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In addition to the upregulation of macrophage scavenger receptors potentially contributing to enhanced forward cholesterol transport 10 , we show that TMAO, and its dietary precursors choline and carnitine, suppress reverse cholesterol transport through gut microbiota-dependent mechanisms in vivo

I didnt have any stomach issues, but that could be thanks to the smaller portion sizes that satisfied my appetite

Streich, 2011)

It is absorbed faster and optimizes bioavailability

Its shown in clinical trials to help control type 2 diabetes, lead to weight loss of about 15% of patients body weight, prevent heart attack and stroke and reduce symptoms of heart failure