Hello Dr. Grief,
My friend's 60 yr old husband was diagnosed with ver high ammomia levels. She had noticed confusion and forgetfulness for a few months but he refused to see a doctor. Apparently he had a drinking problem as a younger man and there now seems to be liver involvement. He has not drank alcohol for many years. He also has extremely high triglycerides and a very low B12 level. A CT scan showed "white spots" on his brain and she was told he had a mild stroke? Do these things add up?