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Since vitamin D3 is primarily synthesized by the body through exposure to sunlight, its intake may be limited in winter or in people who spend little time outdoors

TMAO (trimethylamine N-oxide) is produced by gut bacteria from choline, lecithin, and L-carnitine-rich foods (mainly fish, meat, egg, and dairy)

doi: 10.1159/000448321

Its atherogenic effects include abnormalities in cholesterol and bile acid metabolism, which cause inflammation and foam cell production

This allows for less tissue damage, decreased production of free radicals and less muscle soreness following exercise

These microbial changes are correlated with fluctuations in beta diversity, which represent structural changes in the microbial community, although alpha diversity is frequently stable