How can you determine the difference between a hyperammonemic episode from too much protein intake as opposed to insufficient protein intake?
This is best done by examination of the amino acid levels in the blood stream. If certain amino acids levels are low or high, your metabolic doctor can determine if the patient is breaking down protein from the body or taking too much in. Surprisingly, more patients probably become hyperammonemic from breaking down their own protein than from overdosing in their diet. This is particularly common during infections or times of stress (such as fever or decreased food intake) when the body’s metabolic needs are greatest. You should discuss plans for these stressful times with your doctor before they occur.
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