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doi:10.1016/j.addr.2015.04.009
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Secondary TMAU is a result of developing TMAU with no prior genetic predisposition [3]

In healthy conditions, acylcarnitine production lowers the percentage of acyl residues associated with coenzyme A and raises the proportion of free coenzyme A to acyl-coenzyme A

Similarly, Wen et al

It can help combat exercise-related fatigue and metabolise body fat

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