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You might need to focus more on your nutrition, specifically your protein

Considering the characteristics of TMAO formation, the activity of FMOs also affects TMAO levels

Here, we summarize current evidence supporting ketotherapy in HF, emphasizing ketone metabolism in the failing heart, metabolic and non-metabolic therapeutic effects, and mechanisms of ketotherapy in HF, involving the dynamics within the mitochondria

[DOI] [PMC free article] [PubMed] [Google Scholar] 31.Liu H, Jia K, Ren Z, Sun J, Pan L-L

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