Thanks for your reply Patient Advocate ! I know you weren't being purposefully dismissive, I hope! I read the article left a response and have been ignored to date!
But if you are a patient advocate and concerned with relieving the pain from ammonia toxicity. research Glutathione, ammonia and the blood brain barrier, then research the coffee enema and glutathione and if interested research magnesium and glutathione! You may find these items helpful,maybe not!