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Pain 155 , 10271036 (2014)

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The clinical symptoms usually consist of episodes of hypoketotic hypoglycemia, hepatomegaly, muscle weakness and cardiomyopathy with congestive heart failure

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The twist is that a subset of gut bacteria can chew on L-carnitine and related nutrients and make a small volatile compound called trimethylamine or TMA

Inflammatory Mediators A considerable body of evidence suggests that many neurological and psychiatric disorders are accompanied by disorders of IMs, like interleukin (IL)-1b, IL-2, IL-6, interferon (IFN), tumor necrosis factor a (TNF a), the soluble IL-6 receptor (sIL-6R), and the IL-1 receptor antagonist (IL-1RA)