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Experimental studies reported that procedures like choline-induced fecal transplantation from one person to another can also transfer the risk of developing atherosclerosis [69, 75]

In lipid metabolism, TMAO binds DPP4 to inhibit antioxidant enzymes, promoting iron accumulation and lipid peroxidation (Wang et al., 2024)

Acetyl-L-carnitine also has antioxidant properties that can help promote healthy nerve function.