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Description
"Duloxetine vs ALCAR in fibromyalgia." Clin Exp Rheumatol 2015;33(1 Suppl 88):S82-5
Human metagenomic studies have shown that -proteobacteria , especially Escherichia coli , are the main TMA-producing bacteria (73, 74)
L-Carnitine-L-Tartrate
Gut microbes produce trimethylamine (TMA) moieties from common dietary precursors, such as choline or carnitine, which are subsequently metabolized by the liver into TMAO
These scenarios may represent (a) false negative mutation analysis, (b) wrong diagnosis, or (c) mosaicism and other rare genetic aberrations
