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Elucidation of an anaerobic pathway for metabolism of l carnitinederived butyrobetaine to trimethylamine in human gut bacteria PNAS Butyrobetaine Is a Proatherogenic Intermediate in Gut Microbial Metabolism of L Carnitine to TMAO ScienceDirect TMAO Is Both a Biomarker and a Renal Toxin Circulation Research JCI l Carnitine in omnivorous diets induces an atherogenic gut microbial pathway in humans Dietary Fatty Acids Modulate Gut Microbiota Derived Trimethylamine N Oxide: Potential Mechanisms and Future Perspective

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