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Treatment and management of chronic fatigue syndrome/myalgic encephalomyelitis: all roads lead to Rome

These approaches target various steps of the metabolic cascade, including dietary precursors, gut microbial enzymes, hepatic oxidation, and downstream signaling pathways

(2020) 3:e209250

Additionally, because it can be converted by gut bacteria into TMAO (trimethylamine N-oxide) , a compound linked to cardiovascular risk, individuals with a history of heart disease should consult a physician before long-term use.

Arya agrees