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Description
This microbial imbalance enhances the conversion of dietary precursors to TMA by increasing the abundance of TMA-producing bacteria, thereby raising systemic TMAO levels and promoting pro-atherogenic processes [16]

Thats where amino acids come in
Dalloz-Bourguignon A

Su ingesta regular por medio de suplementos podra contribuir a fortalecer y proteger el organismo adems de ayudar al rendimiento deportivo y a favorecer la prdida de grasa

Therefore, checking for carnitine deficiency in cases of refractory PN cholestasis is highly recommended