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Clinical development is designed to address these knowledge gaps

The apoE / mice fed with dietary TMAO for 8 weeks were found to have increased atheromatous plaques in the aorta and elevated serum lipids compared to the control group, which was demonstrated to be due to the inhibition of hepatic bile acid synthesis in mice possibly by downregulating Cyp7a1 (i.e., cholesterol 7-hydroxylase, the key regulatory enzyme of hepatic bile acid biosynthesis) (Ding et al., 2018)

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Route-Specific Pharmacokinetics: Intravenous Route:Peak plasma levels of cyanocobalamin are attained within 1 hour for parenteral doses