http://www.netdoctor.co.uk/medicines/100001447.html

It is also recommended by the (U.S.) National Institute of Health for TMAU treatment because it works by reducing the absorption [into the bloodstream] of ammonia from the gut.  

It is used in the treatment of constipation, “Lactulose is made up of sugar molecules and is broken down by the bacteria that live in the lower part of the gut. This leads to the contents of the gut becoming more acidic, which reduces the absorption of a chemical called ammonia. The presence of ammonia in the gut causes water to be drawn into the lower bowel. This increases the amount of water in the stools, softening them and making them easier to pass, thus relieving constipation. It can take up to 48 hours for the lactulose to have an effect.”   http://www.netdoctor.co.uk/medicines/100001447.html

So for those of us, with or without TMAU, who are looking to correct our altered gut bacteria with a thorough cleansing to get rid of the fecal odor breath, this sounds like the winner.

mpdela