liver issues perhaps... but the ammonia level can be fixed..and she'll return to whatever baseline mentality she had, but change her love of cats.. probably not.

Rifaximin, lactulose..no alcohol.. Some natural approaches, like consuming citrus fruits (e.g., lemons, oranges) and green tea, may support liver function and help detoxify the body.

Those takes a while, but they help. The nursing home is her best bet for now.