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administered five potentially probiotic strains supplemented with 1.3% choline to mice, they found that Lactobacillus plantarum ZDY04 can decrease serum TMAO and cecal TMA levels by modulating the relative abundance of the families Lachnospiraceae , Erysipelotrichaceae and Bacteroidaceae and the genus Mucispirillum ( Enterobacter aerogenes ZDY01 and Lactobacillus casei have also been shown to reduce circulating TMAO levels in murine model ( In addition to probiotics, antibiotics are also candidates for lowering TMAO levels

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Severity can vary significantly

The primary differences are delivery method and price, not the medication itself