https://pubs.acs.org/doi/full/10.1021/cen-09703-scicon5 Researchers describe a strain of Escherichia coli that can reverse dangerously high levels of ammonia in the blood https://www.newscientist.com/articl...-could-mop-up-toxic-ammonia-in-the-human-gut/
If you can’t detox ammonia via the liver the brain and muscle can be utilised(2:20) and exercise increases the problem 3 fold (10:40) https://www.youtube.com/watch?v=3OzR6eIoxkQ Would ammonia effect platelets as well