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Consider discussing cardiovascular risk and the TMAO question with your clinician

10.3390/medicines7050027 Medicines 144 PlummerJ

Notably, neonatal ketogenesis possesses unique characteristics: it can be readily activated even in the non-fasting state, providing essential protective effects during the metabolically vulnerable perinatal period

doi:10.2353/ajpath.2008.080119

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It is naturally found in animal products like meat, fish, eggs, and dairy, which is why vegetarians, vegans, and the elderly are at significantly higher risk of deficiency