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If you are under medical supervision, consult with your physician before use

TMAO can be ingested directly from TMAO-containing foods, such as seafood or fish[11], and it can be generated from the oxidation of TMA that occurs in the gut microbiota

Os medicamentos e suplementos em geral no devem ser usados continuamente

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doi: 10.3390/ijms23052484 109 ShadfarS.ParakhS.JamaliM

In the same line of thought, the KDOQI Clinical Practice Guideline for Nutrition in Children with CKD 2008 Work Group could not recommend the use of carnitine, but it did not discourage a therapeutic trial of carnitine if the clinical symptoms are suggestive of the disorder, especially when the evaluation provides laboratory evidence compatible with a diagnosis of carnitine deficiency [12]