Trimethylamine N oxide (TMAO) is a small molecule produced in humans primarily by the gut liver axis and has become an important biomarker, and possible mediator, of cardiometabolic and renal disease. Dietary choline, phosphatidylcholine ( Stacking your GLP 1 with L Carnitine. Yes! Your GLp 1, Sema,Trizapetide or Reta will create a calorie deficit & improves lipolysis, (the breakdown of stored fat) L Carnitine will support the transport Synthesis of TMA and malic semialdehyde from L carnitine, postulated Download Scientific Diagram Full article: Trimethylamine N oxide formation, the bacterial taxa involved and intervention strategies to reduce its concentration in the human body