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On a more subtle level, the effect of ammonia on the brain include reduced cognition, lack of focus, diminished motivation, loss of sense of self, heightened emotionality and extreme mental fog. All commonly found symptoms these days.
This can make correlation of a person's symptoms to ammonia blood levels difficult. A decreased level of ammonia may be seen with some types of hypertension, such as essential (high blood pressure of unknown cause) and malignant (very high blood pressure that occurs suddenly and quickly).