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The patient was homozygous for a microdeletion in 11p14.2, which contains the BBOX1 gene (GRCh38: 11:27,040,70427,127,806) encoding for the butyrobetaine hydroxylase enzyme, as well as the Fibin (Fin Bud Initiation Factor Homolog) gene encoding for fibin, a secreted protein identified in zebrafish, mice and humans potentially acting downstream of retinoic acid and wnt signaling, essential for pectoral fin bud initiation and tbx5 expression in zebrafish [170, 171]
Pomegranate extract, rich in polyphenols, can reduce TMA production, potentially neutralizing the harmful effects of L-carnitine

[DOI] [PubMed] [Google Scholar] 80.Daugherty S.A., Henry B.E., Peterson D.L., Swarts R.L., Bastien S., Thomas R.S

Ginkgo biloba: no robust effect on cognitive abilities or mood in healthy young or older adults

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Chromium can also contribute to the general condition of nails and hair and speed up metabolism
