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6 , 7 Carnitine metabolism is key to human TMAO production and 3 major bacterial metabolic pathways leading to TMA synthesis from dietary precursors were described 8 : a) anaerobic choline degradation by choline TMA-lyase

EXOGENOUS LIPOPROTEIN PATHWAY (CHYLOMICRONS) Figure 5

More interestingly, by adjusting dietary habits to focus on the intake of nutritional elements, rather than excessive or unhealthy foods, it may be possible to treat MASLD and potentially prevent its occurrence [6]

doi: 10.1136/tsaco-2024-001743 Nisha R Acharya, Athimalaipet V Ramanan, Alison B Coyne, Kathryn L Dudum, Elia M Rubio, Sydney M Woods, Catherine M Guly, Elena Moraitis, Harry J D Petrushkin, Kate Armon, Narman Puvanachandra, Jessy T Choi, Daniel P Hawley, Benjamin F Arnold, ADJUST Study Group

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