Hopefully, when he finds time, Ripley will weigh in on this.
I'm afraid I can't help with d-lactic acidosis. I don't know much about it, other than it's
pretty rare.
Does anyone here know they have d-lactic acidosis? If so, you need to work with your doctor on a solution.
Interestingly, many pathogens — including Candida and H Pylori — will
secrete ammonia in order to make their immediate environments more alkaline, since they either cannot survive or cannot replicate in acidic environments. So, they secrete ammonia to make their immediate environments ideal for their replication.
In general, supplementing with 3-4 Tbsp of RS for 3 weeks and eating fermentable carbs and/or fibers should create an
acidic environment rich in SCFAs in the intestines. Many of these pathogens are actually killed or diminished by the SCFAs themselves. (And, of course, raw Apple Cider Vinegar, or Betaine HCl & Pepsin, can help maintain a beneficial acidic environment in the stomach).
So, it's entirely possible that elevated ammonia can come from pathogens still thriving when alkaline conditions still exist.
But, no, I can't give advice to someone with d-lactic acidosis. I just don't know anything about it. But, I don't think it's something you can just guess you have from reading about it on the Internet. If you have d-lactic acidosis, you
need to have a real diagnosis and a real strategy with a knowledgeable doctor.