Lactulose, 4x a day It reduces ammonia by drawing it into the colon and encouraging it to be expelled. It also alters gut pH, reducing ammonia-producing bacteria. Taurine prevents ammonia from liver and kidney damage Buy Taurine on Amazon Milk Thistle for Liver support Probiotics Lactobacillus and Bifidobacterium strains can help reduce ammonia production by gut bacteria. Try fermented foods like kimchi, sauerkraut, kefir, and yogurt, or use high-quality supplements Zinc Zinc deficiency is common in liver disease and can worsen ammonia build-up. Supplementing zinc (with your doctor’s okay) may help reduce ammonia levels. Food sources: pumpkin seeds, oysters, lentils. L-ornithine and L-aspartate (LOLA) These amino acids help detoxify ammonia in the liver. Stay Hydrated Helps the kidneys flush ammonia from the blood. Aim for 8–10 glasses of water daily unless otherwise directed.