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Wen et al

This presumably led to higher increases in L-carnitine levels in the blood, resulting in stronger stimulation of the urea cycle and a larger reduction in ammonia levels in the liver

In: Atherosclerosis

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9 In the case of eggs, which contain high levels of the precursor molecule choline, one interventional study found that the source of choline had a significant effect on TMAO levels and downstream effects, as platelet hyperactivity and TMAO levels were elevated only in participants that took a choline bitartrate supplement but not in those who consumed the equivalent amount of choline in whole eggs