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Certain medical conditions, dietary choices and medications can all affect how well your body processes this essential nutrient

These symptoms could indicate serious problems that need immediate treatment to prevent tooth loss or more extensive damage

6 Multiple microbes in both the small and large intestines can convert dietary L-carnitine into GBB, but relatively few can transform GBB into TMA.13 The GBB-to-TMA conversion is much higher in omnivores than in vegans and vegetarians, likely because of differences in the gut microbiota, although this aspect of the L-carnitine-to-TMAO pathway is not fully understood

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