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Zhang S, Wu Z, Heng J, Tian M, Chen J, Chen F, et al
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When oral L-carnitine is consumed, specific gut bacteria metabolize a portion of it into a gas called trimethylamine (TMA)

However, stopping treatment for days or weeks puts you at serious risk for severe complications or sudden, unexplained death [13] [14]

Pork, cod, poultry, milk, and cheese offer moderate quantities
Individuals with HSDD may do better with one of the two available FDA-approved prescriptions Addyi (pill) or Vyleesi (injection)