(6)Fmoc-Asp(otBu)-Asp(otBu)-Ala-Gly-Leu-Val- (6) Preparation of Fmoc-Asp(otBu)-Asp(otBu)-Ala-Gly-Leu-Val-resin: (5)Fmoc-Asp(otBu)-Ala-Gly-Leu-Val-105053010501060 3DMF3DMF2DMFFmoc-Asp(otBu)-OHDIEATBTU/HOBtHBTU/HOBtBOP/HOBt105010603DMF3DMF2Fmoc-Asp(otBu)-Asp(otBu)-Ala-Gly-Leu-Val- In the Fmoc-Asp(otBu)-Ala-Gly-Leu-Val-resin in step (5), add the decapping reagent at 1050C for 530 minutes, dry it with a vacuum pump, and add the decapping reagent again at 1050C React for 10-60 minutes, drain, wash 3 times with isopropanol, 3 times with DMF, 2 times with distilled DMF, add Fmoc-Asp(otBu)-OH, DIEA, TBTU/HOBt dissolved in DMF Or the mixture of HBTU/HOBt or BOP/HOBt, react at 10-50C for 10-60 minutes, drain with a vacuum pump, wash with isopropanol for 3 times, wash with DMF for 3 times, wash with re-distilled DMF for 2 times, and drain , obtain Fmoc-Asp(otBu)-Asp(otBu)-Ala-Gly-Leu-Val-resin

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People with microbiomes enriched for TMA producing bacteria can also make more TMA from the same dose of L-carnitine and thus become symptomatic