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Application of TMA Formation Inhibitors In bacteria, there are several different enzyme systems involved in the conversion of TMA precursors to TMA that have been identified, including choline-TMA lyase (cutC/D), carnitine monooxygenase (cntA/B), yeaW/X TMA lyase, betaine reductase and TMAO reductase (Figure 3)

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The prognosis is generally good with early and appropriate management of the condition Who gets Carnitine Deficiency Syndrome