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Gut microbiota-dependent trimethylamine N -oxide (TMAO) pathway contributes to both development of renal insufficiency and mortality risk in chronic kidney disease

doi: 10.1074/jbc.M705953200

It is classified into two types based on the position of the amino group in its structure: synthetic D -arginine and biologically occurring L -arginine

So the uncomfortable conclusion remains: we do not yet have the kind of human trial evidence that should be driving widespread clinical adoption for injury recovery