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Intestinal microorganisms metabolize TML into trimethyl-5-aminovaleric acid (TMAVA), which can competitively inhibit the binding of -BB to BBD, thereby inhibiting carnitine biosynthesis and FAO in the liver, promoting steatosis and aggravating fatty liver [250]

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Presented for research literature review only Mohammed Awad A (2023)

(8) More specifically, this peptide may act indirectly by stabilizing the vascular environment needed for new vessel growth