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Lancet 296:770771 Humbert JR, Hammond KB, Hathaway WE, Marcoux J, OBrien D (1971) The stale-fish syndrome: a new metabolic disorder associated with trimethyaminuria

doi: 10.1016/j.tcm.2012.04.005 455 MaieseKChongZZShangYCWangS

Lettsom JC

The cycle is completed when the keto intermediate is cleaved between C2 and C3 by thiolysis by a 3-ketoacyl-CoA thiolase with acetyl-CoA and the CoA ester of a fatty acid two carbons shorter than the original as the products

Thus giving you energy to combine lifestyle modifications such as exercise and diet

Instruments were controlled via XCalibur 4.1 and data was analyzed on Tracefinder 5.1 using a 5ppm window from the predominant ion positive (carnitines) or negative (all other analytes)