doi:10.1056/NEJMoa2301972
The group of healthy women with the highest TMAO increase within 10 years had a 58% increased risk of coronary heart disease (RR 1.58), while those with sustained high TMAO had the highest risk (RR 1.79) (131)

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Presented for research literature review only Boyce P et al
Its effective at transporting fatty acids into mitochondria for energy production, supporting fat burning during workouts
I noticed after him being on it for 2 weeks, he started keeping balance better in his hind end, stand on all 4 legs , used to stand on 3 not knowing where the other leg was