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Elevated circulating TMAO concentrations have been not only linked to an increased risk of cardiovascular disease but also to an increased risk for type 2 diabetes mellitus and kidney disease (117-119)

For individuals at increased risk, such as those with existing symptoms and an indication for platinum, taxane, or other high-risk agents, the algorithm recommends management of reversible risk factors, coupled with the initiation of a progressive exercise program over a 12-week period
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Plasma and brain tissue concentrations following administration in mice[J]

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