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These complications often become life-altering when symptoms do not resolve after the medication is discontinued

Barry Conrad That's amazing, actually

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was supported by the National Health and Medical Research Council of Australia (NHMRC) Program Grant (1150083), and Senior Principal Research Fellowship (1154434)

Gut bacteria can convert L-carnitine into trimethylamine (TMA), which your liver then transforms into TMAO (trimethylamine N-oxide)