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Some patients report feeling tired or having reduced energy levels, which may be related to changes in eating patterns or the direct effects of the medication on metabolism

24(3): 9328 Vreken P, Van Lint AE, Bootsma AH, et al

Circulating levels of TMAO are influenced by variations in the ability of the gut microbiota to produce TMA

Prog Lipid Res 49:6175 Marcovina SM, Sirtori C, Peracino A, Gheorghiade M, Borum P, Remuzzi G, Ardehali H (2013) Translating the basic knowledge of mitochondrial functions to metabolic therapy: role of l-carnitine

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These therapeutic approaches are outlined in Table 4