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same separation logic | | Sublingual | Low | None beyond standard care | Limited clinical data on this route | | IV (600-2,400 mg/session) | Low-moderate | Baseline and periodic LFTs | Hepatic conjugation pathway overlap | Patients who are already taking both agents and have experienced no adverse effects can generally continue, provided their prescribing clinician is aware of both

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Elevated TMAO levels have been associated with cardiovascular risk in some studies, although the relationship remains complex and continues to be debated