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Certain gut bacteria have the genes that convert L-carnitine into trimethylamine or TMA which smells like fish
[DOI] [PubMed] [Google Scholar] 56.Qin W, Yin J, Yang L, Yang S, Li Y, Li X, Hu W
Its more likely to occur if you have a history of pancreatitis or drink alcohol
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The resulting loss of cholinergic neurons exacerbates ACh insufficiency, reinforcing synaptic failure and accelerating cognitive decline in AD
