View of The origin of trimethylamine N oxide (TMAO) and its role in development of atherosclerosis Journal of Food Bioactives Comparison of short term and long term effects of peroral L carnitine intake: clinical implications of elevated TMAO levels in cardiovascular complications Assembling the anaerobic gamma butyrobetaine to TMA metabolic pathway in Escherichia fergusonii and confirming its role in TMA production from dietary L carnitine in murine models mBio Non lethal Inhibition of Gut Microbial Trimethylamine Production for the Treatment of Atherosclerosis: Cell Cheap protein = expensive gut problems. Here's what to look for on the label before you buy