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Associations of plasma trimethylamine N-oxide, choline, carnitine, and betaine with inflammatory and cardiometabolic risk biomarkers and the fecal microbiome in the Multiethnic Cohort Adiposity Phenotype Study

Severe hyperammonemia can progress to ICP elevation and herniation very quickly

These risk factors have also been reported to be augmented with age 9,10,11,12

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Du L, Wang B, Wang X, Wang L, Wang R, Zhang Y, et al

Effects of L-carnitine supplementation on the quality of life in diabetic patients with muscle cramps