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In older children and adults, vomiting, protein aversion, ataxia, confusion, disorientation, hallucinations, or abnormal behavior point to central nervous system or psychiatric disorders

[6] Lactobacillus rhamnosus: TMAO Reduction in Human Trials A systematic review published in Nutrients in 2022 evaluated all controlled probiotic intervention studies through early 2022 measuring plasma TMAO levels

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It is produced in the body from the amino acids L-lysine and L-methionine and also occurs naturally in meat, cereals, nuts, mushrooms, fruit, and vegetables, making it part of the normal diet