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One should also consider that bacterial fermentation processes can convert the amino acids lysine, ornithine, and tyrosine into cadaverine, putrescine, and tyramine, which can be problematic in biogenic amine intolerance

It is also thought that MSG may exacerbate the damage by exhibiting a synergistic effect with other factors, such as lipopolysaccharide (LPS) that can cause liver damage (Asejeje et al

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