The recent meta-analyses indicated that in patients with high TMAO plasma level, the incidence of major adverse cardiovascular events was significantly higher compared with patients with low TMAO levels [67], and that all-cause mortality increased by 7.6% per each 10 mol/L increment of TMAO [68]
The basis of that interest is the copper binding: the tripeptide holds on to a copper ion and is linked in research models to the extracellular matrix and to gene expression around tissue renewal
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For the SELECT trial, the average weight loss results looked like this, around 10-11% of body weight: Source: Ryan, D.H., Lingvay, I., Deanfield, J
Compare that to the DIY route: Spend $4,000 on marketing in month one, maybe get 5-8 patient inquiries, convert 2-3 to actual appointments, and hope at least 2 stick around long enough to break even
Lifestyle interventions are crucial for maintaining weight loss