Dear parent,
Thank you for your query at DoctorSpring.com
I have been telling you this all along. There was absolutely no indication for putting your child through the ION profile. One false positive test has led to so much anxiety, unnecessary tests and waste of money.
Anyways, please relax. Stop all these unnecessary supplements. Give your child nutritious diet and encourage physical activity. Make sure he drinks a lot of water daily and leads a healthy life.
Mild increase in serum ammonia levels can be due to the food consumed. It depends on so many other factors as well. That is why I was unconvinced about your child's illness. There is no history suggestive of an urea cycle defect. However, just to be doubly sure, get his serum fasting ammonia levels after a couple of weeks ensuring that he adheres to the food recommendations needed for the test for at least three days.
If you run twelve tests, one is likely to return abnormal purely by chance. So watch out for unnecessary investigations henceforth. Please DO NOT give him more than 5 almonds and also stop all supplements.
Wishing that your son remains hale and healthy always
Regards

Dear parent,
I apologize if the message was not clear. Prior to ammonia testing there are a number of precautions that need to be adhered to.
Let me clarify-
Urinary tract infections and any other infection can mildly raise serum ammonia levels. So first step is to ensure that child is not suffering from any acute infection.
Child should not be exposed to primary or secondary smoking. Cigarette smoke can raise ammonia levels.
Child should take normal diet for three days and must not consume excess of meat. Prior to the test, child must fast for twelve hours.
The blood sample must be a free flowing sample without use of a tourniquet. Sample must be sealed and processed immediately.