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So, if its toxic, then why does ammonia naturally build up in the body

Mechanistically, TMAO induces oxidative stress and activates the ROS-TXNIP-NLRP3 inflammasome, increasing inflammatory cytokines (IL-1, IL-18), impairing endothelial nitric oxide synthase (eNOS) and nitric oxide (NO) production, and leading to endothelial dysfunction (Sun et al., 2016)