<s>[INST] I have been having a little bit of a dizzy spell and smelling ammonia. I have a history of liver transplantation, so the ammonia smells make me worried. I have started a new med for my heard and cholestoral in the last week. I am over 35 and in pretty good shape. [/INST] Hi,Smell of ammonia from the body can be a symptom of liver disease. As you are post transplant patient, repeat a lft, and cbc. Serum ammonia levels and liver function tests initially. Any abnormal odour from body can be a indicator of liver dysfunction.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ramesh Kumar </s>