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One of the more surprising findings of the present studies was the relatively small amount of d 3 -BB found in plasma compared with d 3 -TMAO after d 3 -l-carnitine challenge, especially after ex vivo fecal studies showed that BB is a major metabolite of l-carnitine produced by human fecal polymicrobial cultures (43)

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Noninvasive Tests for Advanced Fibrosis in Patients with Nonalcoholic Fatty Liver Disease LIVER BIOPSY Although liver biopsy may not affect treatment decisions, it remains the criterion standard for diagnosis and determination of steatosis, as well as the grade of inflammation and the stage of fibrosis

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