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A sensor system for exhaled ammonia (NH3) monitoring exploiting quartz-enhanced photoacoustic spectroscopy (QEPAS) was demonstrated. An erbium-doped fiber amplifier (EDFA) with an operating frequency band targeting an NH3 absorption line falling at 1531.68 nm and capable to emit up to 3 W of optical power was employed. A custom T-shaped grooved QTF with prong spacing of 1 mm was designed and realized to allow a proper focusing of the high-power optical beam exiting the EDFA between the prongs. The performance of the realized sensor system was optimized in terms of spectrophone parameters, laser power and modulation current, resulting in a NH3 minimum detectable concentration of 14 ppb at 1 s averaging time, corresponding to a normalized noise equivalent absorption coefficient (NNEA) of 8.15 × 10−9 cm−1 W/√Hz. Continuous measurements of the NH3 level exhaled by 3 healthy volunteers was carried out to demonstrate the potentiality of the developed sensor for breath analysis applications.