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While betaine and TMAO reductase are responsible for converting betaine and TMAO to TMA, respectively (Zuo et al., 2020)

These processes further potentiate ectopic fat deposition and worsen IR, creating a self-reinforcing cycle (14, 15)

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Effects of stevia, aspartame, and sucrose on food intake, satiety, and postprandial glucose and insulin levels
