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At research doses in rats, it enhances both the induction and facilitation of penile erection via central and peripheral melanocortin pathways, modulates female sexual proceptivity, and supports sensory recovery after nerve injury 1-4
The final step of production occurs in the liver, where enzymes oxidize TMA into TMAO

In terms of pregnancy rate, there is no statistical significance between treatment and placebo, and further evidence is awaited to verify the effect of antioxidants on the pregnancy rate