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Choline, or more specifically the microbial metabolism of phosphatidylcholine, has been given much attention due to the production of the pro-atherosclerotic metabolite TMAO (Fig

The prevalence of steatosis increases with aging, with the highest prevalence in those over 40 years in males and over 60 years in females 7

Whereas, L-Carnitine is found in animal products such as meat, fish, poultry and dairy

however, most studies have concentrated on short-chain fatty acids, a few bile acids, and well-known toxins such as colibactin or HS