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In most cases, the evaluation turns up a manageable or benign explanation
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PLoS ONE 11 (8), e0159573 (2016)
Genetic disorders and male infertility
In humans, dietary l-carnitine is converted into the atherosclerosis- and thrombosis-promoting metabolite TMAO via 2 sequential gut microbiotadependent transformations: (a) initial rapid generation of the atherogenic intermediate BB, followed by (b) transformation into TMA via low-abundance microbiota in omnivores, and to a markedly lower extent, in vegans/vegetarians
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