Paul Saladino· MD
we know so tmao I think um it's just a marker of disease if you have a very elevated levels too that can that's typically a sign of kidney kidney disease exactly right so it's like either liver insulin resistance or kidney diseases why all these studies are associating elevated levels of tmao with hearts and there was an interesting paper that came out a few years ago and it really showed pretty strong reverse causality like between tmao and um things like heart disease or diabetes or kidney disease
Verbal pushback — no audited source on record.
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