ADS would seem to be SPE wearing different, and more expensive, clothes. Easier to process large number through an SPE system first.
My experience with fermentation broths is that ion interaction columns ( eg Aminex HPX-87H ) for sugars etc, and end-capped C18 columns for others, cope very well with biological samples that have been diluted and filtered or centrifuged, coping with 1000s of injections.
Other column chemistries, such as C8, are far less robust ( 10 - 20 injections, no rational regeneration process worked ).
SPE can be convenient for large numbers of samples, and liquid-liquid extraction, or even resin addition followed by centrifugation, are not too bad if your target separates quantitatively.
I suspect many biological fluids have direct methods for LC-MS applications for clinical and clinical trial samples.
Bruce Hamilton