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Additionally, maintaining a healthy gut microbiome through diet and targeted probiotics can help reduce the populations of TMA-producing bacteria, further optimizing the safety and efficacy of carnitine supplementation

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Reduced connective tissue stiffness at abdominal fascia facilitates formation of inguinal, crural, umbilical, and epigastric hernias, especially in conjunction with increased intra-abdominal pressure (e.g., obesity, pregnancy)