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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.
Ammonia production may be elevated if there is an underlying contributing factor such as Helicobacter pylori, stress, amino acid deficiency or liver cirrhosis. There is a link between the symptoms of an overgrowth of the Candida bacteria (as you mentioned) and Ammonia production and smell on the breath.