Article: Most people that know they need to lower their ammonia levels find this out from their doctors. This problem is usually associated with another health problem, so controlling your ammonia levels will be part of an overall treatment plan. High ammonia levels are a common symptom of advanced liver disease, known as cirrhosis, Reye's syndrome, and severe cases of hepatitis. If you have one of these diseases, it is likely that you will need to work on reducing your ammonia levels. Before taking medication for high levels of ammonia, you need to verify the problem. Ammonia tests measure the amount of ammonia in the blood, so a blood sample will be required.  Normal ammonia levels range from 15 to 45 µ/dL (11 to 32 µmol/L).  Ammonia levels temporarily rise after exercise, especially strenuous and long-lasting exercise like long-distance running.  Because of this, you should avoid exercise of all kinds as well as smoking before the test. Lactulose is a constipation medication that is used to treat high levels of ammonia in the blood. Lactulose works by removing ammonia from the blood and moving it into the colon. Once in the colon, the ammonia is eliminated from the body when you go to the bathroom.  Follow your doctor's instructions for timing and dosage amount for ammonia removal. Typically, 2–3 tablespoons (30–45 mL) of Lactulose are taken 3 to 4 times a day.  Lactulose is a liquid typically taken by mouth. However, if you have extremely high levels of ammonia and are hospitalized, it may be administered with an enema directly into the digestive system.  Lactulose is the only medication used to lower ammonia levels in the body. However, it is sold under a variety of brand names, including  Duphalac, Enulose, Generlac, Constulose, and Kristalose. While Lactulose does reduce ammonia in the blood, it also causes several side effects, including diarrhea, gas, and nausea. It was developed to treat constipation, so it pulls water out of the body and into the stool. This causes loose stools and other digestive complications. Talk to your doctor about what you can do to minimize these side effects.  Be sure to hydrate regularly when taking Lactulose. The medication will pull a lot of water out of your body, so you should replace that liquid in order to avoid dehydration. If your side effects are severe and impacting your quality of life, tell your doctor. This could signal that you need your dosage adjusted.
Question: What is a summary of what this article is about?
Consult with your doctor. Have your ammonia levels tested. Take Lactulose. Manage the side effects.

Problem: Article: Determine what you are afraid of and challenge it. When it comes to being fearful of sex, you need to know what has caused you to be afraid. Identifying specific fears will help you focus on finding a solution.  Sit down and make a list of the things you fear about sex. For example, you may not know how to approach the subject, you might be afraid of doing something wrong, or you're embarrassed of how you look naked. Challenge your fears by listing possible solutions to resolve your fears. For example, if you don't know how to approach the subject with someone, ask a trusted friend how they do it, or find someone who does it well and model his behavior. Even watching a romantic movie might help. If you are afraid of doing something wrong, you need to study the subject and figure out what techniques work best for you. Preparation and knowledge will lessen any fear. The structure and function of the human body have been studied for centuries. There are volumes of information you can refer to if you are unaware of some or all parts of the female or male anatomy.  If your fear is related to not knowing enough about a woman's and man's external genitalia, then it is time to get educated. The female genitalia includes: the vagina, a tubular organ connecting the genitals with the uterus; the uterus, a hollow muscular organ where a fetus grows during pregnancy; the vulva includes all the visible external aspects (mons pubis, labia majora, labia minora, clitoris, urethra, vaginal vestibule, perineal body); glans, the tip of the clitoris that is a highly sensitive organ. The male genitalia includes: the penis, cylindrical mass of penile tissue; the testes, oval, glandular organs contained inside the skin pouch called the scrotum; glans, the structure at the tip of the penis. The four stages of sexual response are: excitement, plateau, orgasm, and refractory period.  An orgasm is a genital reflex governed by the nerves in the spinal cord and is experienced differently by women and men.  Once you understand the basic structure and function of relevant body parts, you will feel more in command of yourself and your fears about sexual activity. Most fears are conquered by devising a plan of action. Overcoming a fear of sex is no exception. Identify what your main objectives are, set up steps to take and follow your plan.  Make a list of the things you fear. Is your fear related to the possible sexual encounter you might have during a date? Therefore, does the thought of asking someone on a date scare you? Are you concerned with looking good, having bad breath, or sweating too much? Approach your dilemma one step at a time. For example, if you are afraid to ask someone on a date, start by first asking a stranger what time it is. Although you won't be asking the person on a date or to have a sexual encounter, you will gain experience approaching someone and asking them a question. This is the first step toward your goal. Working toward a solution will help lessen your fear. Creating a plan of action helps you feel like you can do something to improve your situation. To overcome a fear of sex you need to gradually work your way through the process. Research indicates that overcoming a fear is aided when a person faces the fear in an imagined situation or a live experience. Developing a positive habit is the desired goal.  Learn how to please yourself. Determine what feels good to you by touching yourself, imagining an interaction with someone, or using sexual accessories designed to arouse. With a willing participant, build your experience over time in the areas of communicating your feelings, holding hands, kissing, massage, sexual touching and eventually intercourse. Do not pressure yourself into doing too much too soon. This may only add to the fear you are feeling. Sexual interactions are supposed to be enjoyable so relax and engage in the excitement of it all. Focusing on having fun will distract you from being fearful. Lightening the mood during a sexual encounter will allow you to feel free. For example, be playful and silly and laugh at yourself. It will set you both at ease.
Summary: Face your fear. Educate yourself on human anatomy and physiology. Make a plan of action. Practice. Remember to have fun.

In a small bowl, mix half a teaspoon of baking soda with the quantity of toothpaste that you normally apply to your toothbrush. Stir them together. Apply the mixture to your toothbrush. Brush your teeth thoroughly for two minutes, covering your entire mouth. Spit out excess toothpaste. Rinse your mouth out with water. As an alternative, purchase a toothpaste that already contains baking soda. Since baking soda has been used a teeth cleaner for over 150 years and is fairly inexpensive, it is present in may major toothpaste brands in different quantities. Opt for a toothpaste with a high concentration of baking soda (e.g. Arm and Hammer toothpaste).
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One-sentence summary --
Mix toothpaste and baking soda. Brush your teeth thoroughly. Buy a toothpaste that contains baking soda.