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In addition, TMAO induces several inflammatory pathways, which cause the activation of pro-inflammatory cytokines such as IL-6 and TNF- which causes chronic inflammation thereby causing plaque formation and plaque rupture leading to cardiovascular disease [71]

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However, they lack the capacity to colonize the gut and provide sustained stimulatory effects characteristic of viable strains

Adequate protein intake helps maintain lean body mass during periods of reduced caloric consumption

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