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Similar phenomena were also reported in F

TMAO disrupts liver bile acid synthesis by inhibiting cholesterol 7--hydroxylase (CYP7A1), as bile acids regulate lipid metabolism via activation of the farnesoid X receptor

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This subjective improvement could reflect placebo effect, improved overall nutritional status from paying more attention to diet, natural adaptation to the medication over time, or actual b12 repletion if deficiency existed

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