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Some people may experience mild digestive discomfort if taken on an empty stomach

TMA is then absorbed into the bloodstream and processed by the liver into Trimethylamine N-oxide (TMAO)

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In this hypermetabolic state, the body releases a large number of reactive oxygen species (ROS), which can lead to thyroid epithelial cell damage, autoantigen activation of the immune system, and induction of autoimmune deterioration

[Google Scholar] Willems, M

The seven subjects who did not complete the study failed to attend follow-up testing due to time constraints, work, or family responsibilities