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Atherosclerosis 133 : 105110

The fatigue lasts beyond the expected adjustment period: Early side effects often settle, but ongoing exhaustion deserves a medication review

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demonstrated that berberine (BBR) reduces gut microbial TMA biosynthesis, ultimately lowering plasma TMAO levels, by decreasing the abundance of CutC/D-expressing bacterial taxa, including Lachnospira, Lachnospiraceae group, Lachnospiraceae group, Clostridia, Lachnoclostridium, and Ruminococcus (Wang et al., 2024)