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While research into this topic is currently limited, current studies indicate that the microbiota has a decisive role in the synthesis of TMAO from dietary choline and carnitine

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Its capacity to aid in the burning of fatty acids helps in weight loss management and plays a crucial role in maintaining a healthy cardiovascular system
Raza S, Khan R, Cheng G, Long F, Bing S, Easa AA, et al

J Clin Endocrinol Metab 109(2):e495e507

Please note that valproic acid and fosphenytoin shouldnt be given together (to avoid numerous, highly problematic drug-drug interactions)
