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Secondly, we did not have access to hepatic tissues in subjects, and cannot definitely rule out that there may be some dietary influence on flavin monooxygenasedependent conversion of TMA to TMAO

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However, persistent severe abdominal pain, inability to pass stool for more than three days, or ongoing nausea that prevents adequate nutrition warrants immediate evaluation

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Be careful with pastries, muffins, sweet drinks, Frappuccinos, sausage sandwiches, croissant-style sandwiches, and heavy bacon sandwiches if they worsen nausea or fullness