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(National Academy Press) Cornel MC, Erickson JD

Another study also confirmed that fish oil is more effective than flaxseed oil in regulating intestinal microflora and reducing TMAO-exacerbated atherogenesis ( Protective Effect of Chinese Traditional Medicines on the Endothelium Endothelial Protective Effect of Ketones Choline, a precursor of TMAO, has been shown to reduce endothelial damage via its anti-inflammatory properties

Less frequently reported adverse reactions (less than 1% or less than twice rate of placebo) included abdominal pain upper, dry mouth, weight decreased, dizziness, somnolence, logorrhea, chest pain, anger and hypertension