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Another study by Sudakov et al

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The metabolic pathway of TMAO involves multi-organ coordination: dietary choline, carnitine, and other quaternary ammonium-containing compounds are metabolized by gut microbiota to produce trimethylamine (TMA), which is subsequently oxidized to TMAO by hepatic flavin-containing monooxygenases (FMOs) and primarily cleared by the kidneys (170)

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Retrieved March 22, 2021.

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These modifications extend molecular persistence in experimental systems, enabling prolonged interaction with IGF-associated receptors in controlled in-vitro and in-vivo animal models

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PERK-eukaryotic initiation factor 2 alpha (eIF2), inositol-requiring enzyme 1 alpha (IRE1)-X-box binding protein 1 (XBP1), and activating transcription factor 6 alpha (ATF6) serve as key proteinS involved in ERS-related signaling pathways

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