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Studies have found that TMAO may share numerous gene pathways, including immune system, cell cycle, and Wnt signaling pathways, with CRC, indicating a clear link between TMAO concentration and CRC (Xu et al., 2015), however, its specific mechanism requires further investigation

Given the small sample size and short duration of ALCAR administration (4 doses over first 24 h post-injury) post injury, the current study cannot determine whether observed improved behavior is a result of improved hippocampal neurochemical profile following ALCAR administration

Even if your lab values say you are normal, your body still may be needing more as lab accuracy for vitamin B12 is highly debated

Tracy, J