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These can include nausea, vomiting, diarrhoea, constipation and abdominal discomfort

Associations of Plasma Trimethylamine N-Oxide, Choline, Carnitine, and Betaine With Inflammatory and Cardiometabolic Risk Biomarkers and the Fecal Microbiome in the Multiethnic Cohort Adiposity Phenotype Study

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However, clinical evidence for this specific combination remains limited, and such decisions should involve provider guidance and individual metabolic assessment