Genetic Influences and Complex Pathways The gut microbiotas first step in converting unabsorbed carnitine into TMA is generation of the intermediate gamma-butyrobetaine (GBB), which has been shown to be atherogenic in mice, although research in humans is inconclusive
doi: 10.3233/jad-2006-102-305
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or (b) deuterated solvent (D 2 O, PBS or carbonate)
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