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A protocol being discussed for general recovery may look different from one being discussed for tendon support, ligament recovery, muscle strain, joint discomfort, or long-term maintenance

Patients with higher plasma TMAO levels achieved better responses to immunotherapy due to TMAO-induced pyroptosis in tumor cells and enhanced CD8 + T cell-mediated antitumor immunity (237)

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however, subsequent doses will be titrated to maintain serum -hydroxybutyrate levels between 1.5 and 2.5 mM, with protocolized monitoring of vital signs, serum pH, glucose levels, and adverse gastrointestinal effects [111]