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y pattern, was inversely related to TMAO concentration. As such, this study suggests that in free-living populations, higher circulating concentrations of TMAO cannot simply be interpreted as a marker of unhealthy food intake or an unhealthy dietary pattern.► Limited movement in both arms ► Diffuse pain in elbows, forearms, and upper arms ► Pronated hands.This approach to the work-up and diagnosis will help you to ensure prompt treatment while maximizing your patient's quality of life.Pigmented macules on the patient's oral mucosa prov