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Eisner (Fellow of the American College of Emergency Physicians), Mikael Ryden (Karolinska Institutet), Heiichiro Udono (Okayama University), Naoto Hirano (University of Toronto), and Masahiko Endo (Hirosaki University) for their critical reading of the manuscript

Despite it has been established that TMAO increases with age [40], age did not affect basal TMAO levels in our group (Spearman correlation, p = 0.434)

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Patients transitioning from chronically elevated glucose levels may experience symptoms similar to hypoglycemia (pseudohypoglycemia) as their bodies adjust to lower glucose ranges, which can manifest as fatigue, even when glucose levels remain within normal limits

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