PDF] Trimethylamine N Oxide, the Microbiome, and Heart and Kidney Disease. Semantic Scholar J Food Bioact Intestinal microbiota metabolism of l carnitine, a nutrient in red meat, promotes atherosclerosis Nature Medicine Trimethylamine N oxide (TMAO) is a small molecule produced in humans primarily by the gut liver axis and has become an important biomarker, and possible mediator, of cardiometabolic and renal disease. Dietary choline, phosphatidylcholine (
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l carnitine tmao Carnitine, Choline, Cancer, & Cholesterol: The TMAO Connection