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All that WADA has to do is (a) reclassify the Section 4 Substances as Threshold Substances (or otherwise treat them the same), and (b) allow the concentration of the relevant substance in the B sample to be calculated and taken into account to determine whether an anti-doping rule violation should be pursued

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Only when carnitine enters the gut could that toxic TMAO be made by the gut bacteria as I detail in the video

Disclosure The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest

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The question of surgery for gout most commonly comes up when a patient has a large clump of urate crystals (a tophus), which is causing problems