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Its like were at the equivalent of the Industrial Revolution at the turn of the last century

10.1038/nrn3430 144 RogatzkiM

Microbiome 4(1):112 Armstrong CW et al (2017) The association of fecal microbiota and fecal, blood serum and urine metabolites in myalgic encephalomyelitis/chronic fatigue syndrome

Importantly, BBTMA occurs in an anaerobic environment, which suggests that it is catalyzed not by the CntA/B oxygenase, but rather by a novel oxygen-independent enzymatic pathway for the conversion of metabolites of the l-carnitine pathway to TMA