get tested for TMAO, reports Stanley Hazen, MD, PhD. TMAO (trimethylamine N-oxide) is produced during the digestion of red meat, eggs and full-fat dairy products. In a recent study of patients, who went to the emergency department with chest pain, those with high TMAO levels were six times as likely to have a heart attack or stroke or need surgery to repair a blocked artery within the next month as those with low TMAO levels.

A TMAO test costs only about $50. and may be covered by insurance. Patients with high TMAO levels may need more tightly controlled LDL (“bad”) cholesterol, closer attention to blood pressure and careful attention to a personalized diet-and-exercise regimen.

Source: Bottom Line Personal March 15, 2017 Stanley Hazen, MD. PhD, is chair of the department of cellular and molecular medicine at Lerner Research Institute, Cleveland Clinic, and leader of a study published in European Heart Journal.