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doi: 10.1093/nutrit/nuaa013 9
Many patients use testosterone replacement (men) or bioidentical estrogen/progesterone (women) alongside growth hormone peptides or GLP-1s
Johannsson E, Lunde PK, Heddle C, Sjaastad I, Thomas MJ, Bergersen LH, et al
In posterior segments of the gut (e.g., the cecum and proximal large intestine), gut microbes directly cleave the CN bond of carnitine to release TMA, which subsequently enters the liver through the portal circulation, is converted to TMAO by hepatic flavin monooxygenases (FMOs) [242, 243], and eventually enters the blood circulation [244]
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