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it was reported that carnitine is a dietary precursor from which gut microbiota releases trimethylamine (TMA) which is then subjected to human cell metabolism and converted to trimethylamine N-oxide (TMAO) by hepatic flavin monooxygenase (FMO

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Preclinical studies have suggested potential biomarkers such as circulating free IGF levels, mutations of p53, BRCA1, KRAS and BRAF, IRS2 copy number gain, InsR/IGF-IR overexpression, InsR/IGF-IR pathway activation, PTEN loss, CD24, mesenchymal markers, -catenin/TCF activity, FUS-DDIT3 fusion, and ERG [192,193,194,195,196,197,198,199,200,201]

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