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Discussion A matched casecontrol study of Chinese adults suggested that plasma TMAO, l-carnitine and DMG levels were positively associated with the risk of NAFLD, whereas betaine was negatively associated with NAFLD risk

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It must be taken on an empty stomach, ideally 3060 minutes before eating, and separated from calcium, iron, and many other medications

The theoretical concerns centre on the potential for these large peptide molecules to affect infant growth, glucose metabolism, or gastrointestinal function, though the extent of oral bioavailability following ingestion in breast milk is uncertain