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Although there are some links between TMAO and MAFLD and administration of TMAO impairs liver function and increases hepatic triglyceride accumulation and lipogenesis in animal models, whether reducing TMAO concentrations could prevent MAFLD remains unclear due to lack of relevant studies

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An interaction with zinc is also currently being discussed, but the interrelation is quite complex and goes beyond the scope of this article

Glutathione peroxidase 4 (GPX4) is a key enzyme in iron dependent death that can reduce the production of lipid hydroperoxides (PE-AA-OH and PE-AdA-OH)