The process of TMA production through the choline TMA-lyase complex, namely, CutC and CutD (often collectively referred to as CUTC), represents the primary pathway by which gut microbiota convert dietary choline into TMA (Craciun and Balskus, 2012)
It's a synthetic analog of human IGF-1, but it's been modified
Studies have shown an average weight loss of 15% of body weight over 26-30 weeks, especially for people with a body mass index (BMI) of 30 or higher, or those with a BMI of 27 or higher and obesity-related health issues like type 2 diabetes
the harder part is keeping this practice going consistently without letting it take over your day
And no one explains this part well
It does this by increasing insulin secretion after meals, decreasing gluconeogenesis, slowing the passage of food through the gut, and giving a feeling of satiety