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Microbial genes, including cntA/B , the cai operon, and the gbu gene cluster, have been implicated in converting L-carnitine into TMA(O)
Studies have shown that changes in gut microbiota composition can influence the brain via the vagus nerve, production of neurotransmitters such as serotonin, and systemic inflammation, contributing to both gastrointestinal symptoms and psychological comorbidities like anxiety and depression (Ullah et al., 2023)
Direct-to-consumer (DTC) telehealth companies that provide prescriptions for GLP-1 weight loss medications without requiring an in-person appointment with a physician occupy a sketchy middle ground
Denver et al., 2018)
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