Paul Saladino· MD
tmao as causal in cardiovascular disease is baloney it's baloney it's gefelt-a-fish right it's not true it's observational evidence that's confounded reverse causality means that because kidney disease and type 2 diabetes are comorbid with cardiovascular disease and those can raise tmao often you see those correlated but there is not one shred of evidence that tmao is causal of cardiovascular disease