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One study by Alvarez et al

Weight often drifts back without supportive habits

Although CntA/B may be responsible for some TMA formation by -proteobacteria intimately associated with the intestinal epithelium using oxygen that diffuses into the luminal content, because of its oxygen requirement, it is unlikely to be the primary physiologic source of l-carnitineTMA activity in the mostly anoxic luminal intestinal environment

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