I belatedly realized that, lol
Magnum posted this 10 months ago. Hopefully he has already gotten the blood work back :)
oh geez, lol - just realized this was an old post.
Thanks for the input. Apparently the primary doesn't think I need treatment at this point, or he would have said so, I think?
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ok. Can you go back to your doc and get your exact bloodwork and post it for us maybe? Are you HCV positive and if so can you post those stats, viral load genotype etc for us too, and also post your ammonia levels and other bloodwork?
I am a little concerned that you aren't sure where your doctor is with your treatment plan or prognosis because typically when you have high ammonia levels you are looking at a more advanced stage of liver damage where the liver is no longer able to process toxins appropriately, And if your doctor is telling you that the ammonia levels are high enough to, in his opinion, potentially alter your cognitive abilities, then this is concerning to me and I think you need to get a clear picture of exactly where you are in terms of liver damage and treatment plan so that you can make some good decisions about how to proceed.
As long as you're cleaning out the basement, let me know if you find my old wooden Spaulding raquet. Thanks.
In end stage liver disease the brain has more difficulty processing ammonia which leads to a build up of glutamine in the brain and swollen astrocytes. There seems to be kind of a syndrome or grouping of symptoms that leads to Hyperammonemic Encepalopathy as ammonia levels rise. Excess pressure on the brain does cause issues with the ability to think and can cause behavioral changes. There has been some research to suggest that a chemical called methionine sulfoximine may be helpful. Article --> http://www.sciencedaily.com/releases/2002/05/020514072126.htm
lactulose is also prescribed --> http://www.merck.com/mmhe/sec10/ch135/ch135f.html
Here's an article on dietary recommendations for those with high ammonia and liver disease
--> http://www.liverdisease.com/protein_hepatitis.html