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Overall, diabetics on GLP-1s increased 22% year over year from 2022 to 2023, while the number of diabetic members not taking GLP-1s has decreased

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Given the low proportion of culturable human fecal commensals identified in the subculture experiments that were capable of promoting the second microbial transformation reaction (BBTMA), we speculate that the vegans/vegetarians unable to produce TMA and thus TMAO from l-carnitine simply lack microbial community members, like E

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