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During your initial consultation, our provider will review your health history and discuss dosing options

(2016) reported that serum TMAO levels had positive correlation with carotid intima-media thickness (cIMT), independent of established cardiovascular (CV) risk markers

Hone-Blanchet A, Antal B, McMahon L, Lithen A, Smith NA, Stufflebeam S, Yen Y-F, Lin A, Jenkins BG, Mujica-Parodi LR, Ratai E-M (2023) Acute administration of ketone beta-hydroxybutyrate downregulates 7T proton magnetic resonance spectroscopy-derived levels of anterior and posterior cingulate GABA and glutamate in healthy adults

However, when combined with insulin or sulphonylureas, the risk increases, and dose adjustments of these concurrent medications may be necessary