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[2] [3] [4] When FMO3 is not working correctly or if not enough enzyme is produced, the body loses the ability to properly convert the rotting fish-smelling chemical trimethylamine (TMA) from precursor compounds in food digestion into trimethylamine oxide (TMAO), through a process called N -oxidation
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This is why the ENDO research found that greater muscle loss correlated with less improvement in HbA1c
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