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The following multistep microbial pathway was recently proposed as the principal route for TMAO production through carnitine metabolism by the gut microbiota: -carnitine -butyrobetaine (BB) TMA TMAO 18,19

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The correct interpretation of any result depends on the biological model, assay sensitivity, positive and negative controls, exposure period, analytical method, and the reproducibility of the dataset

The top six most common gastrointestinal reports were nausea (8,988, 42.23%), diarrhea (4,666, 21.93%), vomiting (4,660, 21.90%), upper abdominal pain (2,082, 9.78%), constipation (1,790, 8.41%), and pancreatitis (1,752, 8.23%)

If it remains clear, colorless, and free of particles, it is likely still viable