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PMID 23864789
Some TMA, rather than traveling to the liver, can be further metabolized by gut bacteria into TMAO

Inactivation: The 26th General Hospital was officially inactivated in Italy on 14 September 1945

82 LeesE
Nicotinic acid Nicotinic acid (niacin) inhibits lipolysis in adipose tissue, thus reducing synthesis of free fatty acids (FFA) and their inflow into the liver [8, 201]
