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Finally, results of the fecal polymicrobial culture studies indicate that the marked increased generation of TMA (and TMAO) from oral l-carnitine in omnivores versus vegans/vegetarians appears to be due to significantly (up to 10-fold) greater gut microbial conversion of BB to TMA in omnivores relative to vegans/vegetarians (i.e., chronic exposure to l-carnitine in an omnivorous diet is associated with an increase in microbial capacity to catalyze the transformation of BB to TMA

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In Wales the All Wales Medicines Strategy Group (AWMSG) and in Northern Ireland -the Department of Health, Social Services and Public Safety (DHSSPS) decide how they will be implemented locally

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