What is the theory behind use of BCAA enriched formulas in refractory encephalopathy?

• A. There is believed to be an increased ratio of aromatic amino acids and branched-chain amino acids in hepatic encephalopathy.
• B. Enteral formulas with higher amounts of BCAA and less AAA are available.
• C. Omega-3 fatty acids reduce ammonia production.
• D. Hepatic encephalopathy is caused by excessive AAAs alone.

Answer: (A)