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John Wiley & Sons, Ltd

TMA-containing compound assay Trimethylamine-containing compounds were extracted from 50 l of plasma, 50 l of whole liver homogenate or from 100 l of whole brain homogenate (without the cerebellum and olfactory bulbs) by adding 10 volumes of ACN and spiking the samples with 5 l of IS mix containing 12 M d9-TMAO (CIL), 649 nM d9-TMA (CDN Isotopes), 6 M d3-L-carnitine (CIL), 329 nM d9-crotonobetaine (see Koeth et al., 2014) and 5 M d9-TML (Santa Cruz Biotechnology) at the beginning of the extraction
Professional guidelines and clinician education now emphasize validating patients experiences, timely diagnosis, and multi-faceted treatment based on underlying mechanisms

This feature allows for carnitine accumulation in cells giving rise to a concentration gradient between intracellular space and blood
