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Coenzyme Q10 functions as a cofactor in several enzyme systems related to energy conversion (electron transport) and is a vital catalyst to energy production at the cellular level

Giannakou M, Saltiki K, Mantzou E, Loukari E, Philippou G, Terzidis K et al (2018) The effect of obesity and dietary habits on oxidative stress in Hashimotos thyroiditis

Figure 3 Inhibition of cholesterol metabolism and stimulation of foam cell formation There are multiple ways in which TMAO affects cholesterol metabolism and promotes the formation of foam cells