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TMAO (trimethylamine N -oxide) is an organic compound produced from TMA (trimethylamine), a common product of plant and animal decomposition [1]

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Apart from the AAA biosynthetic pathways in plants and microbes such as the shikimate pathway and the tryptophan pathway, this review also deals with AAA catabolism in plants, AAA degradation via the monoamine and kynurenine pathways in animals, and AAA catabolism via the 3-aryllactate and kynurenine pathways in animal-associated microbes

Thus, muscle carnitine levels have been associated with the ability to sustain high anaerobic efforts with reduced output of lactate