The ammonia levels are only part of the problem. This shows in January the levels were normal, after psychiatric meds it rose to 84, that is when Wake Med diagnosed the cirrhosis turned into liver failure. July 22, we, family, managed to get the level to just a few points above the highest level. The last check it was still high, and, labs also showed negative variances in other levels showing severe damage to my mom after the July admission. Remember, they failed to check the liver when they started invega. Then, the check the levels in July but continued treatment knowing the treatment was killing her.