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(3) renal â glutamine break down in proximal tubule (combines with H+ -> NH4+ and eliminated) CAUSES OF HYPERAMMONAEMIA. Overproduction of ammonia. Protein/ amino acid load. gastrointestinal hemorrhage. gastric bypass. multiple myeloma. allogeneic stem cell transplantation.
Well then, what are symptoms or problems of high ammonia level? Causes of elevated ammonia level The normal ammonia levels in blood usually ranges from 25-60mcq/dL or 21-50mcmol/L. Liver dysfunction may cause elevated ammonia levels which can be an indication of many health issues.