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Gut microbes produce trimethylamine (TMA) moieties from common dietary precursors, such as choline or carnitine, which are subsequently metabolized by the liver into TMAO

"Acute angle-closure glaucoma following botulinum toxin injection for blepharospasm." British journal of ophthalmology 74.5 (1990): 309-310
If someone asks about the best "pill," an evidence-backed oral option is preferable for those who cannot or do not want injectable therapies

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