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If the increased demand is not met by the increased thiamine supply, a state of TD may easily follow, first in enterocytes, and after some period at the level of organism, most often manifested as Wernicke encephalopathy (145147)

A vegetarian diet or including plant-based foods such as pistachios and foods high in indigestible fiber may reduce TMAO production

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These within-class switches are generally simpler than cross-class transitions because the underlying mechanism of action remains the same

Surgery of the digestive system