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TMAO is synthesized in the liver from TMA produced by the intestinal bacteria in dietary choline and L-carnitine catabolism
"You don't throw up physically, but you've got that feeling and I was about two, three weeks where I felt nauseous the whole time
When to Contact Your Provider Reach out to your provider if side effects are severe enough to interfere with daily activities, if nausea leads to persistent vomiting that prevents adequate hydration, if you experience severe abdominal pain, if side effects dont improve after two to three weeks at a dose, or if youre considering stopping treatment due to side effects
Staying hydrated and monitoring kidney function tests can help mitigate this risk
doi: 10.1016/j.neuron.2011.12.033 212 ZengL
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