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Because microbiomes differ, the amount of TMAO produced after carnitine varies by person

Milella M, Kornblau SM, Estrov Z, Carter BZ, Lapillonne H, Harris D, Konopleva M, Zhao S, Estey E, Andreeff M

Astone M, Pizzi M, Peron M, Domenichini A, Guzzardo V, Tochterle S, et al
Yes, weight loss injections can interact with certain medications, including insulin and other diabetes medications

You need both
