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doi:10.23750/abm.v90i3-S.8159 3Holland KE, Soung PJ

At higher doses, more TMA is produced than the body's enzymes can fully oxidize, and the excess is cleared through breath, sweat, and urine producing the odor some users report

The second patient followed shortly after, since we saw a marked weight response in our first patient (body weight 27%) and massive reductions in insulin doses (83%) and resolution of insulin resistance upon starting tirzepatide. Their choice stands to reason

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Edited by: Scriver CR, Beaudet AL, Sly WS, Valle D