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180 can kill you, however, with proper care survival is likely. I just was in a coma at 473 and I survived. No long term mental damage of any kind. I am VERY lucky. If you get super sick, make sure they test for it. I had been in the ER in another hospital the night before and they said "all my bloodwork was normal." DO NOT assume they test for it. I didn't get to 473 overnight, they missed it. When I was taken to another hospital in an altered mental state (very agressive, trying to bite before falling into a coma), the Dr. knew exactly what it was. She did bloodwork to confirm.

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What is a fatal ammonia level?

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