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While the balance of gut bacteria does play a part in the amount of TMA being produced from precursors in the gut [49] (antibiotic treatment temporarily stops odour), gut bacteria in general convert a significant proportion of dietary TMA precursors already

Patients at increased risk of fractures : Those with osteoporosis or other risk factors for fracture should be assessed and monitored, given the possible increased fracture risk observed in clinical trials

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Dietary fibre slows carbohydrate digestion and absorption, leading to more gradual rises in blood glucose and sustained energy release