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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 production may be elevated if there is an underlying contributing factor such as Helicobacter pylori, stress, amino acid deficiency or liver cirrhosis. There is a link between the symptoms of an overgrowth of the Candida bacteria (as you mentioned) and Ammonia production and smell on the breath.