The Cleveland Heart Lab does this test (TMAO) which I routinely do. People just can’t eat fish or take fish oil the “day before” for it to be accurate. I have done a fair amount of TMAOs and interestingly some “vegetarians (cheese eaters)” have had elevated levels as well as some meat eaters.
If you choose to eat meat (fish, eggs, dairy, poultry, etc.), which most people do you should have this test done irregardless of your other heart disease risk factors (such as cholesterol levels) to see if the TMAO is elevated. It can be added to the "Inflammation Panel" and "Omega Check" that I do from Cleveland Heart Lab. I have also found their service, Cleveland Heart Lab's, to be excellent with very reasonable pricing if you are paying cost to the patient.
Call me between 8-9 a.m. PST with any questions (916-489-4400) regarding this test or any other heart disease risk factor test (Go to my Heart Disease Reversal Resource page and scroll down for resources that will help you reverse your heart disease).
Be and Stay Well,
You can call for "brief" medical questions 8-9 a.m. PST Monday-Friday 916-489-4400 KwikerMedical.com StayingHealthyToday.com Kirk's Healthy Living Tips
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