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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

10.1016/S0197-4580(02)00019-2 Neurobiol Aging

2021LPTD-004), Natural Science Foundation of Shanghai (grant nos

The injectable B12 we use is sterile, medical-grade, and held to pharmaceutical standards for purity and consistency, so you receive a known, measured dose

The generic drug also must be therapeutically equivalent