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Furthermore, some studies on the relationship between TMAO levels and CVDs identified kidney function as an important confounder, owing to a degree of decline in the renal function of patients with CVDs (140)

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Clinical working case definition, diagnostic and treatment protocols

Chem Res Toxicol 1995, 8: 671-682

Try forms of "pure" cardio such as StairMaster, elliptical, stationary bike or treadmill, as long as you are within your Heart Rate Burning Zone you will be burning calories just fine