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3-hydroxy- N -trimethyllysine aldolase is a pyridoxal phosphate dependent aldolase, and it catalyses the cleavage of 3-hydroxy- N -trimethyllysine into 4-N-trimethylaminobutyraldehyde and glycine
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Samir Rahmani, FRCS (England), UK-Trained Laparoscopic, Bariatric & GI Surgeon, Dubai | Medically Reviewed: April 2026 Mounjaro causes diarrhea, constipation, and stomach pain because it activates GLP-1 receptors that slow gastric emptying and alter intestinal motility