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TMAO has a high turnover rate, with more than 90% excreted in the urine after being metabolized by the kidney (49)
If gastrointestinal symptoms are problematic, your provider may recommend delaying dose increases, temporarily reducing your dose, or holding treatment briefly while symptoms improve
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These include mild redness, light swelling, occasional bruising, and a temporary burning or cramping sensation at the injection point
That's especially important given that up to 25% of older adults may be chronically dehydrated
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