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Description
No clinical oversight , so nausea, vomiting, dehydration, or other complications may go unmanaged

Vagal branch ligation and autoradiography Crushing ligation of the four branches (hepatic, celiac, ventral gastric, and dorsal gastric) of the ventral vagal trunk in C57BL/6 J mice was performed with suture thread

Others assign it to a lower tier

at 7.5 mg/mL, 1 unit = 0.01 mL 75 mcg

The conversion to TMAO, which depends entirely on gut microbiome composition, is what creates the potential risk

If you cannot keep fluids down, have ongoing vomiting or diarrhea, feel faint or confused, urinate very little, or have symptoms that do not improve, contact your medical provider promptly