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Even at relatively low concentrations, ammonia can exhibit significant toxicity

The prospective study that followed 4,007 individuals with or without cardiovascular disease for a three-year period found baseline concentrations of circulating TMAO to be positively correlated with incidence of death, nonfatal myocardial infarction, and stroke described as major adverse cardiac events (MACE) (23)

doi: 10.6065/apem.2016.21.4.226

doi: 10.3389/fnut.2023.1134162 Received 30 December 2022 Accepted 22 June 2023 Published 20 July 2023 Volume 10 - 2023 Edited by Xiaoping Yang, Hunan Normal University, China Reviewed by Lorenzo Lorusso, ASST Lecco, Italy

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In cells, it helps transport fatty acids into the mitochondria, where they can be burned for energy