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39 Red meat, which is minimized in the traditional Mediterranean diet, contains the nutrient L-Carnitine, which produces the pro-atherogenic compound -butyrobetaine (BB) as it gets converted to trimethylamine and TMAO by the gut microbes, both of which accelerate atherosclerosis

57 ZouD.GengN.ChenY.RenL.LiuX.WanJ.et al (2016)

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By measuring TMAO levels in plasma from healthy individuals and patients with cardiovascular disease, it was found to be 4.04 M in patients with cardiovascular disease, whereas plasma levels of TMAO were as low as 3.21 M in healthy individuals (Gatarek and Kaluzna-Czaplinska, 2021)