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Lactobacillus rhamnosus: TMAO Reduction and Systemic Odor Compounds A 2022 systematic review published in Nutrients analyzed human and animal controlled intervention studies on probiotics and plasma trimethylamine N-oxide (TMAO) levelsan important metric because elevated TMAO reflects the same metabolic pathway that, when disrupted, produces the malodorous TMA associated with fish odor syndrome

Whereas LCFAs must enter lymphatic circulation before being absorbed, MCTs are absorbed directly from the small intestine and transferred into portal circulation for transport to the liver

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