If he's having diarrhea, then you're giving too much lactulose. It's best to give the lactulose 3x a day, but cut back on each of the doses...Skip one dose and when you start back up, cut back. If you only give one dose or two doses, then you're going to end up with diarrhea and then possible constipation if you cut back. That's why 3x a day is best, just lower each dose.
You have to tweak the lactulose doses in order to find the appropriate amount for your particular dog. The goal is for your dog to have two soft bowel movements per day. Not diarrhea, not firm.
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