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doi: 10.51821/85.2.9440 99 YangHHuB

In humans, dietary l-carnitine is converted into the atherosclerosis- and thrombosis-promoting metabolite TMAO via 2 sequential gut microbiotadependent transformations: (a) initial rapid generation of the atherogenic intermediate BB, followed by (b) transformation into TMA via low-abundance microbiota in omnivores, and to a markedly lower extent, in vegans/vegetarians

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Eating smaller meals, avoiding trigger foods, and staying hydrated may help improve symptoms