Discussion: I am not focused and have a hard time driving; I have chronic fatigue. I was told to ask the doctor and check if I do not have liver encephalopathy?

Hepatic encephalopathy is when a high level of ammonia in the blood (a breakdown product of any protein) penetrates through the brain's barriers and causes side effects that affect alertness and cognitive ability. Ammonia is a potent toxin that the liver should eliminate after synthesis and excrete through the kidneys. High ammonia levels in the blood and hepatic encephalopathy may indicate liver failure and require a comprehensive liver function examination.

Link: Chronic Liver Diseases and Cirrhosis | Liver rehabilitation, by Self-Healing Natural Medicine.
https://www.sf-healing.com/page/121 (Copy & Paste)