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These chemicals are degraded by gut microbial enzymes (choline-TMA lyases) into trimethylamine (TMA), which subsequently enters the portal circulation and is oxidized in the liver by flavin-containing monooxygenases (FMOs) to produce TMAO (158)

For a distal tear (at the elbow) , the situation is even more precarious

Key Details: 20mg vial Research-grade compound Supplied in lyophilised form Not for human consumption

Adding a fourth compound requires its own assessment of additive effects and injection logistics

Viola A, Munari F, Snchez-Rodrguez R, Scolaro T, Castegna A

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