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41 In a standard scenario, TMAO levels are affected by numerous factors such as diet, underlying diseases, lifestyles, and basic studies have found that TMAO may also be the causative agent of certain other cardiovascular diseases and neurological diseases, and these covariates may mask the authentic relationship between TMAO and AF as well as arrhythmia

The carnitine palmitoyl transferase (CPT) system and possible relevance for neuropsychiatric and neurological conditions

10.1212/CPJ.0000000000000382 21 BraleyT