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Increased expression of the FMO3 gene could be a culprit in atherosclerosis and CVD.8 FMO3 may have adverse effects on blood lipids and glucose independently of TMAO formation, although more research is needed.15 Also, in the liver, trimethyllysine (TML), a modified amino acid, can be converted to GBB and then to carnitine and potentially to TMA and TMAO

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Preoperative gastric ultrasound, diet modification, and individualized glycemic management are recommended strategies

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Taking it at night with carbohydrates may improve endurance performance, help reduce muscle damage post-workout, and help avoid an upset stomach