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Cited article:

Effects of lactulose and lactitol on protein digestion and metabolism in conventional and germ free animal models: relevance of the results to their use in the treatment of portosystemic encephalopathy.

S P Bird, D Hewitt, B Ratcliffe and M I Gurr
Gut 31 (12) 1403 (1990)
https://doi.org/10.1136/gut.31.12.1403