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Additionally, for the organic acidemias, methylmalonic and propionic acidemia (OMIM 251000 and 606054, respectively), monthly prophylactic treatment with the antibiotic metronidazole is also commonly used to reduce intestinal bacteria and the affiliated production of propionate, and this may confer the unexpected benefit of reducing TMAO production as well (Thompson et al

Chandran A, Rosenheim J, Nageswaran G, Swadling L, Pollara G, Gupta RK, et al

Robert Kushner: Well, I'm going to give you one more clinician perspective and then I'll answer your question

Fatigue that worsens after meals or is accompanied by abdominal discomfort may primarily reflect gastrointestinal side effects rather than a distinct energy problem

Another common question is: Do you put nutritional yeast in the fridge