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Lactobacillus rhamnosus: TMAO Reduction and Systemic Odor Compounds A 2022 systematic review published in Nutrients analyzed human and animal controlled intervention studies on probiotics and plasma trimethylamine N-oxide (TMAO) levelsan important metric because elevated TMAO reflects the same metabolic pathway that, when disrupted, produces the malodorous TMA associated with fish odor syndrome

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DOI: 10.1210/en.2013-1934 [Google Scholar] Heppner KM, Kirigiti M, Secher A, Paulsen SJ, Buckingham R, Pyke C, et al