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The enzyme breaks down a TMA precursor called L-carnitine, which is found in dairy, fish and meat

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Koizumi A, Nozaki J, Ohura T, Kayo T, Wada Y, Nezu J, Ohashi R, Tamai I, Shoji Y, Takada G, Kibira S, Matsuishi T, Tsuji A: Genetic epidemiology of the carnitine transporter OCTN2 gene in a Japanese population and phenotypic characterization in Japanese pedigrees with primary systemic carnitine deficiency

10.1093/ajcn/nqaa430 Summary Keywords TMAO, L-carnitine, atherosclerosis, endoplasmic reticulum stress, vascular calcification Citation Wang B, Qiu J, Lian J, Yang X and Zhou J (2021) Gut Metabolite Trimethylamine-N-Oxide in Atherosclerosis: From Mechanism to Therapy