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(3) renal â glutamine break down in proximal tubule (combines with H+ -> NH4+ and eliminated) CAUSES OF HYPERAMMONAEMIA. Overproduction of ammonia. Protein/ amino acid load. gastrointestinal hemorrhage. gastric bypass. multiple myeloma. allogeneic stem cell transplantation.
Ammonia is likely to be the primary nitrogenous waste in living conditions that include. A lots of seawater, such as a bird living in a marine environment. B lots of seawater, such as a marine mammal (e.g., a polar bear). C lots of fresh water flowing across the gills of a fish.