tmao conversion l carnitine Revisiting the Role of in Heart Disease Through the Lens of the Gut Microbiota Emerging role of trimethylamine-N-oxide (TMAO)
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One study described the case of bodybuilder [20] and the other described the case of an amateur marathon runner [21]

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10.1073/pnas.1808855115 13 ChenH.LiZ.DongL.WuY.ShenH.ChenZ
