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The dietary recommendations above are likely the most helpful for prevention, but you may have to treat it at some point in your journey

95% CI, 2.39 to 4.75

Management: Avoid caffeine after 2pm If you must have evening caffeine, melatonin will be less effective Consider decaf alternatives Alcohol Interaction: Both affect CNSincreased sedation and impairment

If the pomegranate extract increased intestinal absorption of L-carnitine, a greater proportion of the ingested dose would be taken up before reaching the colon, theoretically reducing the substrate available to TMA-producing gut microbiota and thereby lowering TMAO production through a mechanism independent of direct microbial inhibition

If palpitations persist or worsen after two weeks at a stable dose, contact PlexusDx immediately