it would be realy hard to link that steak you ate,whith the pain of tn,,,but every illness has a pattern to it,,its spotting it thats the hard part,,and if high levels of ammonia can kill you,,it certainly can irritate a nerve,,if proteine intake is the mediator of tn pain,,then the fluctuating nature of tn is explained,,its often said..tn get worse with time,,,more intense,,,the longer you have it,,,but a deminishing abillity to to filter ammonia,would be a better explination,,ammonia is one of the very few nuro toxins to cross the blood brain barrier,and according to medics,,causes dissruption of nerve signals and excitabillity...most amonnia is produce by eating meat,,when i think about my tn,,i think ,my god..who would have thought it was food,,