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Diarrhea is another commonly reported gastrointestinal side effect that may range from mild loose stools to more significant episodes that could lead to fluid and electrolyte imbalances if severe or prolonged

Dietary sphingomyelin (SM) supplementation also remarkably decreased the atherosclerotic lesion area in the aortic arch in chow-fed ApoE / mice, reduced serum TMAO levels in C57BL/6 mice, and did not affect circulating SM levels or increase AS in ApoE / mice fed a HFD ( Regulating the Gut Microbiota to Reduce TMAO Levels Evidence from experimental and clinical studies has confirmed the role of the gut microbiota in TMAO metabolism, providing a theoretical basis for regulating the gut microbiota to control TMAO levels and prevent or treat AS (Wang et al., 2011

& Cai, W

ABSU, absorbance unit