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Inflammation in atherosclerotic cardiovascular disease

coli, Proteus vulgaris, Paracolobactrum colifome , and Micrococcus aerogenes contain the enzyme tryptophanase (EC 4.1.99.1), which produces indole from tryptophan as seen in Figure 5 (Demoss and Moser, 1969)
On the other hand, supplementation with placebo or l-carnitine will not require alteration to usual care pathways (including use of any medications)