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Dietary limitations may also reduce intake of omega-3 fatty acids from fish, which are critical for brain development and inflammation regulation

(NCT01731236) showed that L-carnitine produced more TMAO in the omnivorous group compared with the vegetarian group, thereby inducing atherosclerosis formation (37)

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However, the quality of evidence is low due to the limited number of randomized controlled studies, small sample sizes and the limited studies in adults (87)

The New York Times trumpeted: "Culprit in heart disease goes beyond meats fat" The real culprit, they proposed, was a little-studied chemical that is burped out by bacteria in the intestines after people eat red meat

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