“…In a separate weight loss control study, amino acids and branched chain amino acids were found to decrease post-RYGB but not after dietary intervention, which suggested the down-regulation of amino acids may contribute to the glucose homeostasis and thus improve the metabolic status (Laferrere et al, 2011). Using a rat RYGB model, we previously characterized the correlation between the metabolic and metagenomic profiles following RYGB surgery (Li et al, 2011). Metabolic effects of surgery included a reduction in levels of TCA cycle intermediates, increased amine production (methylamine, trimethylamine, and putrescine), and increased production of microbial-derived metabolites such as propionate and 5-aminovalerate, or microbial–host co-metabolites (e.g., hippurate, 4-cresyl sulfate, 4-cresyl glucuronide, 4-hydroxyphenylacetate, and phenylacetylglycine).…”