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Ellingsen DG, Efskind J, Haug E, et al
Journal of Reproduction & Infertility

In vitro assays involving fecal slurries supplemented with the fermentation product demonstrated a reduction in TMA levels, and the NGS analysis revealed that Collinsella , Clostridium , and Streptococcus were the most common bacterial genera that produced TMA
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Low levels of l-carnitine are seen in men with oligoasthenospermia, in women with polycystic ovary syndrome (PCOS), and in ovarian hyperstimulation [59]
