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Atrial fibrillation (AF) may also be a downstream effect of elevated TMAO levels and is mediated through the various inflammatory and endothelial-disrupting changes described above

[DOI] [PubMed] [Google Scholar] 77.Teichert J, Tuemmers T, Achenbach H, Preiss C, Hermann R, Ruus P, Preiss R: Pharmacokinetics of alpha-lipoic acid in subjects with severe kidney damage and end-stage renal disease

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It is recommended to take two capsules daily at least half an hour before meals or two hours after meals

PMCID: PMC8895080

Konig SA, Siemes H, Blaker F, Boenigk E, Gross-Selbeck G, Hanefeld F, Haas N, Kohler B, Koelfen W, Korinthenberg R: Severe hepatotoxicity during valproate therapy: an update and report of eight new fatalities