss during rapid weight reduction
So, why do some patients get hyperammonemia shortly after the initiation of the drug
10.1186/s12920-024-01861-3 BMC Med Genom
If it is not easing at a stable dose, or it is getting worse rather than better, that is worth raising rather than absorbing