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I am aware of the 2019 pilot study....just haven't found anything more significant

Use a standard U-100 insulin syringe for injecting

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doi:10.1002/acr.20552 116

Studies using human aortic endothelial cells (HAECs), human vascular smooth muscle cells (HVSMCs) and mouse models have shown that TMAO treatment increases phosphorylation of p38, JNK and ERK1/2 [38, 132]