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These findings were similar among people without the included autoimmune diseases

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[93] Due to a lack of lysine catabolism, the amino acid accumulates in plasma and patients develop hyperlysinaemia, which can present as asymptomatic to severe neurological disabilities, including epilepsy, ataxia, spasticity, and psychomotor impairment

A developing area of concern is gut microbial conversion of carnitine into trimethylamine which the liver converts into trimethylamine N oxide or TMAO

a 12-woman interstitial cystitis pilot (Lee, Walker & Ayadi, 2024)

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