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That said, most patients don't need both indefinitely

In addition, these researchers showed that giving antibiotics to normal mice to wipe out their gut bacteria eliminated the production of TMA for either L-carnitine or choline and so also stopped TMAO production.The type of bacteria living in our digestive tracts are largely dictated by our long-term dietary patterns

Yes, indirectly

Bjarnason I, Williams P, So A, Zanelli GD, Levi AJ, Gumpel JM, et al
