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Description
One example of an exclusively acquired carnitine deficiency involves chronic use of pivalate-conjugated antibiotics

[Is Intracavernosal Corticosteroid Infiltration Really Useless in Peyronies Disease?]
TMAO can be metabolized to small methylated amines such as tri-, di-, and monomethylamine, which are precursors of marine aerosols and the greenhouse gas nitrous oxide in the marine atmosphere

There are also lifestyle and environmental factors

2011, Schnemann et al

10.1089/ars.2012.5149 105 OlthofM
