News & Views on Systemic Body Odor and Halitosis such as trimethylaminuria TMAU. If you have fecal odors or bowel odors it may be metabolic/systemic

17 February 2016

new TMAO blood test at Cleveland Heartlab

Since December, Cleveland Clinic has started it's TMA-oxide blood test via the Cleveland Heartlab. As regular readers will know, since 2011 Dr Hazen et al at the Heartlab have suggested that TMA-oxide may be an important factor in causing heart disease. This is what is leading them to look for ways to reduce trimethylamine levels in the gut.

Link : Cleveland Heartlab TMAO test

What has this to do with systemic body odor ?
Trimethylaminuria (TMAU) is currently the only documented type of 'benign' systemic body odor. Since the probable therapy to reduce tma-oxide levels in the human gut will be to reduce TMA levels, then those who feel TMA is their only source of malodor are likely to benefit from any 'TMA reducing' therapy that is created for heart disease. At the moment it looks like DMB will be sold by Procter & Gamble sometime in the future as it has been shown to reduce TMA levels in mice.

My own view :
I think most people with systemic body odor smell of any FMO3 substrates that happen to be too high in their body at any time. This means many small sulfides and amines that are created in humans, particularly in the gut. So whilst I am very interested in a 'TMA reducing' therapy, I do worry that TMA may not be the only compound that causes malodor in 'FMO3 maldoor syndrome'. But the eventual release of the DMB compound for sale is something to look forward to.  

DMB : 3,3-Dimethyl-1-butanol   
Wikipedia


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TMA blocker pill (links)

P&G - Cleveland press release aug 2015
1st mention of 'DMB pill' dec 2015
FMO3 DNA testing
Update Aug 17 :
Genos is back with it's EXOME test
link

Note :
Exome/Genome testing may be better option than single gene testing.

See this post : link

Note : Genos Exome Testing.

Exome testing is almost the same price now as single gene testing. Also Genos is consumer friendly, which standard DNA labs are not.

So the blog offer to test solely for FMO3 is almost obsolete, and so no longer offered.


Does Genos fully sequence FMO3 gene ?

At the moment it is not clear, but hoped this will become clear over the next few months

Note : possible 'wild west' way of testing FMO3
Use an ancestry dna site and rummage through the raw data

TMAU Webinar #5 : Preti et al