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Bonner CM, DeBrie KL, Hug G, Landrigan E, Taylor BJ

This process removes electrons from the matrix, and possibly from the cell via lactate efflux to the blood via the action of plasma membrane localized monocarboxylate transporters (MCT)

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The problem with that is that trimethylamine is so stinky, it makes you smell like dead fish. So, given the known adverse effectsfrom sufferers of [this] fish odor syndrome, the untoward odorous side effectsmake it a less attractive [drug] target. So, do we have to choose between smelling like dead fish, or suffering from heart and kidney disease