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This gut microbial-derived metabolite is derived from dietary choline or L-carnitine through gut microbiota, transforming choline to trimethylamine (TMA), a gas absorbed into the circulation and further converted into TMAO by flavin-containing monooxygenases (FMOs) in the liver

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For example, minimize working with your arms extended, use lots of support pillows, and breath, breath, breath

Its precise mechanisms and clinical efficacy vary depending on the specific pathological condition and context [123-131]