The Role of Trimethylamine N Oxide as a Mediator of Cardiovascular Complications in Chronic Kidney Disease James Tomlins Comparison of short term and long term effects of peroral L carnitine intake: clinical implications of elevated TMAO levels in cardiovascular complications Dietary allicin reduces transformation of L carnitine to TMAO through impact on gut microbiota ScienceDirect Cheap protein = expensive gut problems. Here's what to look for on the label before you buy Emerging role of trimethylamine N oxide (TMAO) in colorectal cancer Applied Microbiology and Biotechnology Springer Nature Link Dietary allicin reduces transformation of L carnitine to TMAO through impact on gut microbiota ScienceDirect