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It is also thought that MSG may exacerbate the damage by exhibiting a synergistic effect with other factors, such as lipopolysaccharide (LPS) that can cause liver damage (Asejeje et al

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One should also consider that bacterial fermentation processes can convert the amino acids lysine, ornithine, and tyrosine into cadaverine, putrescine, and tyramine, which can be problematic in biogenic amine intolerance