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This reduces dysfunction of the nerves and slows down and/or prevents progression of nerve pathology often seen in peripheral neuropathy

This fatty acyl-CoA immediately enters the beta-oxidation pathway, where it is systematically broken down to produce acetyl-CoA

Increased expression of the FMO3 gene could be a culprit in atherosclerosis and CVD.8 FMO3 may have adverse effects on blood lipids and glucose independently of TMAO formation, although more research is needed.15 Also, in the liver, trimethyllysine (TML), a modified amino acid, can be converted to GBB and then to carnitine and potentially to TMA and TMAO

By modulating macrophage polarization towards an M2 subtype, GLP-1RAs can inhibit inflammation occurring in the vessel lumen, an action which would alleviate the progression of atherosclerosis (Figure 2)