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In the future, personalized dietary advice with a focus on the gut microbiome may be considered as a potential strategy to decrease plasma TMAO levels and mitigate the risk of CVD

2011 Sep;94(3):938-44

[DOI] [PubMed] [Google Scholar] 3.Arendt J, Bojkowski C, Folkard S, et al

Recommended Use: Take 1-2 capsules 1 to 2 times daily as needed, preferably between meals or as directed by your healthcare professional

Molecular gene assays can identify bacteria that carry TMA producing genes but they are not widely available as a simple clinical test

Document the Underlying Cause Medication-Related: If constipation is due to medications, such as opioids or other drug classes known to cause constipation, this should be clearly documented