Rebecca,
There is not a lot to go on here with this OAT. Many of the imbalances are fairly typical of dysbiosis, but her symptoms and intolerances are much more severe than what the test would indicates.
Her Quinolinic Acid is a bit high which can be stressful to the nervous system. Niacinamide at 500mg to 1000mg daily would help with this.
Has she been scoped? Assessed for H. pylori, parasitic infections…even SIBO?
The Orotic is slightly high which does indicate excessive ammonia. What could help here is some Potassium-Sodium Butyrate – 1 to 2 capsules twice daily – http://www.bodybio.com/storeproduct363.aspx.
Dr. Woeller