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Levin, The enteric nervous system and its emerging role as a therapeutic target

In a nutshell, the results of this study, published online in the journal Nature Medicine , suggest that orally dosed l-carnitine is metabolized by intestinal bacteria to produce a substance called trimethylamine (TMA)

With the development of insulin analogs, one important caveat is that insulin concentrations may be falsely low depending on the cross-reactivity with the particular assay used