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They look for signs like better blood counts and less nerve problems

High intakes of choline or carnitine can be converted by gut bacteria to trimethylamine, creating a transient fish-like smell in sweat or breath

Your diet is another major factor

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Br Med J , 2 (5763), 685687

On average one in ten people are believed to be deficient in Vitamin B12, that is an astonishing six million suffering from the consequences of having less than the optimum amount of B12 in their system