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Angie . 5/26/26 Angie . 5/26/26

Insomnia

How does a disease famous for making you tired also make it impossible to sleep?

For many people with cirrhosis, the sleepless nights stick around long after the panic fades. You're exhausted all day, wide awake all night, and somehow living on a schedule that feels completely disconnected from the rest of the world.

What starts as stress can eventually become something else entirely… a sleep-wake cycle that no longer seems to follow the clock.

Angie . 5/22/26 Angie . 5/22/26

Lactulose

People often mistake lactulose for a simple, over-the-counter laxative used for occasional constipation. In advanced, decompensated liver disease, it is far more than that—it is a mandatory, chemically precise shield against a terrifying neurological crisis.