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For an overview of the steps in TMAO formation see this review on TMAO formation

The Food and Drug Administration (FDA) may no longer approve the drug based on new safety evidence

doi:10.1016/j.celrep.2020.108271 7

however, its application is significantly constrained by life-threatening cardiotoxic effects and the potential for developing cardiomyopathy

The glutathione gets used up and cant protect the cells

If receiving cancer treatment, supplementing with Glutathione may cause drug interactions and allow cancer cells to be resistant to chemotherapy drugs, thus decreasing their effectiveness and increasing oxidative stress