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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.
Symptoms of a high ammonia level, such as confusion or extreme sleepiness, may be treated with a medicine called lactulose, a laxative that works by reducing ammonia production in the intestines. It is common for newborns to have slightly high levels of ammonia in their blood.