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Theres actually a lot of complexity involved in that whole thing, but you can get your TMAO measured

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Potential reasons for reduced activity include genetic variants, nutrient insufficiencies in key cofactors, chronic inflammatory load, and interference from toxic metals or chemicals

37 Secondly, biologics prescribed for IBD can also be prescribed for other immuno-inflammation-related diseases such as rheumatoid arthritis, psoriasis and psoriatic arthritis, which were not excluded in the present analysis, therefore such comorbid conditions may also have contributed to the overall results

Bush NG, Diez-Santos I, Abbott LR, Maxwell A