hi,,,,,you dont need to have a damaged liver to have high amonia levels,,,it all depends on how well we filter amonia,,each person has diff abillity,,,we cant all procsses the same amount of protein,,yet we eat a lot of proteine,,amonia circulating in the blood stream has a high afinnity for irritating nerves,but only acumilates in the brain,,where it can disrupt nerve signaling,documented,,,with alkaselzer,you may be changing brain chemistry,and the brains perception of pain,,just as tegretol changes brain chemistry,and nerve excitabillity,,,,